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Published in: Social Psychiatry and Psychiatric Epidemiology 7/2012

01-07-2012 | Original Paper

Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students

Authors: Elizabeth Nguyen, Timothy F. Chen, Claire L. O’Reilly

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2012

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Abstract

Purpose

Contact with mental health consumers has shown to be a promising strategy to address mental health stigma, particularly in the context of pharmacy education. This research aimed to compare the effectiveness of a direct (face-to-face) contact intervention with an indirect (film based) contact intervention in reducing the mental health stigma of pharmacy students.

Method

A two-group, non-randomized, comparative study was conducted with third year pharmacy students (n = 198) allocated to the direct contact arm and fourth year pharmacy students (n = 278) allocated to the indirect contact arm. Baseline and immediate post-intervention data were collected using a validated 39 item survey instrument to assess the impact of the interventions on mental health stigma as well as attitudes towards providing mental health pharmaceutical services.

Results

Participants in the direct contact group showed a significant improvement in 37 out of 39 survey items and participants in the indirect contact group showed a significant improvement in 27 out of 39 items (P < 0.05). While direct contact had a stronger impact than indirect contact for 22 items (P < 0.05), for numerous key measures of mental health stigma the impact of the two contact interventions was equivalent.

Conclusion

Both indirect and direct contact may positively impact mental health stigma. While the strength of the stigma-change process may be heightened by face-to-face interactions, the largely positive impact of indirect contact suggests that stigma reduction may depend less on the medium of contact but more on the transcendent messages contributed by the consumers facilitating the contact experience.
Literature
1.
go back to reference Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, Group IS (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373:408–415PubMedCrossRef Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, Group IS (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373:408–415PubMedCrossRef
3.
go back to reference Link BG, Struening EL, Neese-Todd S, Asmussen S, Phelan JC (2001) Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv 52:1621–1626PubMedCrossRef Link BG, Struening EL, Neese-Todd S, Asmussen S, Phelan JC (2001) Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv 52:1621–1626PubMedCrossRef
4.
5.
go back to reference Ucok A (2007) Other people stigmatize. But, what about us? Attitudes of mental health professionals towards patients with schizophrenia. Noropsikiyatri Arsivi 44:108–116 Ucok A (2007) Other people stigmatize. But, what about us? Attitudes of mental health professionals towards patients with schizophrenia. Noropsikiyatri Arsivi 44:108–116
6.
go back to reference Ross CA, Goldner EM (2009) Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. J Psychiatr Ment Health Nurs 16:558–567PubMedCrossRef Ross CA, Goldner EM (2009) Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. J Psychiatr Ment Health Nurs 16:558–567PubMedCrossRef
7.
go back to reference Roth D, Antony MM, Kerr KL, Downie F (2000) Attitudes toward mental illness in medical students: does personal and professional experience with mental illness make a difference? Med Educ 34:234–236PubMedCrossRef Roth D, Antony MM, Kerr KL, Downie F (2000) Attitudes toward mental illness in medical students: does personal and professional experience with mental illness make a difference? Med Educ 34:234–236PubMedCrossRef
8.
