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, J. van Weeghel, Silvia Zoppei, Lee Knifton, Neil Quinn, Kristian Wahlbeck, Doriana Cristofalo, Mariangela Lanfredi, Norman Sartorius, Graham Thornicroft, ASPEN/INDIGO Study Group

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background
No study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures.
Aims
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.
Method
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.
Results
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.
Conclusions
Contextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD
Original languageEnglish
Pages (from-to)507-514
JournalBritish Journal of Psychiatry
Volume207
Issue number5
DOIs
Publication statusPublished - 2015

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Major Depressive Disorder
Depression
Statistical Models
Weights and Measures

Cite this

Lasalvia, Antonio ; Van Bortel, Tine ; Bonetto, Chiara ; Jayaram, Geetha ; van Weeghel, J. ; Zoppei, Silvia ; Knifton, Lee ; Quinn, Neil ; Wahlbeck, Kristian ; Cristofalo, Doriana ; Lanfredi, Mariangela ; Sartorius, Norman ; Thornicroft, Graham ; ASPEN/INDIGO Study Group. / 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. 5. pp. 507-514.
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title = "Cross-national variations in reported discrimination among people treated for major depression worldwide: The ASPEN/INDIGO international study",
abstract = "BackgroundNo study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures.AimsTo (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.MethodCross-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.ResultsPeople 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. Thecontribution of country-level variables was significant for anticipated discrimination only.ConclusionsContextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD",
author = "Antonio Lasalvia and {Van Bortel}, Tine and Chiara Bonetto and Geetha Jayaram and {van Weeghel}, J. and Silvia Zoppei and Lee Knifton and Neil Quinn and Kristian Wahlbeck and Doriana Cristofalo and Mariangela Lanfredi and Norman Sartorius and Graham Thornicroft and {ASPEN/INDIGO Study Group}",
note = "{\circledC} The Royal College of Psychiatrists 2015.",
year = "2015",
doi = "10.1192/bjp.bp.114.156992",
language = "English",
volume = "207",
pages = "507--514",
journal = "British Journal of Psychiatry",
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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 & ASPEN/INDIGO Study Group 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. 5, 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, J.; Zoppei, Silvia; Knifton, Lee; Quinn, Neil; Wahlbeck, Kristian; Cristofalo, Doriana; Lanfredi, Mariangela; Sartorius, Norman; Thornicroft, Graham; ASPEN/INDIGO Study Group.

In: British Journal of Psychiatry, Vol. 207, No. 5, 2015, p. 507-514.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Cross-national variations in reported discrimination among people treated for major depression worldwide

T2 - The ASPEN/INDIGO international study

AU - Lasalvia, Antonio

AU - Van Bortel, Tine

AU - Bonetto, Chiara

AU - Jayaram, Geetha

AU - van Weeghel, J.

AU - Zoppei, Silvia

AU - Knifton, Lee

AU - Quinn, Neil

AU - Wahlbeck, Kristian

AU - Cristofalo, Doriana

AU - Lanfredi, Mariangela

AU - Sartorius, Norman

AU - Thornicroft, Graham

AU - ASPEN/INDIGO Study Group

N1 - © The Royal College of Psychiatrists 2015.

PY - 2015

Y1 - 2015

N2 - BackgroundNo study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures.AimsTo (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.MethodCross-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.ResultsPeople 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. Thecontribution of country-level variables was significant for anticipated discrimination only.ConclusionsContextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD

AB - BackgroundNo study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures.AimsTo (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.MethodCross-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.ResultsPeople 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. Thecontribution of country-level variables was significant for anticipated discrimination only.ConclusionsContextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD

U2 - 10.1192/bjp.bp.114.156992

DO - 10.1192/bjp.bp.114.156992

M3 - Article

C2 - 26382952

VL - 207

SP - 507

EP - 514

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 5

ER -