Nicolas Rüsch1, Elvira Abbruzzese, Eva Hagedorn, Daniel Hartenhauer, Ilias Kaufmann, Jan Curschellas, Stephanie Ventling, Gianfranco Zuaboni, René Bridler, Manfred Olschewski, Wolfram Kawohl, Wulf Rössler, Birgit Kleim, Patrick W Corrigan. 1. Nicolas Rüsch, MD, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Switzerland, and Department of Psychiatry II, University of Ulm, Germany; Elvira Abbruzzese, PhD, Eva Hagedorn, MA, Daniel Hartenhauer, MA, Ilias Kaufmann, MA, Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland; Jan Curschellas, BA, Stephanie Ventling, MSc, Gianfranco Zuaboni, MScN, René Bridler, MD, Sanatorium Kilchberg, Switzerland; Manfred Olschewski, MSc, Department of Medical Biometry and Statistics, University of Freiburg, Germany; Wolfram Kawohl, MD, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Switzerland; Wulf Rössler, MD, MSc, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Switzerland, and Institute of Psychiatry, Laboratory of Neuroscience (LIM 27), University of São Paulo, Brazil; Birgit Kleim, PhD, Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland; Patrick W. Corrigan, PsyD, Illinois Institute of Technology, Chicago, USA.
Abstract
BACKGROUND: Facing frequent stigma and discrimination, many people with mental illness have to choose between secrecy and disclosure in different settings. Coming Out Proud (COP), a 3-week peer-led group intervention, offers support in this domain in order to reduce stigma's negative impact. AIMS: To examine COP's efficacy to reduce negative stigma-related outcomes and to promote adaptive coping styles (Current Controlled Trials number: ISRCTN43516734). METHOD: In a pilot randomised controlled trial, 100 participants with mental illness were assigned to COP or a treatment-as-usual control condition. Outcomes included self-stigma, empowerment, stigma stress, secrecy and perceived benefits of disclosure. RESULTS: Intention-to-treat analyses found no effect of COP on self-stigma or empowerment, but positive effects on stigma stress, disclosure-related distress, secrecy and perceived benefits of disclosure. Some effects diminished during the 3-week follow-up period. CONCLUSIONS: Coming Out Proud has immediate positive effects on disclosure- and stigma stress-related variables and may thus alleviate stigma's negative impact.
RCT Entities:
BACKGROUND: Facing frequent stigma and discrimination, many people with mental illness have to choose between secrecy and disclosure in different settings. Coming Out Proud (COP), a 3-week peer-led group intervention, offers support in this domain in order to reduce stigma's negative impact. AIMS: To examine COP's efficacy to reduce negative stigma-related outcomes and to promote adaptive coping styles (Current Controlled Trials number: ISRCTN43516734). METHOD: In a pilot randomised controlled trial, 100 participants with mental illness were assigned to COP or a treatment-as-usual control condition. Outcomes included self-stigma, empowerment, stigma stress, secrecy and perceived benefits of disclosure. RESULTS: Intention-to-treat analyses found no effect of COP on self-stigma or empowerment, but positive effects on stigma stress, disclosure-related distress, secrecy and perceived benefits of disclosure. Some effects diminished during the 3-week follow-up period. CONCLUSIONS: Coming Out Proud has immediate positive effects on disclosure- and stigma stress-related variables and may thus alleviate stigma's negative impact.
Authors: Jen R Hult; Judith Wrubel; Richard Bränström; Michael Acree; Judith Tedlie Moskowitz Journal: AIDS Patient Care STDS Date: 2012-01-18 Impact factor: 5.078
Authors: Anthony P Morrison; Max Birchwood; Melissa Pyle; Clare Flach; Suzanne L K Stewart; Rory Byrne; Paul Patterson; Peter B Jones; David Fowler; Andrew I Gumley; Paul French Journal: Br J Psychiatry Date: 2013-07-11 Impact factor: 9.319
Authors: Patrick W Corrigan; Scott Morris; Jon Larson; Jennifer Rafacz; Abigail Wassel; Patrick Michaels; Sandra Wilkniss; Karen Batia; Nicolas Rüsch Journal: J Community Psychol Date: 2010-04-01
Authors: Patrick W Corrigan; Patrick J Michaels; Karina Powell; Andrea Bink; Lindsay Sheehan; Annie Schmidt; Bethany Apa; Maya Al-Khouja Journal: J Nerv Ment Dis Date: 2016-03 Impact factor: 2.254
Authors: A Isaksson; E Corker; J Cotney; S Hamilton; V Pinfold; D Rose; N Rüsch; C Henderson; G Thornicroft; S Evans-Lacko Journal: Epidemiol Psychiatr Sci Date: 2017-05-02 Impact factor: 6.892
Authors: Z Xu; B Lay; N Oexle; T Drack; M Bleiker; S Lengler; C Blank; M Müller; B Mayer; W Rössler; N Rüsch Journal: Epidemiol Psychiatr Sci Date: 2018-01-31 Impact factor: 6.892