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Can video interventions be used to effectively destigmatize mental illness among young people? A systematic review

Published online by Cambridge University Press:  03 February 2017

M. Janoušková*
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
E. Tušková
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
A. Weissová
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
P. Trančík
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
J. Pasz
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
S. Evans-Lacko
Affiliation:
Personal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, LondonWC2A 2AE, United Kingdom Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, LondonSE5 8AF, United Kingdom
P. Winkler
Affiliation:
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67Klecany, Czech Republic
*
Corresponding author. Tel.: +420 283 088 421. E-mail address: [email protected] (M. Janoušková).
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Abstract

Video is considered to be an effective, easy to use tool employed in anti-stigma interventions among young people. Mass media has been shown to be effective for reducing stigma; however, there is insufficient evidence to determine the destigmatization effects of videos specifically. This article systematically reviews the effectiveness of video intervention in reducing stigma among young people between 13 and 25 years. We searched 13 electronic databases including randomized controlled trials, cluster randomized controlled trials, and controlled before and after studies. Of the 1426 abstracts identified, 23 studies (reported in 22 papers) met the inclusion criteria. Video interventions led to improvements in stigmatising attitudes. Video was found to be more effective than other interventions, such as classical face-to-face educational sessions or simulation of hallucinations. According to results of two studies, social contact delivered via video achieved similar destigmatization effect to that delivered via a live intervention. Although the quality of studies as well as the form of video interventions varied, the findings suggest that video is a promising destigmatization tool among young people; however, more studies in this area are needed. There was a lack of evidence for interventions outside of school environments, in low- and middle-income countries, and studies, which looked at long-term outcomes or measured impact on actual behaviour and implicit attitudes. The review generates recommendations for video interventions targeted at young people.

Type
Review
Copyright
Copyright © European Psychiatric Association 2017

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References

Kessler, R.C.Amminger, G.P.Aguilar-Gaxiola, S.Alonso, J.Lee, S.Ustun, T.B.Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatr 2007;20:359.CrossRefGoogle ScholarPubMed
Patel, V.Flisher, A.J.Hetrick, S.McGorry, P.Mental health of young people: a global public-health challenge. Lancet 2007;369:13021313.CrossRefGoogle ScholarPubMed
Wittchen, H.U.Nelson, C.B.Lachner, G.Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychol Med 1998;28:109126.CrossRefGoogle ScholarPubMed
Chandra, A.Minkovitz, C.S.Stigma starts early: gender differences in teen willingness to use mental health services. J Adolesc Health 2006;38:754e1754e8.CrossRefGoogle ScholarPubMed
Melas, P.A.Tartani, E.Forsner, T.Edhborg, M.Forsell, Y.Mental health literacy about depression and schizophrenia among adolescents in Sweden. Eur Psychiatr 2013;28:404411.CrossRefGoogle ScholarPubMed
Wahl, O.E.Children's views of mental illness: a review of the literature. Psychiatr Rehabil Skills 2002;6:134158.CrossRefGoogle Scholar
Watsford, C.Rickwood, D.Young people's expectations, preferences, and experiences of therapy: Effects on clinical outcome, service use, and help-seeking intentions. Clin Psychol 2014;18:4351.CrossRefGoogle Scholar
