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Opinions About Mental Illness Among Adolescents: The Impact of a Mental Health Educational Intervention

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Abstract

Mentally ill people are among the most stigmatized, discriminated against and marginalized society members. The aims of this study were to explore adolescents’ opinions about mental illness and determine whether these change after a mental health educational intervention. Two randomly selected schools took part in this study: one serving as intervention group and one as comparison group. Data were collected from both groups, before and after the intervention, using the Opinion about Mental Illness scale. Social Discrimination decreased significantly at the post-test in both groups. Score on Social Care factor significantly increased in the intervention group, and the overall change from pre-post to post-test period was significantly different between the groups. Social Integration significantly increased in the intervention group. A significant interaction effect was found indicating that the overall change was different between the two study groups. Thus, mental health educational interventions can positively influence the perceptions towards mental illness among adolescents.

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References

  • Arboleda-Florez, J. (2002). What causes stigma? World Psychiatry, 1(1), 25–26.

    PubMed  PubMed Central  Google Scholar 

  • Asimopoulos, Ch., Apostolopoulou, A., Vasilikopoulos, A., Varvaressou, X., Tsalamanios, E., Flios, A., & Tsiantis, I. (2007). Οι στάσεις των εφήβων προς τους ψυχικά ασθενείς και την ψυχιατρική μεταρρύθμιση: ένα πρόγραμμα έρευνας-παρέμβασης σε μαθητές Λυκείου [Adolescents’ attitudes towards mentally ill and the psychiatric reform: A research-intervention program among high school pupils]. Τetradia Psychiatrikis, 99, 13–29.

    Google Scholar 

  • Bjorkman, T., Angelman, T., & Jonsson, M. (2008). Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care. Scandinavian Journal of Caring Sciences, 22, 170–177.

    Article  PubMed  Google Scholar 

  • Blaine, B. E. (2007). Understanding the psychology of diversity. Great Britain: Sage Publications.

    Google Scholar 

  • Bos, A. E. R., Kanner, D., Muris, P., Janssen, B., & Mayer, B. (2009). Mental illness stigma and disclosure: Consequences of coming out of the closet. Issues in Mental Health Nursing, 30, 509–513.

    Article  PubMed  Google Scholar 

  • Bronwyn, M., & Dale, B. (1993). Beyond the cuckoo’s nest: A high school education program. Psychosocial Rehabilitation Journal, 16(3), 146–150.

    Article  Google Scholar 

  • Brown, K., & Bradley, L. J. (2002). Reducing the stigma of mental illness. Journal of Mental Health Counselling, 24(1), 81–87.

    Google Scholar 

  • Burns, N., & Grove, S. K. (2009). The practice of nursing research. Appraisal, synthesis, and generation of evidence (6th ed.). St. Louis: Saunders Elsevier.

    Google Scholar 

  • Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6, 65–72.

    Article  Google Scholar 

  • Canadian Mental Health Association. (2013). Stigma and discrimination. Retrieved September 8, 2015 from http://ontario.cmha.ca/mental-health/mental-health-conditions/stigma-and-discrimination/

  • Cohen, J., & Struening, E. L. (1962). Opinions about mental illness in the personnel of two large mental hospitals. Journal of Abnormal and Social Psychology, 64(5), 349–360.

    Article  PubMed  Google Scholar 

  • Conrad, I., Dietrich, S., Heider, D., Blume, A., Angermeyer, M. C., & Riedel-Heller, S. (2009). Crazy? So What!: A school programme to promote mental health and reduce stigma—results of a pilot study. Health Education, 109(4), 314–328.

    Article  Google Scholar 

  • Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54(9), 765–776.

    Article  PubMed  Google Scholar 

  • Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47(12), 1263–1271.

    Google Scholar 

  • DeSocio, J., Stember, L., & Schrinsky, J. (2006). Teaching children about mental health and illness: A school nurse health education program. The Journal of School Nursing, 22, 81–86.

    Article  PubMed  Google Scholar 

  • Dietrich, S., Heider, D., Matschinger, H. A., & Angermeyer, M. C. (2006). Influence of newspaper reporting on adolescents’ attitudes toward people with mental illness. Social Psychiatry and Psychiatric Epidemiology, 41, 318–322.