go back to reference Bell JS, Johns R, Chen TF (2006) Pharmacy students’ and graduates’ attitudes towards people with schizophrenia and severe depression. Am J Pharm Educ 70:Article 77 Bell JS, Johns R, Chen TF (2006) Pharmacy students’ and graduates’ attitudes towards people with schizophrenia and severe depression. Am J Pharm Educ 70:Article 77
9.
go back to reference Cates ME, Burton AR, Woolley TW, Cates ME, Burton AR, Woolley TW (2005) Attitudes of pharmacists toward mental illness and providing pharmaceutical care to the mentally ill. Ann Pharmacother 39:1450–1455PubMedCrossRef Cates ME, Burton AR, Woolley TW, Cates ME, Burton AR, Woolley TW (2005) Attitudes of pharmacists toward mental illness and providing pharmaceutical care to the mentally ill. Ann Pharmacother 39:1450–1455PubMedCrossRef
10.
go back to reference Bell JS, Aaltonen SE, Airaksinen MS, Volmer D, Gharat MS, Muceniece R, Vitola A, Foulon V, Desplenter FA, Chen TF (2010) Determinants of mental health stigma among pharmacy students in Australia, Belgium, Estonia, Finland, India and Latvia. Int J Soc Psychiatry 56:3–14. doi:10.1177/0020764008097621 PubMedCrossRef Bell JS, Aaltonen SE, Airaksinen MS, Volmer D, Gharat MS, Muceniece R, Vitola A, Foulon V, Desplenter FA, Chen TF (2010) Determinants of mental health stigma among pharmacy students in Australia, Belgium, Estonia, Finland, India and Latvia. Int J Soc Psychiatry 56:3–14. doi:10.​1177/​0020764008097621​ PubMedCrossRef
11.
go back to reference Volmer D, Maesalu M, Bell JS (2008) Pharmacy students’ attitudes toward and professional interactions with people with mental disorders. Int J Soc Psychiatry 54:402–413PubMedCrossRef Volmer D, Maesalu M, Bell JS (2008) Pharmacy students’ attitudes toward and professional interactions with people with mental disorders. Int J Soc Psychiatry 54:402–413PubMedCrossRef
12.
go back to reference Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA, Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA (2002) Impact of a collaborative pharmacy practice model on the treatment of depression in primary care. Am J Health Syst Pharm 59:1518–1526PubMed Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA, Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Bero LA (2002) Impact of a collaborative pharmacy practice model on the treatment of depression in primary care. Am J Health Syst Pharm 59:1518–1526PubMed
13.
go back to reference Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Lee JY, Bero LA, Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Lee JY, Bero LA (2003) Impact of a collaborative care model on depression in a primary care setting: a randomized controlled trial. Pharmacotherapy 23:1175–1185PubMedCrossRef Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Lee JY, Bero LA, Finley PR, Rens HR, Pont JT, Gess SL, Louie C, Bull SA, Lee JY, Bero LA (2003) Impact of a collaborative care model on depression in a primary care setting: a randomized controlled trial. Pharmacotherapy 23:1175–1185PubMedCrossRef
14.
go back to reference Finley PR, Crismon ML, Rush AJ, Finley PR, Crismon ML, Rush AJ (2003) Evaluating the impact of pharmacists in mental health: a systematic review. Pharmacotherapy 23:1634–1644PubMedCrossRef Finley PR, Crismon ML, Rush AJ, Finley PR, Crismon ML, Rush AJ (2003) Evaluating the impact of pharmacists in mental health: a systematic review. Pharmacotherapy 23:1634–1644PubMedCrossRef
15.
go back to reference Gisev N, Bell JS, O’Reilly CL, Rosen A, Chen TF (2010) An expert panel assessment of comprehensive medication reviews for clients of community mental health teams. Soc Psychiatry Psychiatr Epidemiol 45:1071–1079PubMedCrossRef Gisev N, Bell JS, O’Reilly CL, Rosen A, Chen TF (2010) An expert panel assessment of comprehensive medication reviews for clients of community mental health teams. Soc Psychiatry Psychiatr Epidemiol 45:1071–1079PubMedCrossRef
16.
go back to reference Maslen CL, Rees L, Redfern PH (1996) Role of the community pharmacist in the care of patients with chronic schizophrenia in the community. Int J Pharm Pract 4:187–195CrossRef Maslen CL, Rees L, Redfern PH (1996) Role of the community pharmacist in the care of patients with chronic schizophrenia in the community. Int J Pharm Pract 4:187–195CrossRef
