Article2001

Perceived Stigma as a Predictor of Treatment Discontinuation in Young and Older Outpatients With Depression

Jo Anne Sirey · MARTHA LIVINGSTON BRUCE · George S. Alexopoulos · DEBORAH A. PERLICK · Patrick J. Raue · Barnett S. Meyers

777 citations0/0 files storedAmerican Journal of Psychiatry

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Treatment of Major Depression

Abstract

OBJECTIVE: The authors' goal was to examine the extent to which perceived stigma affected treatment discontinuation in young and older adults with major depression. METHOD: A two-stage sampling design identified 92 new admissions of outpatients with major depression. Perceived stigma was assessed at admission. Discontinuation of treatment was recorded at 3-month follow-up. RESULTS: Although younger patients reported perceiving more stigma than older patients, stigma predicted treatment discontinuation only among the older patients. CONCLUSIONS: Patients' perceptions of stigma at the start of treatment influence their subsequent treatment behavior. Stigma is an appropriate target for intervention aimed at improving treatment adherence and outcomes.

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References

1977The CES-D Scale 1999Mental Health: A Report of the Surgeon General 1989A Modified Labeling Theory Approach to Mental Disorders: An Empirical Assessment 1999Lessons from social psychology on discrediting psychiatric stigma.

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