    Article  PubMed  Google Scholar 

  • Essler, V., Arthur, A., & Stickley, T. (2006). Using a school-based intervention to challenge stigmatizing attitudes and promote mental health in teenagers. Journal of Mental Health, 15(2), 243–250.

    Article  Google Scholar 

  • Evagelou, H., Adali, E., Koukia, F., Katostaras, M., Priami, G., & Toulia, G. (2005). The influence of education on nursing students on the formation of attitudes toward psychiatric illness. ICUs Nursing Web Journal, 23, 1–8.

    Google Scholar 

  • Fitzgerald, M., Joseph, A. P., Hayes, M., & O’Regan, M. (1995). Leisure activities of adolescent schoolchildren. Journal of Adolescence, 18, 349–358.

    Article  Google Scholar 

  • Golub, M. S. (2000). Adolescent health and the environment. Environmental Health Perspectives, 108, 355–362.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harrison, J., & Gill, A. (2010). The experience and consequences of people with mental health problems, the impact of stigma upon people with schizophrenia: A way forward. Journal of Psychiatric and Mental Health Nursing, 17, 242–250.

    Article  PubMed  Google Scholar 

  • Hosman, C. & Jane-Llopis, E. (2005). The evidence of effective interventions for mental health promotion. In Herrman H., Saxena S. & Moodie R. (Eds.), Promoting mental health, concepts-emerging evidence-practice. WHO (online). Retrieved September 8, 2015 from http://www.who.int/mental_health/evidence/MH_Promotion_Book.pdf

  • Johnstone, M. J. (2001). Stigma social justice and the rights of the mentally ill: challenging the status quo. Australian and New Zealand Journal of Mental Health Nursing, 10, 200–209.

    Article  PubMed  Google Scholar 

  • Kim-Cohen, J., Caspi, A., Moffitt, T. E., Harrington, H., Milne, B. J., & Poulton, R. (2003). Prior juvenile diagnoses in adults with mental disorder. Archives of General Psychiatry, 60, 709–717.

    Article  PubMed  Google Scholar 

  • Lahtinen, E., Lehtinen, V., Riikonen, E., & Ahonen, J. (Eds.). (1999). Framework for promoting mental health in Europe. Finland: STAKES.

    Google Scholar 

  • Madianos, M. G., Economou, M., Hatjiandreou, M., Papageorgiou, A., & Rogakou, E. (1999). Changes in public attitudes towards mental illness in Athens area (1979/1980-1994). Acta Psychiatrica Scandinavica, 99, 73–78.

    Article  PubMed  Google Scholar 

  • Madianos, M. G., Madianou, D., Vlachonikolis, J., & Stefanis, C. N. (1987). Attitudes towards mental illness in the Athens area: implications for community mental health intervention. Acta Psychiatrica Scandinavica, 75, 158–165.

    Article  PubMed  Google Scholar 

  • Madianos, M. G., Priami, M., Alevisopoulos, G., Koukia, E., & Rogakou, E. (2005). Nursing students’ attitude change towards mental illness and psychiatric case recognition after a clerkship in psychiatry. Issues in Mental Health Nursing, 26, 169–183.

    Article  PubMed  Google Scholar 

  • Malliori, M., Ekonomou-Lalioti, M., Ploumpidis, D. & Kourea-Kremastinou, J. (2007). Ψυχική Δημόσια Υγεία [Mental public health]. In J. Kourea-Kremastinou (Ed.), Δημόσια Υγεία. Θεωρία. Πράξη. Πολιτικές [Public health. Theory. Action. Policies.] Athens: Technogrammamed.

  • Mental Health Europe. (2011). Good practices for combating social exclusion of people with mental health problems. Retrieved September 8, from http://old.mhe-sme.org/assets/files/Good%20Practices%20Publication_Final.pdf

  • Ministry of Health and Welfare. (2001). Ψυχαργώς 20012010, Πρόγραμμα ανάπτυξης δομών και υποδομών στον τομέα της ψυχικής υγείας (Book in Greek) [Psychargos 2001–2010, Programme for the settings development in mental health sector], (D. Hondros, K. Folia, S. Gratsani. Eds.). Athens.