17.
go back to reference Phokeo V, Sproule B, Raman-Wilms L (2004) Community pharmacists’ attitudes toward and professional interactions with users of psychiatric medication. Psychiatr Serv 55:1434–1436PubMedCrossRef Phokeo V, Sproule B, Raman-Wilms L (2004) Community pharmacists’ attitudes toward and professional interactions with users of psychiatric medication. Psychiatr Serv 55:1434–1436PubMedCrossRef
18.
go back to reference Corrigan PW, River L, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA (2001) Three strategies for changing attributions about severe mental illness. Schizophr Bull 27:187–195PubMedCrossRef Corrigan PW, River L, Lundin RK, Penn DL, Uphoff-Wasowski K, Campion J, Mathisen J, Gagnon C, Bergman M, Goldstein H, Kubiak MA (2001) Three strategies for changing attributions about severe mental illness. Schizophr Bull 27:187–195PubMedCrossRef
19.
go back to reference Corrigan PW, Wassel A (2008) Understanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv 46:42–48PubMedCrossRef Corrigan PW, Wassel A (2008) Understanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv 46:42–48PubMedCrossRef
20.
go back to reference Mann CE, Himelein MJ (2008) Putting the person back into psychopathology: an intervention to reduce mental illness stigma in the classroom. Soc Psychiatry Psychiatr Epidemiol 43:545–551PubMedCrossRef Mann CE, Himelein MJ (2008) Putting the person back into psychopathology: an intervention to reduce mental illness stigma in the classroom. Soc Psychiatry Psychiatr Epidemiol 43:545–551PubMedCrossRef
22.
go back to reference Stuart H (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7:185–188PubMed Stuart H (2008) Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry 7:185–188PubMed
23.
go back to reference Heijnders M, Van Der Meij S (2006) The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychol Health Med 11:353–363PubMedCrossRef Heijnders M, Van Der Meij S (2006) The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychol Health Med 11:353–363PubMedCrossRef
24.
go back to reference Kolodziej ME, Johnson BT (1996) Interpersonal contact and acceptance of persons with psychiatric disorders: a research synthesis. J Consult Clin Psychol 64:1387–1396PubMedCrossRef Kolodziej ME, Johnson BT (1996) Interpersonal contact and acceptance of persons with psychiatric disorders: a research synthesis. J Consult Clin Psychol 64:1387–1396PubMedCrossRef
25.
go back to reference Desforges DM, Lord CG, Ramsey SL, Mason JA, Van Leeuwen MD, West SC, Lepper MR (1991) Effects of structured cooperative contact on changing negative attitudes toward stigmatized social groups. J Personal Soc Psychol 60:531–544. doi:10.1037/0022-3514.60.4.531 Desforges DM, Lord CG, Ramsey SL, Mason JA, Van Leeuwen MD, West SC, Lepper MR (1991) Effects of structured cooperative contact on changing negative attitudes toward stigmatized social groups. J Personal Soc Psychol 60:531–544. doi:10.​1037/​0022-3514.​60.​4.​531
26.
go back to reference Dovido JF, Gaertner SL, Kawakami K (2003) Intergroup contact: the past, present, and the future. Group Process Intergroup Relat 6:5–21CrossRef Dovido JF, Gaertner SL, Kawakami K (2003) Intergroup contact: the past, present, and the future. Group Process Intergroup Relat 6:5–21CrossRef
27.
go back to reference Nordt C, Rossler W, Lauber C (2006) Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull 32:709–714PubMedCrossRef Nordt C, Rossler W, Lauber C (2006) Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophr Bull 32:709–714PubMedCrossRef
28.
go back to reference Schulze B (2007) Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry 19:137–155PubMedCrossRef Schulze B (2007) Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry 19:137–155PubMedCrossRef
29.
