Cross-national variations in reported discrimination among people treated for major depression worldwide: the ASPEN/INDIGO international study

Antonio Lasalvia, Tine Van Bortel, Chiara Bonetto, Geetha Jayaram, Jaap van Weeghel, Silvia Zoppei, Lee Knifton, Neil Quinn, Kristian Wahlbeck, Doriana Cristofalo, Mariangela Lanfredi, Norman Sartorius, Graham Thornicroft

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    Abstract

    No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures. To (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD. Cross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used. People living in ‘very high HDI’ countries reported higher discrimination than those in ‘medium/low HDI’ countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only. Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD.
    LanguageEnglish
    Pages507-514
    Number of pages8
    JournalBritish Journal of Psychiatry
    Volume207
    Issue number6
    DOIs
    Publication statusPublished - 1 Dec 2015

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    Major Depressive Disorder
    Human Development
    Depression
    Statistical Models
    Weights and Measures

    Keywords

    • major depressive disorder
    • MDD
    • mental health

    Cite this

    Lasalvia, Antonio ; Van Bortel, Tine ; Bonetto, Chiara ; Jayaram, Geetha ; van Weeghel, Jaap ; Zoppei, Silvia ; Knifton, Lee ; Quinn, Neil ; Wahlbeck, Kristian ; Cristofalo, Doriana ; Lanfredi, Mariangela ; Sartorius, Norman ; Thornicroft, Graham. / Cross-national variations in reported discrimination among people treated for major depression worldwide : the ASPEN/INDIGO international study. In: British Journal of Psychiatry . 2015 ; Vol. 207, No. 6. pp. 507-514.
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    abstract = "No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures. To (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD. Cross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used. People living in ‘very high HDI’ countries reported higher discrimination than those in ‘medium/low HDI’ countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only. Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD.",
    keywords = "major depressive disorder, MDD, mental health",
    author = "Antonio Lasalvia and {Van Bortel}, Tine and Chiara Bonetto and Geetha Jayaram and {van Weeghel}, Jaap and Silvia Zoppei and Lee Knifton and Neil Quinn and Kristian Wahlbeck and Doriana Cristofalo and Mariangela Lanfredi and Norman Sartorius and Graham Thornicroft",
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    Lasalvia, A, Van Bortel, T, Bonetto, C, Jayaram, G, van Weeghel, J, Zoppei, S, Knifton, L, Quinn, N, Wahlbeck, K, Cristofalo, D, Lanfredi, M, Sartorius, N & Thornicroft, G 2015, 'Cross-national variations in reported discrimination among people treated for major depression worldwide: the ASPEN/INDIGO international study' British Journal of Psychiatry , vol. 207, no. 6, pp. 507-514. https://doi.org/10.1192/bjp.bp.114.156992

    Cross-national variations in reported discrimination among people treated for major depression worldwide : the ASPEN/INDIGO international study. / Lasalvia, Antonio; Van Bortel, Tine; Bonetto, Chiara; Jayaram, Geetha; van Weeghel, Jaap; Zoppei, Silvia; Knifton, Lee; Quinn, Neil; Wahlbeck, Kristian; Cristofalo, Doriana; Lanfredi, Mariangela; Sartorius, Norman; Thornicroft, Graham.

    In: British Journal of Psychiatry , Vol. 207, No. 6, 01.12.2015, p. 507-514.

    Research output: Contribution to journalArticle

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    AU - Van Bortel, Tine

    AU - Bonetto, Chiara

    AU - Jayaram, Geetha

    AU - van Weeghel, Jaap

    AU - Zoppei, Silvia

    AU - Knifton, Lee

    AU - Quinn, Neil

    AU - Wahlbeck, Kristian

    AU - Cristofalo, Doriana

    AU - Lanfredi, Mariangela

    AU - Sartorius, Norman

    AU - Thornicroft, Graham

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