Pedersen, E.R.Paves, A.P.Comparing perceived public stigma and personal stigma of mental health treatment seeking in a young adult sample. Psychiatr Res 2014;219:143150.CrossRefGoogle Scholar
Vanheusden, K.van der Ende, J.Mulder, C.L.van Lenthe, F.J.Verhulst, F.C.Mackenbach, J.P.Beliefs about mental health problems and help-seeking behavior in Dutch young adults. Soc Psychiatr Psychiatr Epidemiol 2009;44:239246.CrossRefGoogle ScholarPubMed
Gulliver, A.Griffiths, K.M.Christensen, H.Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatr 2010;10.Google ScholarPubMed
Merikangas, K.R.He J-p, Burstein, M.Swendsen, J.Avenevoli, S.Case, B.et al.Service utilization for lifetime mental disorders in US adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatr 2011;50:3245.CrossRefGoogle Scholar
Yanos, P.T.Roe, D.Markus, K.Lysaker, P.H.Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatr Serv 2008;59:14371442.CrossRefGoogle ScholarPubMed
Wahl, O.F.Mental health consumers’ experience of stigma. Schizophr bull 1999;25:467.CrossRefGoogle ScholarPubMed
Switaj, P.Wciorka, J.Smolarska-Switaj, J.Grygiel, P.Extent and predictors of stigma experienced by patients with schizophrenia. Eur Psychiatr 2009;24:513520.CrossRefGoogle ScholarPubMed
Ahmedani, B.K.Kubiak, S.P.Kessler, R.C.de Graaf, R.Alonso, J.Bruffaerts, R.et al.Embarrassment when illness strikes a close relative: a World Mental Health Survey Consortium Multi-Site Study. Psychol Med 2013;43:21912202.CrossRefGoogle ScholarPubMed
Farrelly, S.Jeffery, D.Ruesch, N.Williams, P.Thornicroft, G.Clement, S.The link between mental health-related discrimination and suicidality: service user perspectives. Psychol Med 2015;45:20132022.CrossRefGoogle ScholarPubMed
Bhugra, D.Teaching psychiatry through cinema. Psychiatr Bull 2003;27:429430.CrossRefGoogle Scholar
Jones, E.Neuropsychiatry 1943: the role of documentary film in the dissemination of medical knowledge and promotion of the UK psychiatric profession. J Hist Med Allied Sci 2014;69:294324.CrossRefGoogle ScholarPubMed
Gabbard, G.O.Gabbard, K.Psychiatry and the cinema. Chicago: University of Chicago Press; 1999.Google Scholar
Alexander, M.Lenahan, P.Pavlov, A., editors. Cinemeducation: a comprehensive guide to using film in medical education Abingdon: Radcliffe Publishing; 2005.Google Scholar
McKenny, K.Using an online video to teach nursing skills. Teach Learn Nurs 2011;6:172175.CrossRefGoogle Scholar
Strasburger, V.C.Wilson, B.J.Jordan, A.B.Children, adolescents, and the media. Los Angeles: Sage; 2009.Google ScholarPubMed
Wahl, O.F.Media madness: public images of mental illness. New Brunswick: Rutgers University Press; 1997.Google Scholar
Strasburger, V.C.Jordan, A.B.Donnerstein, E.Children, adolescents, and the media: health effects. Pediatr Clin 2012;59:533587.Google ScholarPubMed
Clement, S.van Nieuwenhuizen, A.Kassam, A.Flach, C.Lazarus, A.de Castro, M.et al.Filmed v. live social contact interventions to reduce stigma: randomised controlled trial. Br J Psychiatr 2012;201:5764.CrossRefGoogle ScholarPubMed
Corrigan, P.W.Research and the elimination of the stigma of mental illness. Br J Psychiatr 2012;201:78.CrossRefGoogle ScholarPubMed
Clement, S.Lassman, F.Barley, E.Evans-Lacko, S.Williams, P.Yamaguchi, S.et al.Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 2013;7.Google ScholarPubMed
Corrigan, P.W.Morris, S.B.Michaels, P.J.Rafacz, J.D.Rüsch, N.Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012;63:963973.CrossRefGoogle ScholarPubMed
Sakellari, E.Leino-Kilpi, H.Kalokerinou-Anagnostopoulou, A.Educational interventions in secondary education aiming to affect pupils’ attitudes towards mental illness: a review of the literature. J Psychiatr Ment Health Nurs 2011;18:166176.CrossRefGoogle ScholarPubMed