go back to reference Jermain DM, Crismon ML (1991) Students’ attitudes toward the mentally ill before and after clinical rotation. Am J Pharm Educ 55:45–48 Jermain DM, Crismon ML (1991) Students’ attitudes toward the mentally ill before and after clinical rotation. Am J Pharm Educ 55:45–48
31.
go back to reference Arkar H, Eker D (1997) Influence of a 3-week psychiatric training programme on attitudes toward mental illness in medical students. Soc Psychiatry Psychiatr Epidemiol 32:171–176PubMed Arkar H, Eker D (1997) Influence of a 3-week psychiatric training programme on attitudes toward mental illness in medical students. Soc Psychiatry Psychiatr Epidemiol 32:171–176PubMed
32.
go back to reference Coodin S, Chisholm F (2001) Teaching in a new key: effects of a co-taught seminar on medical students’ attitudes toward schizophrenia. Psychiatr Rehabil J 24:299–302PubMed Coodin S, Chisholm F (2001) Teaching in a new key: effects of a co-taught seminar on medical students’ attitudes toward schizophrenia. Psychiatr Rehabil J 24:299–302PubMed
33.
go back to reference O’Reilly C, Bell JS, Chen TF (2010) Consumer-led mental health education for pharmacy students. Am J Pharm Educ 74:Article 167 O’Reilly C, Bell JS, Chen TF (2010) Consumer-led mental health education for pharmacy students. Am J Pharm Educ 74:Article 167
34.
go back to reference Buhler AP, Karimi RP (2008) Peer-level patient presenters decrease pharmacy students’ social distance from patients with schizophrenia and clinical depression. Am J Pharm Educ 72:Article 106 Buhler AP, Karimi RP (2008) Peer-level patient presenters decrease pharmacy students’ social distance from patients with schizophrenia and clinical depression. Am J Pharm Educ 72:Article 106
35.
go back to reference Bell JS, Johns R, Rose G, Chen TF (2006) A comparative study of consumer participation in mental health pharmacy education. Ann Pharmacother 40:1759–1765PubMedCrossRef Bell JS, Johns R, Rose G, Chen TF (2006) A comparative study of consumer participation in mental health pharmacy education. Ann Pharmacother 40:1759–1765PubMedCrossRef
36.
go back to reference Cook JA, Jonikas JA, Razzano L (1995) A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Ment Health J 31:229–238PubMedCrossRef Cook JA, Jonikas JA, Razzano L (1995) A randomized evaluation of consumer versus nonconsumer training of state mental health service providers. Community Ment Health J 31:229–238PubMedCrossRef
37.
go back to reference Leach LS, Christensen H, Griffiths KM, Jorm AF, Mackinnon AJ (2007) Websites as a mode of delivering mental health information: perceptions from the Australian public. Soc Psychiatry Psychiatr Epidemiol 42:167–172PubMedCrossRef Leach LS, Christensen H, Griffiths KM, Jorm AF, Mackinnon AJ (2007) Websites as a mode of delivering mental health information: perceptions from the Australian public. Soc Psychiatry Psychiatr Epidemiol 42:167–172PubMedCrossRef
38.
go back to reference Reinke RR, Corrigan PW, Leonhard C, Lundin RK, Kubiak MA (2004) Examining two aspects of contact on the stigma of mental illness. J Soc Clin Psychol 23:377CrossRef Reinke RR, Corrigan PW, Leonhard C, Lundin RK, Kubiak MA (2004) Examining two aspects of contact on the stigma of mental illness. J Soc Clin Psychol 23:377CrossRef
39.
go back to reference Chan JY, Mak WW, Law LS (2009) Combining education and video-based contact to reduce stigma of mental illness: “The Same or Not the Same” anti-stigma program for secondary schools in Hong Kong. Soc Sci Med 68:1521–1526PubMedCrossRef Chan JY, Mak WW, Law LS (2009) Combining education and video-based contact to reduce stigma of mental illness: “The Same or Not the Same” anti-stigma program for secondary schools in Hong Kong. Soc Sci Med 68:1521–1526PubMedCrossRef
40.
go back to reference Finkelstein J, Lapshin O, Wasserman E (2008) Randomized study of different anti-stigma media. Patient Educ Couns 71:204–214PubMedCrossRef Finkelstein J, Lapshin O, Wasserman E (2008) Randomized study of different anti-stigma media. Patient Educ Couns 71:204–214PubMedCrossRef
41.