  • Morgan, A. J., & Jorm, A. F. (2009). Recall of news stories about mental illness by Australian youth: Associations with help-seeking attitudes and stigma. Australian and New Zealand Journal of Psychiatry, 43, 866–872.

    Article  PubMed  Google Scholar 

  • Naidoo, J., & Wills, J. (2000). Health promotion. Foundations for practice. UK: Bailliere Tindall, Royal College of Nursing.

    Google Scholar 

  • Naylor, P. B., Cowie, H. A., Walters, S. J., Talamelli, L., & Dawkins, J. (2009). Impact of a mental health teaching programme on adolescents. British Journal of Psychiatry, 194, 365–370.

    Article  PubMed  Google Scholar 

  • Ng, P., & Chan, K. F. (2000). Sex differences in opinion towards mental illness of secondary school students in Hong Kong. International Journal of Social Psychiatry, 46(2), 79–88.

    Article  PubMed  Google Scholar 

  • Ng, P., & Chan, K.-F. (2002). Attitudes towards people with mental illness. Effects of a training program for secondary school students, International Journal of Adolescence Medical Health, 14(3), 215–224.

    Google Scholar 

  • Papageorgiou-Vasilopoulou, A. (2005). Κοινωνική-Κοινοτική Νοσηλευτική Ψυχικής Υγείας [Social-Community Mental Health Nursing]. Athens: Beta Publications.

    Google Scholar 

  • Perkins, R., & Repper, J. (2005). Social exclusion, discrimination and social isolation. In B. Hannigan & M. Coffey (Eds.), The handbook of community mental health nursing. London: Routledge.

    Google Scholar 

  • Pinfold, V., Thornicroft, G., Huxley, P., & Farmer, P. (2005). Active ingredients in anti-stigma programmes in mental health. International Review of Psychiatry, 17(2), 123–131.

    Article  PubMed  Google Scholar 

  • Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P., & Graham, T. (2003). Reducing psychiatric stigma and discrimination: Evaluation of educational interventions in UK secondary schools. British Journal of Psychiatry, 182, 342–346.

    Article  PubMed  Google Scholar 

  • Pinto-Foltz, M. D., & Logsdon, M. C. (2009). Conceptual model of research to reduce stigma related to mental disorders in adolescents. Issues in Mental Health Nursing, 30(12), 788–795.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rahman, A., Mubbashar, M., Gater, R., & Goldberg, D. (1998). Randomised trial of impact of school mental-health programme in rural Rawalpindi, Pakistan. Lancet, 352, 1022–1025.

    Article  PubMed  Google Scholar 

  • Rickwood, D., Cavanagh, S., Curtis, L., & Sakrouge, R. (2004). Educating young people about mental illness: Evaluating a school-based programme. International Journal of Mental Health Promotion, 6(4), 23–32.

    Article  Google Scholar 

  • Rose, D., Thornicroft, G., Pinfold, V. & Kassam, A. (2007). 250 Labels used to stigmatise people with mental illness. BMC Health Services Research, 7, 97. Retrieved September 8, 2015 from http://www.biomedcentral.com/1472-6963/7/97

  • Sabir Ali, B., & Iftikhar, R. (2006). Promotion of mental health in developing countries: A conceptual system. Primary Care Mental Health, 4, 29–36.

    Google Scholar 

  • Sakellari, E. (2010). Προαγωγή και αγωγή ψυχικής υγείας [Mental health promotion and mental health education]. In D. K. Anagnostopoulos & A. Papageorgiou-Vasilopoulou (Eds.), Νοσηλευτική ψυχικής υγείας του παιδιού και του εφήβου [Child and adolescent mental health nursing]. Athens: Beta Publications.

    Google Scholar 

  • Sakellari, E., Sourander, A., & Leino-Kilpi, H. (2014). Perceptions of mental health among adolescents in Greece. British Journal of Mental Health Nursing, 3, 126–131.

    Article  Google Scholar 

  • Schulze, B., Richter-Werling, M., Matschinger, H., & Angermeyer, M. C. (2003). Crazy? So what! Effects of a school project on students’ attitudes towards people with schizophrenia. Acta Psychiatrica Scandinavica, 107, 142–150.

