Rowan Anderson B, Grove Jessica, Solfelt Lindsay, Magnante Anna
School of Psychology and Counseling, Regent University, 1000 Regent University Dr, CRB 161, Virginia Beach, VA, 23464, USA.
J Clin Psychol Med Settings. 2021 Dec;28(4):679-693. doi: 10.1007/s10880-020-09742-4. Epub 2020 Sep 29.
The reduction of mental health stigma (MHS) was an expected benefit of integrating behavioral health in primary care (IPC). However, unlike other barriers discussed in agency reports on IPC, discussions of MHS lack research support. To fill this gap, the authors conducted a literature review identifying seven studies. Given the dearth of research, we also examine general IPC research on probable indicators of MHS reduction in IPC, as well as, facets of IPC potentially influencing MHS related factors negatively associated with help-seeking. Using the data from these three types of research, the evidence suggests the potential of IPC to reduce MHS impact on care utilization, but indicates it is premature to draw firm conclusions. Given the possible benefits of primary care and the known benefits of decreased MHS, this review highlights the importance of further research examining this question and provides specific research and program development recommendations.
减少心理健康污名化（MHS）是将行为健康纳入初级保健（IPC）的预期益处。然而，与机构关于IPC的报告中讨论的其他障碍不同，关于MHS的讨论缺乏研究支持。为填补这一空白，作者进行了文献综述，确定了七项研究。鉴于研究匮乏，我们还审视了关于IPC中MHS减少的可能指标的一般IPC研究，以及IPC中可能对与寻求帮助呈负相关的MHS相关因素产生负面影响的方面。利用这三类研究的数据，证据表明IPC有潜力减少MHS对医疗利用的影响，但表明得出确凿结论还为时过早。鉴于初级保健可能带来的益处以及MHS降低的已知益处，本综述强调了进一步研究这一问题的重要性，并提供了具体的研究和项目开发建议。
