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Brief Reports   |    
A Randomized Controlled Trial of a Peer-Run Antistigma Photovoice Intervention
Zlatka Russinova, Ph.D.; E. Sally Rogers, Sc.D.; Cheryl Gagne, Sc.D.; Philippe Bloch, M.Ed.; Keith M. Drake, Ph.D.; Kim T. Mueser, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201200572
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Dr. Russinova, Dr. Rogers, Mr. Bloch, and Dr. Mueser are with the Center for Psychiatric Rehabilitation, Boston University (e-mail: zlatka@bu.edu). Dr. Gagne is with the Center for Social Innovation, Needham Heights, Massachusetts. Dr. Drake is with the Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Copyright © 2014 by the American Psychiatric Association


Objective  Psychiatric stigma is a major barrier to the recovery of persons with serious mental illnesses. This study tested the efficacy of an innovative peer-run photography-based intervention, called antistigma photovoice, which targets self-stigma and promotes proactive coping with public stigma.

Methods  A total of 82 individuals with serious mental illnesses enrolled at a university-based recovery center were randomly assigned to the antistigma photovoice program or to a wait-list control group. Mixed-effects regression models were used to examine the impact of photovoice on self-stigma, coping with stigma, empowerment, perceived recovery, self-efficacy, and depression.

Results  Participation in the photovoice intervention was associated with significantly reduced self-stigma, greater use of proactive coping with societal stigma, greater increase in a sense of community activism, and perceived recovery and growth.

Conclusions  The photovoice intervention demonstrated promise for reducing self-stigma and enhancing proactive coping with prejudice and discrimination.

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Table 1Results of mixed-model linear regression analysis for 82 mental health recovery center clients assigned to antistigma photovoice training or to a wait-list control group
Table Footer Note

a Items are rated on a scale from 1, “strongly disagree” to 4, “strongly agree,” where positive endorsement indicates higher internalized stigma, higher likelihood of strategy use, or a greater sense of empowerment, respectively.

Table Footer Note

b Items are rated on a scale from 1, “disagree” to 4, “agree,” where positive endorsement indicates a higher level of perceived personal growth and recovery.

Table Footer Note

c Items assess frequency of designated depressive experiences in the week preceding administration and range from 0, “rarely or none of the time,” to 3, “most or all of the time”; results report sums of those frequencies. A score of 16 or higher indicates the presence of depression.

Table Footer Note

d Items are rated on a scale from 1, “not at all true,” to 4, “exactly,” where positive endorsement of items indicates higher level of general perceived self-efficacy.



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