Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Epidemiol Psychiatr Sci. 2022 Aug 30;31:e62. doi: 10.1017/S2045796022000488.
Mental health stigma and discrimination are global problems, and their reduction is recognised as an important public health priority. Involving celebrities in stigma reduction is increasingly common. This Editorial considers the impact of celebrity disclosure on mental health-related stigma; that is, whether and how a famous person openly speaking about their experience of mental health conditions can reduce stigma. Potential explanations for how celebrity mental health disclosures can influence mental health-related knowledge, attitudes and behaviours are outlined, followed by an overview of evidence on how celebrity disclosure operates to reduce stigma. Considering the available evidence, we provide a number of conclusions and recommendations for how celebrities can effectively be involved in anti-stigma efforts, and what considerations this requires. It is fair to say that celebrity disclosures can support stigma-reduction efforts through increasing the public's awareness of mental health, modelling behaviour and generating openness on speaking about mental health problems, and on seeking help when needed. However, whether celebrity disclosure achieves changes in mental health stigma-related knowledge, attitudes and behaviours depends on the extent to which there is a match between the attributes of the famous person, the content shared in their disclosure narrative and the intended audience of the message. Further research is needed on all these questions to better understand how to successfully utilise the potentially huge power of celebrity disclosure in large-scale anti-stigma efforts.
心理健康污名化和歧视是全球性问题,减少污名化已被确认为一项重要的公共卫生重点。让名人参与减少污名化的工作越来越普遍。这篇社论探讨了名人公开披露心理健康问题对心理健康相关污名的影响,即一个名人公开谈论自己的心理健康状况是否以及如何能减少污名。概述了名人心理健康披露如何影响心理健康相关知识、态度和行为的潜在解释,然后概述了关于名人披露如何减少污名的证据。考虑到现有证据,我们就名人如何有效地参与反污名化工作以及这需要考虑哪些因素提供了一些结论和建议。可以说,名人的公开披露可以通过提高公众对心理健康的认识、为行为树立榜样、以及在需要时就心理健康问题的公开讨论和寻求帮助方面创造开放性,来支持减少污名化的努力。然而,名人公开披露是否能改变与心理健康污名相关的知识、态度和行为,取决于名人的特征、他们在公开披露中的内容以及信息的目标受众之间的匹配程度。需要对所有这些问题进行进一步研究,以更好地理解如何在大规模的反污名化工作中成功利用名人公开披露的潜在巨大力量。