Sun Jing, Yin Xunbao, Li Changjiang, Liu Wuyi, Sun Hongwei
School of Public Health, Weifang Medical University, Weifang, China.
School of Teacher Education, Weifang University, Weifang, China.
Front Psychiatry. 2022 Jul 5;13:915617. doi: 10.3389/fpsyt.2022.915617. eCollection 2022.
The main purpose of our systematic review was to investigate the effect of peer-led intervention on self-stigma in individuals with mental health problems. Secondary purpose was investigating the impact of peer intervention on clinical symptoms, recovery-related outcomes, and disclosure-related outcomes.
Five electronic databases were searched from 1975 to 2021. Literature databases were searched for randomized controlled trials. From the perspective of key outcomes, a meta-analysis of the effects of peer-led interventions on changing stigma was conducted.
A meta-analysis of randomized controlled trials targeting different target groups with mental health problems (e.g., adolescents, college students, family members of mentally ill persons, unemployed persons, etc.) was conducted. It was found that, at the end of the intervention, intervention had a positive effect on main outcomes such as self-stigma and stress from stigma. As for secondary outcomes, there was no significant influence on clinical symptoms. There was a positive effect on rehabilitation and empowerment, but without a statistical significance. There was a statistically significant effect on self-efficacy and professional help seeking. There was a statistically significant effect on confidentiality and disclosure-related distress in the Honest Open Proud (HOP) subgroup. There was no significant influence on confidentiality and withdrawal in the non-HOP subgroup.
Peer-led intervention can reduce self-stigma and stigma pressure and might improve recovery and empowerment. It increases self-efficacy and willingness to seek professional help, but has no significant effect on clinical symptoms and withdrawal. HOP intervention has positive effects on disclosure-related confidentiality and pain.
https://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021287584.
我们系统评价的主要目的是调查同伴主导干预对有心理健康问题个体的自我污名化的影响。次要目的是调查同伴干预对临床症状、康复相关结果和披露相关结果的影响。
检索了1975年至2021年的五个电子数据库。在文献数据库中检索随机对照试验。从关键结果的角度，对同伴主导干预在改变污名化方面的效果进行了荟萃分析。
对针对不同心理健康问题目标群体（如青少年、大学生、精神病患者家属、失业人员等）的随机对照试验进行了荟萃分析。结果发现，在干预结束时，干预对自我污名化和污名化压力等主要结果有积极影响。至于次要结果，对临床症状没有显著影响。对康复和赋权有积极影响，但无统计学意义。对自我效能感和寻求专业帮助有统计学显著影响。在“坦诚自豪”（HOP）亚组中，对保密性和披露相关困扰有统计学显著影响。在非HOP亚组中，对保密性和回避没有显著影响。
同伴主导干预可以减少自我污名化和污名化压力，并可能改善康复和赋权。它提高了自我效能感和寻求专业帮助的意愿，但对临床症状和回避没有显著影响。HOP干预对披露相关的保密性和痛苦有积极影响。
