Evidence for the effectiveness of interventions to reduce mental health related stigma in the workplace: a systematic review

Evidence for the effectiveness of interventions to reduce mental health related stigma in the workplace: a systematic review

ObjectivesIncreasing access to mental health support is a key factor for treating mental disorders, however, important barriers complicate help-seeking, among them, mental health related stigma being most prominent. We aimed to systematically review the current evidence for interventions focusing on...

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Published in:BMJ open Vol. 13; no. 2; p. e067126
Main Authors: Tóth, Mónika Ditta, Ihionvien, Sarah, Leduc, Caleb, Aust, Birgit, Amann, Benedikt L, Cresswell-Smith, Johanna, Reich, Hanna, Cully, Grace, Sanches, Sarita, Fanaj, Naim, Qirjako, Gentiana, Tsantila, Fotini, Ross, Victoria, Mathieu, Sharna, Pashoja, Arlinda Cerga, Arensman, Ella, Purebl, György
Format: Journal Article
Language:English
Published: England British Medical Journal Publishing Group 20-02-2023
BMJ Publishing Group LTD
BMJ Publishing Group
Series:Original research
Subjects:
Anxiety
Anxiety Disorders
Attitudes
Databases, Factual
Depression & mood disorders
Employees
Health promotion
Humans
Intervention
Mental depression
Mental disorders
MENTAL HEALTH
OCCUPATIONAL & INDUSTRIAL MEDICINE
Occupational and Environmental Medicine
Occupational health
Productivity
Small & medium sized enterprises-SME
Social Stigma
Stigma
Systematic review
MENTAL HEALTH
Depression & mood disorders
OCCUPATIONAL & INDUSTRIAL MEDICINE
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Summary:ObjectivesIncreasing access to mental health support is a key factor for treating mental disorders, however, important barriers complicate help-seeking, among them, mental health related stigma being most prominent. We aimed to systematically review the current evidence for interventions focusing on reducing stigma related to mental health problems in small and medium enterprises (SMEs).DesignSystematic review with a focus on interventions targeting mental health related stigma in the workplace in accordance with PRISMA guidelines. The methodological quality of included articles was assessed using the Quality Assessment Tool for Quantitative Studies Scale.Data sourcesPubMed, Ovid Medline, PsycINFO, Scopus, and Cochrane databases and Google Scholar were searched from January 2010 until November 2022.Eligibility criteria for selecting studiesWe included experimental or quasi-experimental studies about workplace interventions aiming to reduce stigma, where the outcomes were measured in terms of stigmatisation against depression, anxiety and/or other mental health problems.Data extraction and synthesisRecords were screened by two independent reviewers after inspecting titles and abstracts and a full-text read of the articles to assess whether they meet inclusion criteria. The results were synthesised narratively.ResultsWe identified 22 intervention studies, 3 with high quality, 13 with moderate quality and 6 with weak quality. Only 2 studies included SMEs, but no study focused on SMEs exclusively . The mode of delivery of the intervention was face to face in 15 studies, online in 4 studies and mixed in 3 studies. We found a significant reduction in stigmatising attitudes in almost all studies (20/22), using 10 different instruments/scales. Effects seemed to be independent of company size. Online interventions were found to be shorter, but seemed to be as effective as face-to-face interventions.ConclusionsAlthough we did not find interventions focusing exclusively on SMEs, it is likely that antistigma interventions also will work in smaller workplaces.Trial registrationPROSPERO: ID: CRD42020191307
Bibliography:Original research
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ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-067126