Schachter, H.M.Girardi, A.Ly, M.Lacroix, D.Lumb, A.B.van Berkom, J.et al.Effects of school-based interventions on mental health stigmatization: a systematic review. Child Adolesc Psychiatr Ment Health 2008;2:18.CrossRefGoogle ScholarPubMed
Mehta, N.Clement, S.Marcus, E.Stona, A.Bezborodovs, N.Evans-Lacko, S.et al.Evidence for effective interventions to reduce mental health-related stigma and discrimination in the medium and long term: systematic review. Br J Psychiatr 2015;207:377384.CrossRefGoogle ScholarPubMed
Yamaguchi, S.Wu, S.-I.Biswas, M.Yate, M.Aoki, Y.Barley, E.A.et al.Effects of short-term interventions to reduce mental health-related stigma in university or college students. J Nerv Ment Dis 2013;201:490503.CrossRefGoogle ScholarPubMed
Stubbs, A.Reducing mental illness stigma in health care students and professionals: a review of the literature. Austral Psychiatry 2014;22:579584.CrossRefGoogle ScholarPubMed
Yamaguchi, S.Mino, Y.Uddin, S.Strategies and future attempts to reduce stigmatization and increase awareness of mental health problems among young people: a narrative review of educational interventions. Psychiatr Clin Neurosci 2011;65:405415.CrossRefGoogle ScholarPubMed
Mellor, C.School-based interventions targeting stigma of mental illness: systematic review. Psychiatr Bull 2014;38:164171.CrossRefGoogle ScholarPubMed
Wei, Y.F.Hayden, J.A.Kutcher, S.Zygmunt, A.McGrath, P.The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry 2013;7:109121.CrossRefGoogle ScholarPubMed
Liberati, A.Altman, D.G.Tetzlaff, J.Mulrow, C.Gotzsche, P.C.Ioannidis, J.P.A.et al.The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 2009;6:28.CrossRefGoogle ScholarPubMed
Thornicroft, G.Shunned: discrimination against people with mental illness. Oxford: Oxford University Press; 2006.Google Scholar
Woods, D.W.The effect of video-based peer education on the social acceptability of adults with Tourette's syndrome. J Dev Phys Disabil 2002;14:5162.CrossRefGoogle Scholar
Walachowska, K.Janowski, K.Tatala, M.The efficacy of three interventions modifying stereotypes and prejudice towards people with schizophrenia. Pol Psychol Bull 2009;40:251.CrossRefGoogle Scholar
Nguyen, E.Chen, T.F.O’Reilly, C.L.Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students. Soc Psychiatr Psychiatr Epidemiol 2012;47:10871098.CrossRefGoogle ScholarPubMed
Brown, S.A.Evans, Y.Espenschade, K.O’Connor, M.An examination of two brief stigma reduction strategies: filmed personal contact and hallucination simulations. Commun Ment Health J 2010;46:494499.CrossRefGoogle ScholarPubMed
Corrigan, P.W.Larson, J.Sells, M.Niessen, N.Watson, A.C.Will filmed presentations of education and contact diminish mental illness stigma?. Commun Ment Health J 2007;43:171181.CrossRefGoogle ScholarPubMed
Ritterfeld, U.Jin, S.A.Addressing media stigma for people experiencing mental illness using an entertainment-education strategy. J Health Psychol 2006;11:247267.CrossRefGoogle ScholarPubMed
Pinto-Foltz, M.D.Logsdon, M.C.Myers, J.A.Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med 2011;72:20112019.CrossRefGoogle ScholarPubMed
Kaplan, S.A.Vogel, D.L.Gentile, D.A.Wade, N.G.Increasing positive perceptions of counseling: the importance of repeated exposures. Counsel Psychol 2012;40:409442.CrossRefGoogle Scholar
Chan, J.Y.N.Mak, W.W.S.Law, L.S.C.Combining education and video-based contact to reduce stigma of mental illness: “The Same or Not the Same” anti-stigma program for secondary schools in Hong Kong. Soc Sci Med 2009;68:15211526.CrossRefGoogle ScholarPubMed
Reinke, R.R.Corrigan, P.W.Leonhard, C.Lundin, R.K.Kubiak, M.A.Examining two aspects of contact on the stigma of mental illness. J Soc Clin Psychol 2004;23:377389.CrossRefGoogle Scholar
Esters, I.G.Cooker, P.G.Ittenbach, R.F.Effects of a unit of instruction in mental health on rural adolescents’ conceptions of mental illness and attitudes about seeking help. Adolescence 1998;33:469476.Google ScholarPubMed
