Evidence map›Paper›PMID 41988574›Full record

ArticleFrontiers in public health2026

"Although I'm mentally ill, that doesn't mean that I'm not also physically ill" - barriers, facilitators and diagnostic overshadowing in healthcare for individuals with lived experience of mental ill-health.

Katrin Schäfer, Hanna M Mües, Magdalena Agnieszka Wrzesińska, Magdalena Kostyła, Jarosław Rakoczy, Rosa Gomez Trenado, Cristina Fernández García, Marta Pisano González, Noelia Mancebo Salas, Thanos Gogos and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Katrin SchäferDepartment of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Hanna M MüesDepartment of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Magdalena Agnieszka WrzesińskaDepartment of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland.
Magdalena KostyłaDepartment of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland.
Jarosław RakoczyDepartment of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland.
Rosa Gomez TrenadoArea of Social Work Madrid Health Service (SERMAS), Faculty of Social Work Complutense, University of Madrid, Madrid, Spain.
Cristina Fernández GarcíaRegional Health Service of the Principality of Asturias (SESPA), Health Research Institute of the Principality of Asturias (ISPA), Asturias, Spain.
Marta Pisano GonzálezMinistry of Health of the Principality of Asturias (CSPA), Health Research Institute of the Principality of Asturias (ISPA), Asturias, Spain.
Noelia Mancebo SalasGovernment of the Community of Madrid, Madrid, Spain.
Thanos GogosUniversity Mental Health, Neurosciences and Precision Medicine Research Institute "COSTAS STEFANIS" (UMHRI), Athens, Greece.
Ioanna ZiogaUniversity Mental Health, Neurosciences and Precision Medicine Research Institute "COSTAS STEFANIS" (UMHRI), Athens, Greece.
Vasiliki RadaiosPROLEPSIS Civil Law Non-Profit Organization of Preventive Environmental and Occupational Medicine, Athens, Greece.
Alejandro Gil-SalmeronInternational Foundation for Integrated Care, Oxford, United Kingdom.
Igor GrabovacDepartment of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People with lived experience of mental ill-health (PWLE) face inequities in health care, including experiences of stigma and discrimination due to mental ill-health, as well as diagnostic overshadowing. This study aimed to investigate facilitators, barriers, and experiences of diagnostic overshadowing of PWLE within four European health care systems (Austria, Greece, Poland, and Spain). Methods: This qualitative interview study included PWLE and other relevant stakeholders ( Results: The analyses revealed three themes: (1) "Factors located within the health care system," (2) "Factors in regard to the personal situation," and (3) "Impact of diagnostic overshadowing on health." The results indicated that experiences of not being taken seriously and issues of stigma and discrimination in the health care setting were recognized across all countries. Additionally, self-stigmatization was mentioned as an additional burden. Conclusion: These findings show the limitations in access to and utilization of health care services by PWLE across different health care systems. Additional efforts are needed to improve access and utilization of physical health care for PWLE to promote equity in health care and, ultimately, health.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityMental DisordersPersons with Psychiatric DisordersSocial StigmaAdultAgedEuropeFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchYoung Adultco-creationdiagnostic overshadowinghealth equitylived experiencepatient navigation

Identifiers

PMID41988574
PMCPMC13078382

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.