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Efficacy of Coming Out Proud to reduce stigma's impact among people with mental illness: pilot randomised controlled trial

Published online by Cambridge University Press:  02 January 2018

Nicolas Rüsch ,
Elvira Abbruzzese ,
Eva Hagedorn ,
Daniel Hartenhauer ,
Ilias Kaufmann ,
Jan Curschellas ,
Stephanie Ventling ,
Gianfranco Zuaboni ,
René Bridler  and
Manfred Olschewski
...Show all authors
Nicolas Rüsch*
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Switzerland, and Department of Psychiatry II, University of Ulm, Germany
Elvira Abbruzzese
Affiliation:
Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland
Eva Hagedorn
Affiliation:
Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland
Daniel Hartenhauer
Affiliation:
Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland
Ilias Kaufmann
Affiliation:
Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland
Jan Curschellas
Affiliation:
Sanatorium Kilchberg, Switzerland
Stephanie Ventling
Affiliation:
Sanatorium Kilchberg, Switzerland
Gianfranco Zuaboni
Affiliation:
Sanatorium Kilchberg, Switzerland
René Bridler
Affiliation:
Sanatorium Kilchberg, Switzerland
Manfred Olschewski
Affiliation:
Department of Medical Biometry and Statistics, University of Freiburg, Germany
Wolfram Kawohl
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Switzerland
Wulf Rössler
Affiliation:
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
Affiliation:
Department of Clinical Psychology and Psychotherapy, University of Zürich, Switzerland
Patrick W. Corrigan
Affiliation:
Illinois Institute of Technology, Chicago, USA
*
Nicolas Rüsch, Section Public Mental Health, Department of Psychiatry II, University of Ulm, Parkstrasse 11, D - 89073 Ulm, Germany. Email: nicolas.ruesch@uni-ulm.de
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Abstract

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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.

Information

Type
Papers
Information
The British Journal of Psychiatry , Volume 204 , Issue 5 , May 2014 , pp. 391 - 397
Copyright
Copyright © Royal College of Psychiatrists, 2014 

Footnotes

This study was supported by Sanatorium Kilchberg, the Psychiatric University Hospital Zürich, the Zürich Impulse Program for the Sustainable Development of Mental Health Services (zinep.ch) as well as the National Institute of Mental Health, USA.

Declaration of interest

P.W.C. developed the Coming Out Proud programme.

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