    Article  PubMed  Google Scholar 

  • Spagnolo, A. B., Murphy, A. A., & Librera, L. A. (2008). Reducing stigma by meeting and learning from people with mental illness. Psychiatric Rehabilitation Journal, 31(3), 186–193.

    Article  PubMed  Google Scholar 

  • Stark, C., Paterson, B., & Devlin, B. (2004). Newspaper coverage of a violent assault by a mentally ill person. Journal of Psychiatric and Mental Health Nursing, 11, 635–643.

    Article  PubMed  Google Scholar 

  • Stuart, H. (2006). Reaching out to high school youth: The effectiveness of a video-based antistigma program. Canadian Journal of Psychiatry, 51(10), 647–653.

    PubMed  Google Scholar 

  • Tomaras, V. D., Ginieri-Coccossis, M., Vassiliadou, M., Malliori, M., Ferentinos, S., Soldatos, C. R., & Tylee, A. (2011). Education in mental health promotion and its impact on the participants’ attitudes and perceived mental health. Annals of General Psychiatry. doi:10.1186/1744-859X-10-33.

    PubMed  PubMed Central  Google Scholar 

  • Vezzoli, R., Archiati, L., Buizza, C., Pasqualetti, P., Rossi, G., & Pioli, R. (2001). Attitude towards psychiatric patients: A pilot study in a northern Italian town. European Psychiatry, 16, 451–458.

    Article  PubMed  Google Scholar 

  • Wahl, O. F. (2002). Children’s views of mental illness: A review of the literature. Psychiatric Rehabilitation Skills, 6(2), 134–158.

    Article  Google Scholar 

  • Wahl, O., Wood, A., Zaveri, P., Drapalski, A., & Mann, B. (2003). Mental illness depiction in children’s films. Journal of Community Psychology, 31(6), 553–560.

    Article  Google Scholar 

  • Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., Corrigan, P. W., & Fenton, W. S. (2004). Changing middle schoolers’ attitudes about mental illness through education. Schizophrenia Bulletin, 30(3), 563–572.

    Article  PubMed  Google Scholar 

  • Weare, K. (2007). Linking education and mental health—A European priority. Health Education, 107, 245–249.

    Article  Google Scholar 

  • Wei, Y., & Kutcher, S. (2012). International school mental health: Global approaches, global challenges, and global opportunities. Child and Adolescent Psychiatric Clinics of North America, 2, 11–27.

    Article  Google Scholar 

  • WHO. (2004). Prevention of mental disorders. Effective interventions and policy options. Retrieved September 8, 2015 from http://www.who.int/mental_health/evidence/en/prevention_of_mental_disorders_sr.pdf

  • WHO. (2008). Mental health gap action programme: Scaling up care for mental, neurological and substance use disorders. Retrieved September 8, 2015 from http://whqlibdoc.who.int/publications/2008/9789241596206_eng.pdf?ua=1

  • WHO. (2011). Mental health: a state of well-being. Retrieved September 8, 2015 from http://www.who.int/features/factfiles/mental_health/en/index.html

  • WHO. (2012a). Development of a global mental health action plan 20132020. Draft mental health action plan. An overview. Retrieved September 8, 2015 from http://www.who.int/mental_health/mhgap/mental_health_action_plan_EN_27_08_12.pdf

  • WHO. (2012b). Adolescent mental health. Mapping actions of nongovernmental organizations and other international development organizations. Retrieved September 8, 2015 from http://whqlibdoc.who.int/publications/2012/9789241503648_eng.pdf

  • World Education Encyclopedia. Marlow-Ferguson R. (Ed.) (2002). A survey of educational systems worldwide. USA: Gale Group.

  • Yau, S. S. W., Pun, K. H. W., & Tang, J. P. S. (2011). Outcome study of school programmes for reducing stigma and promoting mental health. Journal of Youth Studies, 14(1), 30–40.

    Google Scholar 

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Sakellari, E., Sourander, A., Kalokerinou-Anagnostopoulou, A. et al. Opinions About Mental Illness Among Adolescents: The Impact of a Mental Health Educational Intervention. School Mental Health 8, 268–277 (2016). https://doi.org/10.1007/s12310-015-9159-7

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