go back to reference Kerby J, Calton T, Dimambro B, Flood B, Glazebrook C (2008) Anti-stigma films and medical students’ attitudes towards mental illness and psychiatry: randomised controlled trial. Psychiatr Bull 32:345–349CrossRef Kerby J, Calton T, Dimambro B, Flood B, Glazebrook C (2008) Anti-stigma films and medical students’ attitudes towards mental illness and psychiatry: randomised controlled trial. Psychiatr Bull 32:345–349CrossRef
42.
43.
go back to reference Corrigan PW, Larson J, Sells M, Niessen N, Watson AC (2007) Will filmed presentations of education and contact diminish mental illness stigma? Community Ment Health J 43:171–181PubMedCrossRef Corrigan PW, Larson J, Sells M, Niessen N, Watson AC (2007) Will filmed presentations of education and contact diminish mental illness stigma? Community Ment Health J 43:171–181PubMedCrossRef
47.
go back to reference Corrigan PW, Rowan D, Green A, Lundin R, River P, Uphoff-Wasowski K, White K, Kubiak MA (2002) Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizophr Bull 28:293–309PubMedCrossRef Corrigan PW, Rowan D, Green A, Lundin R, River P, Uphoff-Wasowski K, White K, Kubiak MA (2002) Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizophr Bull 28:293–309PubMedCrossRef
48.
go back to reference Penn DL, Chamberlin C, Mueser KT (2003) Effects of a documentary film about schizophrenia on psychiatric stigma. Schizophr Bull 29:383–391PubMedCrossRef Penn DL, Chamberlin C, Mueser KT (2003) Effects of a documentary film about schizophrenia on psychiatric stigma. Schizophr Bull 29:383–391PubMedCrossRef
49.
go back to reference Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ (2000) Stigmatisation of people with mental illnesses. Br J Psychiatry 177:4–7PubMedCrossRef Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ (2000) Stigmatisation of people with mental illnesses. Br J Psychiatry 177:4–7PubMedCrossRef
50.
go back to reference Mukherjee R, Fialho A, Wijetunge A, Checinski K, Surgenor T (2002) The stigmatisation of psychiatric illness: the attitudes of medical students and doctors in a London teaching hospital. Psychiatr Bull 26:178–181CrossRef Mukherjee R, Fialho A, Wijetunge A, Checinski K, Surgenor T (2002) The stigmatisation of psychiatric illness: the attitudes of medical students and doctors in a London teaching hospital. Psychiatr Bull 26:178–181CrossRef
51.
go back to reference Klin A, Lemish D (2008) Mental disorders stigma in the media: review of studies on production, content, and influences. J Health Commun 13:434–449PubMedCrossRef Klin A, Lemish D (2008) Mental disorders stigma in the media: review of studies on production, content, and influences. J Health Commun 13:434–449PubMedCrossRef
52.
go back to reference Kansanaho H, Puumalainen I, Varunki M, Airaksinen M, Aslani P (2004) Attitudes of Finnish community pharmacists toward concordance. Ann Pharmacother 38:1946–1953PubMedCrossRef Kansanaho H, Puumalainen I, Varunki M, Airaksinen M, Aslani P (2004) Attitudes of Finnish community pharmacists toward concordance. Ann Pharmacother 38:1946–1953PubMedCrossRef
53.
go back to reference Batson CD, Polycarpou MP, Harmon-Jones E, Imhoff HJ, Mitchener EC, Bednar LL, Klein TR, Highberger L (1997) Empathy and attitudes: can feeling for a member of a stigmatized group improve feelings toward the group? J Personal Soc Psychol 72:105–118CrossRef Batson CD, Polycarpou MP, Harmon-Jones E, Imhoff HJ, Mitchener EC, Bednar LL, Klein TR, Highberger L (1997) Empathy and attitudes: can feeling for a member of a stigmatized group improve feelings toward the group? J Personal Soc Psychol 72:105–118CrossRef
54.
go back to reference Herek GM, Capitanio JP, Widaman KF (2002) HIV-related stigma and knowledge in the United States: prevalence and trends, 1991–1999. Am J Public Health 92:371–377PubMedCrossRef Herek GM, Capitanio JP, Widaman KF (2002) HIV-related stigma and knowledge in the United States: prevalence and trends, 1991–1999. Am J Public Health 92:371–377PubMedCrossRef
55.
56.
