Challenging mental illness stigma in healthcare professionals and students: a systematic review and network meta-analysis

Psychol Health. 2021 Jun;36(6):669-684. doi: 10.1080/08870446.2020.1828413. Epub 2020 Oct 5.

Abstract

Objective: Stigma among healthcare professionals may lead to poor quality of healthcare services for patients with mental illness. This study conducts a network meta-analysis to estimate the relative efficacy between different types of anti-stigma interventions for healthcare professionals.

Design: Network meta-analysis.

Main outcome measures: The attitudes and behavior intension of healthcare professionals toward mental illness.

Results: A total of 18 studies (22 trials) from 9 countries are included in the analysis. In the network meta-analysis, rank probabilities show interventions with indirect contact plus lecture (SUCRA = 81.5%), direct contact plus problem-based learning workshop (SUCRA = 77.4%), and indirect contact (SUCRA = 72.2%) having the highest probability of being ranked first, second, and third, respectively.

Conclusion: Our findings suggest that education combining social contact is the most effective anti-stigma intervention, which can be implemented in clinical practices to help reduce this stigma and improve healthcare services for patients with mental illness.

Keywords: Mental illness stigma; medical education; mental health; systematic reviews.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Attitude of Health Personnel*
  • Health Personnel* / psychology
  • Humans
  • Mental Disorders* / psychology
  • Mental Disorders* / therapy
  • Network Meta-Analysis
  • Social Stigma*
  • Students, Health Occupations* / psychology