A randomized controlled trial of a peer-run antistigma photovoice intervention

Psychiatr Serv. 2014 Feb 1;65(2):242-6. doi: 10.1176/appi.ps.201200572.

Abstract

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.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptation, Psychological / physiology
  • Adult
  • Female
  • Humans
  • Male
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation*
  • Middle Aged
  • Patient Education as Topic / methods
  • Peer Group*
  • Photography / methods
  • Psychotherapy, Group / methods*
  • Recovery of Function / physiology
  • Self Concept
  • Social Stigma*
  • Treatment Outcome