Partovi Tabar, Paria;
Lloyd-Evans, Bryn;
Low, Joseph;
Scior, Katrina;
Wood, Lisa;
(2025)
A Systematic Review and Narrative Synthesis of the Stigma of Psychosis in Middle Eastern Populations.
Stigma and Health
10.1037/sah0000616.
(In press).
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Abstract
Mental health stigma is common in the Middle East, particularly the stigma related to psychosis; however, there is limited research in understanding stigma from the individual, family/carer, and public perspective and limited evidence outlining the availability and acceptability of antistigma interventions for this population. The aim was to undertake a systematic review and narrative synthesis examining experiences of the stigma of psychosis from the perspective of Middle Eastern populations (the individual, family/carers, and the public) and examining the effectiveness of available antistigma interventions. Four databases (Medline, APA PsycInfo, Embase, and Web of Science) were searched for eligible studies. Studies were included if (a) participants were Middle Eastern ethnicity adults and (b) they examined experiences of stigma of individuals with psychosis, families/carers, stigmatizing public attitudes, or the utility of psychosis stigma interventions or campaigns. A narrative synthesis was undertaken to analyze results. A total of 18 studies were included in the review. Eight studies addressed the personal stigma experiences from the perspective of the person with psychosis or family member/carer and concluded with themes of rejection, oppression, isolation, lack of awareness, negative labels, and burden. Six addressed the population attitudes to psychosis in the Middle East which reported preferences of distance, lower chances of employability, negative labels, and rejection of close relationships. Four studies evaluated antistigma interventions for psychosis in the Middle East and found that antistigma intervention studies demonstrated that the interventions were feasible and acceptable. Evidence from two trials suggests that antistigma interventions can help reduce internalized stigma for people with psychosis from Middle Eastern populations. Stigmatizing beliefs and attitudes toward psychosis were identified among different Middle Eastern populations; however, the influence of cultural variations should be explored in future research. There are also insufficient data to recommend any specific intervention to reduce stigma related to psychosis in Middle Eastern populations, and further research is needed.
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