Link, B.G.Cullen, F.T.Frank, J.Wozniak, J.F.The social rejection of former mental patients: understanding why labels matter. Am J Soc 1987 14611500.CrossRefGoogle Scholar
Penn, D.L.Chamberlin, C.Mueser, K.T.The effects of a documentary film about schizophrenia on psychiatric stigma. Schizophr Bull 2003;29:383391.CrossRefGoogle ScholarPubMed
Fischer, E.H.Farina, A.Attitudes toward seeking professional psychological help–a shortened form and considerations for research. J Coll Student Dev 1995;36:368373.Google Scholar
Watson, D.Clark, L.A., The PANAS-X: Manual for the positive and negative affect schedule–expanded form. Coralville: University of Iowa; 1994.Google Scholar
Taylor, S.M.Dear, M.J.Scaling community attitudes toward the mentally ill. Schizophr Bull 1981;7:225240.CrossRefGoogle ScholarPubMed
Link, B.G.Cullen, F.T.Contact with the mentally-ill and perceptions of how dangerous they are. J Health Soc Behav 1986;27:289302.CrossRefGoogle ScholarPubMed
Greenwald, A.G.McGhee, D.E.Schwartz, J.L.K.Measuring individual differences in implicit cognition: the implicit association test. J Pers Soc Psychol 1998;74:14641480.CrossRefGoogle ScholarPubMed
Faigin, D.A.Stein, C.H.Comparing the effects of live and video-taped theatrical performance in decreasing stigmatization of people with serious mental illness. J Ment Health 2008;17:594606.CrossRefGoogle Scholar
Owen, P.Dispelling myths about schizophrenia using film. J Appl Soc Psychol 2007;37:6075.CrossRefGoogle Scholar
Altindag, A.Yanik, M.Ucok, A.Alptekin, K.Ozkan, M.Effects of an antistigma program on medical students’ attitudes towards people with schizophrenia. Psychiatr Clin Neurosci 2006;60:283288.CrossRefGoogle ScholarPubMed
Lincoln, T.M.Arens, E.Berger, C.Rief, W.Can antistigma campaigns be improved? A test of the impact of biogenetic vs. psychosocial causal explanations on implicit and explicit attitudes to schizophrenia. Schizophr Bull 2008;34:984994.CrossRefGoogle Scholar
Saporito, J.M.Ryan, C.Teachman, B.Reducing stigma toward seeking mental health treatment among adolescents. Stigma Res Action 2011;1:921.Google ScholarPubMed
West, K.Turner, R.Using extended contact to improve physiological responses and behavior toward people with schizophrenia. J Exp Soc Psychol 2014;50:5764.CrossRefGoogle Scholar
Demyan, A.L.Anderson, T.Effects of a brief media intervention on expectations, attitudes, and intentions of mental health help seeking. J Counsel Psychol 2012;59:222229.CrossRefGoogle ScholarPubMed
Woods, D.W.Marcks, B.A.Controlled evaluation of an educational intervention used to modify peer attitudes and behavior toward persons with Tourette's Syndrome. Behav Modif 2005;29:900912.CrossRefGoogle ScholarPubMed
Semrau, M.Evans-Lacko, S.Koschorke, M.Ashenafi, L.Thornicroft, G.Stigma and discrimination related to mental illness in low- and middle-income countries. Epidemiol Psychiatr Sci 2015;24:382394.CrossRefGoogle ScholarPubMed
Clement, S.Jarrett, M.Henderson, C.Thornicroft, G.Messages to use in population-level campaigns to reduce mental health-related stigma: consensus development study. Epidemiol Psichiatr Soc 2010;19:7279.CrossRefGoogle ScholarPubMed
Ando, S.Clement, S.Barley, E.Thornicroft, G.The simulation of hallucinations to reduce the stigma of schizophrenia: a systematic review. Schizophr Res 2011;133:816.CrossRefGoogle ScholarPubMed
Evans-Lacko, S.Clement, S.Corker, E.Brohan, E.Dockery, L.Farrelly, S.et al.How much does mental health discrimination cost: valuing experienced discrimination in relation to healthcare care costs and community participation. Epidemiol Psychiatr Sci 2015;24:423434.CrossRefGoogle ScholarPubMed
Wright, S.Henderson, C.Thornicroft, G.Sharac, J.McCrone, P.Measuring the economic costs of discrimination experienced by people with mental health problems: development of the Costs of Discrimination Assessment (CODA). Soc Psychiatry Psychiatr Epidemiol 2015;50:787795CrossRefGoogle Scholar
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