Efficacy of coming out proud to reduce stigma's impact among people with mental illness: Pilot randomised controlled trial

British Journal of Psychiatry

Volumn 204, Issue 5, 2014, Pages 391-397

  Rüsch, Nicolas ^a,b   Abbruzzese, Elvira ^d   Hagedorn, Eva ^d   Hartenhauer, Daniel ^d   Kaufmann, Ilias ^c   Curschellas, Jan ^d   Ventling, Stephanie ^d   Zuaboni, Gianfranco ^d   Bridler, René ^d   Olschewski, Manfred ^e   Kawohl, Wolfram ^f   Rössler, Wulf ^f,g   Kleim, Birgit ^c   Corrigan, Patrick W ^h  

^a UNIVERSITY HOSPITAL ULM   (Germany)

^b UNIVERSITY OF ULM   (Germany)

^c UNIVERSITY OF ZURICH   (Switzerland)

^d Sanatorium Kilchberg ^*

^e UNIVERSITY OF FREIBURG   (Germany)

^f UNIVERSITY HOSPITAL OF PSYCHIATRY   (Switzerland)

^g UNIVERSITY OF SÃO PAULO   (Brazil)

^h ILLINOIS INSTITUTE OF TECHNOLOGY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BEHAVIOR THERAPY; COMING OUT PROUD INTERVENTION; CONTROLLED STUDY; COPING BEHAVIOR; DISTRESS SYNDROME; EMPOWERMENT; FEMALE; FOLLOW UP; HUMAN; INTENTION TO TREAT ANALYSIS; INTERNAL CONSISTENCY; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; OUTCOME ASSESSMENT; PARALLEL DESIGN; PILOT STUDY; RANDOMIZED CONTROLLED TRIAL; SELF CONCEPT; SELF REPORT; STIGMA; STRESS; THERAPY EFFECT; ADAPTIVE BEHAVIOR; BEHAVIOR; INTERPERSONAL COMMUNICATION; MENTAL STRESS; MIDDLE AGED; PEER GROUP; PREJUDICE; PSYCHOLOGY; SOCIAL STIGMA;

ADAPTATION, PSYCHOLOGICAL; ADULT; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; PEER GROUP; PILOT PROJECTS; POWER (PSYCHOLOGY); PREJUDICE; SELF CONCEPT; SOCIAL STIGMA; STRESS, PSYCHOLOGICAL; TRUTH DISCLOSURE;

EID: 84899755576     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.113.135772     Document Type: Article

References (34)

1. Lasalvia A, Zoppei S, van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, et al. Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 2013; 381: 55-62.
2. Henderson C, Thornicroft G. Evaluation of the Time to Change programme in England 2008-2011. Br J Psychiatry 2013; 202 (suppl 55): s45-8.
3. Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, et al. Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 2012; 125: 440-52.
4. Brohan E, Elgie R, Sartorius N, Thornicroft G. Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophr Res 2010; 122: 232-8.
5. Rüsch N, Lieb K, Bohus M, Corrigan PW. Self-stigma, empowerment, and perceived legitimacy of discrimination among women with mental illness. Psychiatr Serv 2006; 57: 399-402.
6. Corrigan PW, Larson JE, Rüsch N. Self-stigma and the "why try" effect: impact on life goals and evidence-based practices. World Psychiatry 2009; 8: 75-81.
7. Link BG, Mirotznik J, Cullen FT. The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? J Health Soc Behav 1991; 32: 302-20.
8. Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, et al. A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 2009; 110: 59-64.
9. Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, et al. A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 2009; 110: 65-71.
10. Mittal D, Sullivan G, Chekuri L, Allee E, Corrigan PW. Empirical studies of selfstigma reduction strategies: a critical review of the literature. Psychiatr Serv 2012; 63: 974-81.
11. Yanos PT, Roe D, Lysaker PH. Narrative enhancement and cognitive therapy: a new group-based treatment for internalized stigma among persons with severe mental illness. Int J Group Psychother 2011; 61: 576-95.
12. Knight MTD, Wykes T, Hayward P. Group treatment of perceived stigma and self-esteem in schizophrenia: a waiting list trial of efficacy. Behav Cogn Psychother 2006; 34: 305-18.
13. Lucksted A, Drapalski A, Calmes C, Forbes C, DeForge B, Boyd J. Ending self-stigma: pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses. Psychiatr Rehab J 2011; 35: 51-4.
14. Luoma JB, Kohlenberg BS, Hayes SC, Fletcher L. Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. J Consult Clin Psychol 2012; 80: 43-53.
15. Sibitz I, Provaznikova K, Lipp M, Lakeman R, Amering M. The impact of recovery-oriented day clinic treatment on internalized stigma: preliminary report. Psychiatry Res 2013; 209: 326-32.
16. Morrison AP, Birchwood M, Pyle M, Flach C, Stewart SLK, Byrne R, et al. Impact of cognitive therapy on internalised stigma in people with at-risk mental states. Br J Psychiatry 2013; 203: 140-5.
17. Chaudoir SR, Fisher JD. The disclosure processes model: understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychol Bull 2010; 136: 236-56.
18. Pachankis JE. The psychological implications of concealing a stigma: a cognitive-affective-behavioral model. Psychol Bull 2007; 133: 328-45.
19. Corrigan PW, Morris S, Larson JE, Rafacz J, Wassel A, Michaels P, et al. Self-stigma and coming out about one's mental illness. J Commun Psychol 2010; 38: 1-17.
20. Quinn DM, Earnshaw VA. Concealable stigmatized identities and psychological well-being. Soc Personal Psychol Compass 2013; 7: 40-51.
21. Corrigan PW, Lundin R. Don't Call Me Nuts! Coping with the Stigma of Mental Illness. Recovery Press, 2001.
22. Corrigan PW, Kosyluk KA, Rüsch N. Reducing self-stigma by coming out proud. Am J Public Health 2013; 103: 794-800.
23. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). APA, 1994.
24. Corrigan PW, Morris SB, Michaels PJ, Rafacz JE, Rüsch N. Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012; 63: 963-73.
25. Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatr Res 2003; 121: 31-49.
26. Rogers ES, Chamberlin J, Ellison ML, Crean T. A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatr Serv 1997; 48: 1042-7.
27. Major B, O'Brien LT. The social psychology of stigma. Annu Rev Psychol 2005; 56: 393-421.
28. Hult JR, Wrubel J, Branstrom R, Acree M, Moskowitz JT. Disclosure and nondisclosure among people newly diagnosed with HIV: an analysis from a stress and coping perspective. AIDS Patient Care STDS 2012; 26: 181-90.
29. Kaiser CR, Major B, McCoy SK. Expectations about the future and the emotional consequences of perceiving prejudice. Pers Soc Psychol Bull 2004; 30: 173-84.
30. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. Springer, 1984.
31. Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, et al. Emotional reactions to involuntary psychiatric hospitalization and stigma as a stressor among people with mental illness. Eur Arch Psychiatry Clin Neurosci 2014; doi: 10.1007/s00406-013-0412-5.
32. Hautzinger M, Bailer M. Allgemeine Depressionsskala [Center for Epidemiologic Studies Depression Scale, German version]. Beltz, 1993.
33. Vacha-Haase T, Thompson B. How to estimate and interpret various effect sizes. J Couns Psychol 2004; 51: 473-81.
34. Henderson C, Brohan E, Clement S, Williams P, Lassman F, Schauman O, et al. Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial. Br J Psychiatry 2013; 203: 350-7.