go back to reference Alexander LA, Link BG (2003) The impact of contact on stigmatizing attitudes toward people with mental illness. J Mental Health 12:271–289CrossRef Alexander LA, Link BG (2003) The impact of contact on stigmatizing attitudes toward people with mental illness. J Mental Health 12:271–289CrossRef
58.
go back to reference Sadow D, Ryder M (2008) Reducing stigmatizing attitudes held by future health professionals: the person is the message. Psychol Serv 5:362–372CrossRef Sadow D, Ryder M (2008) Reducing stigmatizing attitudes held by future health professionals: the person is the message. Psychol Serv 5:362–372CrossRef
59.
go back to reference Bell JS, Johns R, Chen TF (2006) Pharmacy students’ and graduates’ attitudes towards people with schizophrenia and severe depression. Am J Pharm Educ 70:Article 77 Bell JS, Johns R, Chen TF (2006) Pharmacy students’ and graduates’ attitudes towards people with schizophrenia and severe depression. Am J Pharm Educ 70:Article 77
60.
go back to reference Arkar H, Eker D (1997) Influence of a 3-week psychiatric training programme on attitudes toward mental illness in medical students. Soc Psychiatry Psychiatr Epidemiol 32:171–176PubMed Arkar H, Eker D (1997) Influence of a 3-week psychiatric training programme on attitudes toward mental illness in medical students. Soc Psychiatry Psychiatr Epidemiol 32:171–176PubMed
61.
go back to reference Mino Y, Yasuda N, Tsuda T, Shimodera S (2001) Effects of a one-hour educational program on medical students’ attitudes to mental illness. Psychiatry Clin Neurosci 55:501–507PubMedCrossRef Mino Y, Yasuda N, Tsuda T, Shimodera S (2001) Effects of a one-hour educational program on medical students’ attitudes to mental illness. Psychiatry Clin Neurosci 55:501–507PubMedCrossRef
62.
go back to reference Brown S, Evans Y, Espenschade K, O’Connor M (2010) An examination of two brief stigma reduction strategies: filmed personal contact and hallucination simulations. Community Mental Health J 46:494–499. doi:10.1007/s10597-010-9309-1 CrossRef Brown S, Evans Y, Espenschade K, O’Connor M (2010) An examination of two brief stigma reduction strategies: filmed personal contact and hallucination simulations. Community Mental Health J 46:494–499. doi:10.​1007/​s10597-010-9309-1 CrossRef
63.
go back to reference Corrigan PW, River LP, Lundin RK, Wasowski KU, Campion J, Mathisen M, Goldstein H, Bergman M, Gagnon C, Kubiak MA (2000) Stigmatising attributions about mental illness. J Community Psychol 28:91–102CrossRef Corrigan PW, River LP, Lundin RK, Wasowski KU, Campion J, Mathisen M, Goldstein H, Bergman M, Gagnon C, Kubiak MA (2000) Stigmatising attributions about mental illness. J Community Psychol 28:91–102CrossRef
66.
go back to reference Walker I, Read J (2002) The differential effectiveness of psychosocial and biogenetic causal explanations in reducing negative attitudes towards “mental illness”. Psychiatry 65:313–325PubMedCrossRef Walker I, Read J (2002) The differential effectiveness of psychosocial and biogenetic causal explanations in reducing negative attitudes towards “mental illness”. Psychiatry 65:313–325PubMedCrossRef
68.
go back to reference Corrigan PW (2007) How clinical diagnosis might exacerbate the stigma of mental illness. Soc Work 52:31–39PubMedCrossRef Corrigan PW (2007) How clinical diagnosis might exacerbate the stigma of mental illness. Soc Work 52:31–39PubMedCrossRef
69.
go back to reference Read J, Harre N (2001) The role of biological and genetic causal beliefs in the stigmatization of “mental patients”. J Ment Health 10:223–235CrossRef Read J, Harre N (2001) The role of biological and genetic causal beliefs in the stigmatization of “mental patients”. J Ment Health 10:223–235CrossRef
Metadata
Title
Evaluating the impact of direct and indirect contact on the mental health stigma of pharmacy students
Authors
Elizabeth Nguyen
Timothy F. Chen
Claire L. O’Reilly
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0413-5

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