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. 2021 May;57(4):655-666.
doi: 10.1007/s10597-020-00723-3. Epub 2020 Oct 19.

Examining Different Strategies for Stigma Reduction and Mental Health Promotion in Asian Men in Toronto

Kenneth Fung  1   2 , Jenny J W Liu  3 , Rick Sin  4 , Yogendra Shakya  5   6 , Sepali Guruge  4 , Amy Bender  7 , Josephine P Wong  4
Affiliations

Examining Different Strategies for Stigma Reduction and Mental Health Promotion in Asian Men in Toronto

Kenneth Fung et al. Community Ment Health J. 2021 May.

Abstract

Mental illness stigma has detrimental effects on health and wellbeing. Approaches to address stigma in racialized populations in Western nations need to emphasize inclusivity, social justice, and sociocultural intersectionality of determinants of health. The current paper evaluates three intervention approaches to reduce stigma of mental illness among Asian men in Toronto, Canada. Participants received one of four group interventions: psychoeducation, Acceptance and Commitment Therapy (ACT), Contact-based Empowerment Education (CEE), and a combination of ACT+CEE. Self-report measures on stigma (CAMI, ISMI) and social change (SJS) were administered before and after the intervention. A total of 535 Asian men completed the interventions. Overall analyses found that all intervention approaches were successful in reducing stigma and promoting social change. Subscale differences suggest that CEE may be more broadly effective in reducing mental illness stigmatizing attitudes while ACT may be more specifically effective in reducing internalized stigma. More work needs to be done to elucidate mechanisms that contribute to socioculturally-informed mental illness stigma interventions for racialized communities and traditionally marginalized populations.

Keywords: Acceptance and Commitment Therapy (ACT); Asian Men; Contact-based Empowerment Education (CEE); Intervention research; Mental health; Mental illness; Stigma.

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