Evolution of public attitudes about mental illness: A systematic review and meta-analysis

Acta Psychiatrica Scandinavica

Volumn 125, Issue 6, 2012, Pages 440-452

  Schomerus, G ^a   Schwahn, C ^a   Holzinger, A ^b   Corrigan, P W ^c   Grabe, H J ^a   Carta, M G ^d   Angermeyer, M C ^d,e  

^a UNIVERSITY OF GREIFSWALD   (Germany)

^b MEDICAL UNIVERSITY OF VIENNA   (Austria)

^c ILLINOIS INSTITUTE OF TECHNOLOGY   (United States)

^d UNIVERSITY OF CAGLIARI   (Italy)

^e Center for Public Mental Health   (Austria)

Author keywords

Depression; Genetics; Mental health literacy; Schizophrenia; Stigma; Trends

Indexed keywords

ARTICLE; ATTITUDE TO MENTAL ILLNESS; FOLLOW UP; GENETICS; HEALTH BELIEF; HEALTH LITERACY; HELP SEEKING BEHAVIOR; HUMAN; KNOWLEDGE; MENTAL DISEASE; MENTAL PATIENT; META ANALYSIS; PRIORITY JOURNAL; PSYCHIATRIST; PSYCHOTHERAPY; STEREOTYPY; STRESS; SYSTEMATIC REVIEW;

ATTITUDE TO HEALTH; HEALTH LITERACY; HUMANS; MENTAL HEALTH; MENTALLY ILL PERSONS; PATIENT ACCEPTANCE OF HEALTH CARE; PUBLIC OPINION; SOCIAL DISTANCE; SOCIAL STIGMA; STEREOTYPING;

EID: 84860840623     PISSN: 0001690X     EISSN: 16000447     Source Type: Journal    
DOI: 10.1111/j.1600-0447.2012.01826.x     Document Type: Article

References (65)

1. Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG "A disease like any other"? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry 2010;167:1321-1330.
2. Jones EG, Mendell LM. Assessing the decade of the brain. Science 1999;284:739.
3. Clarke J, Gawley A. The triumph of pharmaceuticals: the portrayal of depression from 1980 to 2005. Adm Policy Ment Health 2009;36:91-101.
4. Racine E, Waldman S, Rosenberg J, Illes J. Contemporary neuroscience in the media. Soc Sci Med 2010;71:725-733.
5. Corrigan PW. Mental health stigma as social attribution: implications for research methods and attitude change. Clin Psychol (New York) 2000;7:48-67.
6. NAMI. Major depression fact sheet. Available at: (accessed 15 July 2010).
7. NAMI. Understanding schizophrenia and recovery. What you need to know about this medical illness. Available at: (accessed 23 July 2010).
8. Centre for Reviews and Dissemination. Systematic reviews. CRD's gudiance for undertaking reviews in health-care. York: University of York, 2009.
9. Higgins JPT, Green S (eds). Cochrane handbook for systematic reviews of interventions version 5.0.2. [updated September 2009]. The Cochrane Collaboration, 2009. Available at: (accessed 23 July 2010).
10. Beck M, Matschinger H, Angermeyer MC. Social representations of major depression in West and East Germany - do differences still persist 11years after reunification? Soc Psychiatry Psychiatr Epidemiol 2003;38:520-525.
11. Angermeyer MC, Matschinger H. Public attitudes to people with depression: have there been any changes over the last decade? J Affect Disord 2004;83:177-182.
12. Angermeyer MC, Holzinger A, Matschinger H. Mental health literacy and attitude towards people with mental illness: a trend analysis based on population surveys in the eastern part of Germany. Eur Psychiatry 2009;24:225-232.
13. Angermeyer MC, Matschinger H. Causal beliefs and attitudes to people with schizophrenia - trend analysis based on data from two population surveys in Germany. Br J Psychiatry 2005;186:331-334.
14. Harbord RM, Higgins JPT. Meta-regression in Stata. Stata J 2008;8:493-519.
15. Braunholtz S, Davidson S, Myant K, O'connor R. Well? What do you think? (2006): the third national, Scottish survey of public attitudes to mental health, mental wellbeing and mental health problems. Edinburgh: Scottish Government Social Research, 2007.
16. Mehta N, Kassam A, Leese M, Butler G, Thornicroft G. Public attitudes towards people with mental illness in England and Scotland, 1994-2003. Br J Psychiatry 2009;194:278-284.
17. Schnittker J. An uncertain revolution: why the rise of a genetic model of mental illness has not increased tolerance. Soc Sci Med 2008;67:1370-1381.
18. Jorm AF, Christensen H, Griffiths KM. Public beliefs about causes and risk factors for mental disorders. Changes in Australia over 8years. Soc Psychiatry Psychiatr Epidemiol 2005;40:764-767.
19. Braunholtz S, Davidson S, King S. Well? What do you think? 2004. The second national, Scottish survey of public attitudes to mental health, mental wellbeing and mental health problems. Edinburgh: Scottish Government Social Research, 2004.
20. Jorm AF, Christensen H, Griffiths KM. The public's ability to recognize mental disorders and their beliefs about treatment: changes in Australia over 8years. Aust N Z J Psychiatry 2006;40:36-41.
21. Paykel ES, Hart D, Priest RG. Changes in public attitudes to depression during the Defeat Depression Campaign. Br J Psychiatry 1998;173:519.
22. Phelan JC, Link BG, Stueve A, Pescosolido BA. Public conceptions of mental illness in 1950 and 1996: what is mental illness and is it to be feared? J Health Soc Behav 2000;41:188-207.
23. Corrado M, Pooni K. Attitudes towards Schizophrenia. A survey of public opinion. Unpublished report, London: MORI, 1997.
24. Grausgruber A, Schony W, Grausgruber-Berner R et al "Schizophrenie hat viele Gesichter"- evaluierung der österreichischen Anti-Stigma-Kampagne 2000-2002. Psychiatr Prax 2009;36:327-333.
25. Riedel-Heller SG, Matschinger H, Angermeyer MC. Mental disorders - who and what might help? Help-seeking and treatment preferences of the lay public. Soc Psychiatry Psychiatr Epidemiol 2005;40:167-174.
26. Jorm AF, Christensen H, Griffiths KM. Changes in depression awareness and attitudes in Australia: the impact of beyondblue: the national depression initiative. Aust N Z J Psychiatry 2006;40:42-46.
27. Jorm AF, Christensen H, Griffiths KM. The impact of beyondblue: the national depression initiative on the Australian public's recognition of depression and beliefs about treatments. Aust N Z J Psychiatry 2005;39:248-254.
28. Mojtabai R. Americans' attitudes toward mental health treatment seeking: 1990-2003. Psychiatr Serv 2007;58:642-651.
29. Mojtabai R. Americans' attitudes toward psychiatric medications: 1998-2006. Psychiatr Serv 2009;60:1015-1023.
30. Angermeyer MC, Matschinger H. Public attitudes towards psychotropic drugs: have there been any changes in recent years? Pharmacopsychiatry 2004;37:152-156.
31. Crisp AH, Gelder MG, Goddard E, Meltzer HI. Stigmatization of people with mental illnesses: a follow-up study within the Changing Minds campaign of the Royal College of Psychiatrists. World Psychiatry 2005;4:106-113.
32. Vaughan G, Hansen C. 'Like Minds, Like Mine': a New Zealand project to counter the stigma and discrimination associated with mental illness. Australas Psychiatry 2004;12:113-117.
33. Kwekkeboom MH. Sociaal draagvlak voor de vermaatschappelijking in de geestelijke Gezondheitdswetenschappen. Ontwikkelingen tussen 1976 en 1997. Tijdschr Gezondheitdswetenschappen 2000;78:165-171.
34. Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull 1981;7:225-240.
35. Wciórka B, Wciórka J. Stereotyp i dystans-choroby psychiczne i chorzy psychicznie w opinii spo ecze stwa polskiego (1996 i 1999). Post Psychiatr Neurol 2000;9:353-382.
36. Wciórka B, Wciórka J. Polacy o niepokojach, zagrozeniach i oczekiwaniach dotyczacych zdrowia psychicznego. Warszawa: Centrum Badania Opinii Spolecznej, 2008.
37. Wciórka B, Wciórka J. Polacy wobec chorób pschicznych I os′b chorych psychicznie. Waszawa: Centrum Badania Opinii Spolecznej, 2005.
38. Wciórka B, Wciórka J. Osoby chore pschicznie w spoleczenstwie. Warszawa: Centrum Badania Opinii Spolecznej, 2008.
39. Schomerus G, Matschinger H, Angermeyer MC. Public beliefs about the causes of mental disorders revisited. Psychiatry Res 2006;144:233-236.
40. Mark TL, Levit KR, Buck JA, Coffey RM, Vandivort-Warren R. Mental health treatment expenditure trends, 1986-2003. Psychiatr Serv 2007;58:1041.
41. Harman JS, Edlund MJ, Fortney JC. Trends in antidepressant utilization from 2001 to 2004. Psychiatr Serv 2009;60:611-616.
42. Loftus J. America's liberalization in attitudes toward homosexuality, 1973 to 1998. Am Soc Rev 2001;66:762-782.
43. Park A. British social attitudes. London: Sage, 2001.
44. Heitmeyer W. Deutsche Zustände. Frankfurt am Main: Suhrkamp, 2010.
45. Angermeyer MC, Holzinger A, Carta MG, Schomerus G. Biogenetic causal explanations and public acceptance of mentally ill persons. A systematic review of population studies. Br J Psychiatry 2011;199:367-372.
46. Phelan JC. Genetic bases of mental illness - a cure for stigma? Trends Neurosci 2002;25:430-431.
47. Read J, Haslam N, Sayce L, Davies E. Prejudice and schizophrenia: a review of the 'mental illness is an illness like any other' approach. Acta Psychiatr Scand 2006;114:303-318.
48. Walker I, Read J. The differential effectiveness of psychosocial and biogenetic causal explanations in reducing negative attitudes toward "mental illness". Psychiatry 2002;65:313-325.
49. Lam D, Salkovskis P, Warwick H. An experimental investigation of the impact of biological versus psychological explanations of the cause of "mental illness". J Ment Health 2005;14:453-464.
50. Bennett L, Thirlaway K, Murray AJ. The stigmatising implications of presenting schizophrenia as a genetic disease. J Genet Couns 2008;17:550-559.
51. Dietrich S, Beck M, Bujantugs B, Kenzine D, Matschinger H, Angermeyer MC. The relationship between public causal beliefs and social distance toward mentally ill people. Aust N Z J Psychiatry 2004;38:348-354.
52. Laegsgaard MM, Stamp AS, Hall EO, Mors O. The perceived and predicted implications of psychiatric genetic knowledge among persons with multiple cases of depression in the family. Acta Psychiatr Scand 2010;122:470-480.
53. Meiser B, Mitchell PB, Kasparian NA et al. Attitudes towards childbearing, causal attributions for bipolar disorder and psychological distress: a study of families with multiple cases of bipolar disorder. Psychol Med 2007;37:1601-1611.
54. Kiesler DJ. Beyond the disease model of mental disorders. Westport, CT: Praeger, 1999.
55. France CM, Lysaker PH, Robinson RP. The "chemical imbalance" explanation for depression: origins, lay endorsement, and clinical implications. Prof Psychol Res Pract 2007;38:411.
56. Deacon BJ, Lickel JJ. On the brain disease model of mental disorders. Behav Ther 2009;32:113-118.
57. Schomerus G. Warum werden Menschen mit Alkoholabhängigkeit in besonderer Weise stigmatisiert, und was kann man dagegen tun? Psychiatr Prax 2011;38:109-110.
58. Corrigan PW. Best practices: Strategic Stigma Change (SSC): five principles for social marketing campaigns to reduce stigma. Psychiatr Serv 2011;62:824.
59. London J, Evans-Lacko SE. Challenging mental health-related stigma through social contact. Eur J Public Health 2010;20:130-131.
60. Quinn N, Shulman A, Knifton L, Byrne P. The impact of a national mental health arts and film festival on stigma and recovery. Acta Psychiatr Scand 2011;123:71-81.
61. Mootz M. Enkele houdingen van Nederlanders tegenover (ex-) psychiatrische patiënten, 1976-1987. T Soc Gezondheitdsz 1990;68:323-328.
62. Angermeyer MC, Matschinger H. Have there been any changes in the public's attitudes towards psychiatric treatment? Results from representative population surveys in Germany in the years 1990 and 2001. Acta Psychiatr Scand 2005;111:68-73.
63. Angermeyer MC, Matschinger H. The stigma of mental illness in Germany: a trend analysis. Int J Soc Psychiatry 2005;51:276-284.
64. Angermeyer MC, Holzinger A, Matschinger H. Emotional reactions to people with mental illness. Epidemiol Psichiatr Soc 2010;19:26-32.
65. Blumner KH, Marcus SC. Changing perceptions of depression: ten-year trends from the general social survey. Psychiatr Serv 2009;60:306-312.