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‘Treatable and Changeable’: The Effect of Treatment and Malleability Information on Stigma Towards Children with Behavioural Problems and Their Parents

Published online by Cambridge University Press:  02 December 2020

Sarah Li ,
Lucy Tully  and
Mark R. Dadds
Sarah Li
Affiliation:
University of Sydney, Sydney, New South Wales, Australia
Lucy Tully
Affiliation:
University of Sydney, Sydney, New South Wales, Australia
Mark R. Dadds*
Affiliation:
University of Sydney, Sydney, New South Wales, Australia
*
*Corresponding author: Mark Dadds, School of Psychology, The University of Sydney, Sydney, New South Wales, Australia. Email: mark.dadds@sydney.edu.au
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Abstract

Improving knowledge about childhood mental health issues, reducing stigma, and encouraging appropriate treatment-seeking are important goals for public health. This study examined the effect of treatment and malleability information on stigmatisation towards children with Oppositional Defiant Disorder (ODD) and their parents, and on endorsements of causal beliefs. In an experimental study, university students (N = 234) were randomly allocated to receive/not receive treatment information (information on the existence and effectiveness of treatment for ODD) and to receive/not receive malleability information (information emphasising brain malleability and the potential to change). Participants then rated four measures of stigma towards a fictitious child with ODD and mother (blame, incompetence, dangerousness, and social distance), and rated their endorsements of causal explanations for ODD. Neither treatment nor malleability information had significant effects on stigmatisation towards either the child or mother. However, this information did impact upon causal beliefs about ODD as stemming from biological or mixed biological/environmental causes. Implications for the future development of public health initiatives and stigma research on childhood mental health are discussed.

Keywords

child mental healthstigmacausal beliefs
Type
Standard Paper
Information
Behaviour Change , Volume 37 , Issue 4 , December 2020 , pp. 181 - 194
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

American Psychiatric Association (2013). Disruptive, impulse-control, and conduct disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). doi:10.1176/appi.books.9780890425596.dsm15Google Scholar
Bos, AER, Pryor, JB, Reeder, GD and Stutterheim, SE (2013). Stigma: Advances in theory and research. Basic and Applied Social Psychology, 35, 1–9. doi:10.1080/01973533.2012.746147CrossRefGoogle Scholar
Clement, S, Jarrett, M, Henderson, C and Thornicroft, G (2010). Messages to use in population-level campaigns to reduce mental health-related stigma: Consensus development study. Epidemiology and Psychiatric Sciences, 19, 72–79. doi:10.1017/S1121189X00001627CrossRefGoogle ScholarPubMed
Gangi, CE, Yuen, EK, Levine, H and McNally, E (2016). Hide or seek? The effect of causal and treatability information on stigma and willingness to seek psychological help. Journal of Social and Clinical Psychology, 35, 510–524. doi:10.1521/jscp.2016.35.6.510CrossRefGoogle Scholar
Gray, DE (2002). ‘Everybody just freezes. Everybody is just embarrassed’: Felt and enacted stigma among parents of children with high functioning autism. Sociology of Health & Illness, 24, 734–749. doi:10.1111/1467-9566.00316CrossRefGoogle Scholar
Haslam, N and Kvaale, EP (2015). Biogenetic explanations of mental disorder. Current Directions in Psychological Science, 24, 399–404. doi:10.1177/0963721415588082CrossRefGoogle Scholar
Jorm, AF, Christensen, H and Griffiths, KM (2006). Changes in depression awareness and attitudes in Australia: The impact of beyondblue: The national depression initiative. Australian and New Zealand Journal of Psychiatry, 40, 42–46. doi:10.1080/j.1440-1614.2006.01739.xCrossRefGoogle ScholarPubMed
Kaminski, JW and Claussen, AH (2017). Evidence base update for psychosocial treatments for disruptive behaviors in children. Journal of Clinical Child & Adolescent Psychology, 46, 477–499. doi:10.1080/15374416.2017.1310044CrossRefGoogle ScholarPubMed
Kaushik, A, Kostaki, E and Kyriakopoulos, M (2016). The stigma of mental illness in children and adolescents: A systematic review. Psychiatry Research, 243, 469–494. doi:10.1016/j.psychres.2016.04.042CrossRefGoogle ScholarPubMed
Kessler, RC, Berglund, P, Demler, O, Jin, R, Merikangas, KR and Walters, EE (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. doi:10.1001/archpsyc.62.6.593CrossRefGoogle ScholarPubMed
Kvaale, EP, Gottdiener, WH and Haslam, N (2013). Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople. Social Science & Medicine, 96, 95–103. doi:10.1016/j.socscimed.2013.07.017CrossRefGoogle ScholarPubMed
Lam, DCK, Salkovskis, PM and Warwick, HMC (2005). An experimental investigation of the impact of biological versus psychological explanations of the cause of “mental illness”. Journal of Mental Health, 14, 453–464. doi:10.1080/09638230500270842CrossRefGoogle Scholar
Lawrence, D, Johnson, S, Hafekost, J, Boterhoven, KDH, Sawyer, M, Ainley, J and Zubrick, SR (2015). The Mental Health of Children and Adolescents: Report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Canberra: Department of Health.Google ScholarPubMed
Lawrence, D, Hafekost, J, Johnson, SE, Saw, S, Buckingham, WJ, Sawyer, MG, … Zubrick, SR (2016). Key findings from the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Australian & New Zealand Journal of Psychiatry, 50, 876–886. doi:10.1177/0004867415617836CrossRefGoogle ScholarPubMed
Lebowitz, MS and Ahn, WK (2012). Combining biomedical accounts of mental disorders with treatability information to reduce mental illness stigma. Psychiatric Services, 63, 496–499. doi:10.1176/appi.ps.201100265CrossRefGoogle ScholarPubMed
Lebowitz, MS and Ahn, WK (2015). Emphasizing Malleability in the biology of depression: Durable effects on perceived agency and prognostic pessimism. Behaviour Research and Therapy, 71, 125–130. doi:10.1016/j.brat.2015.06.005CrossRefGoogle ScholarPubMed
Lebowitz, MS, Ahn, WK and Nolen-Hoeksema, S (2013). Fixable or fate? Perceptions of the biology of depression. Journal of Consulting and Clinical Psychology, 81, 518–527. doi:10.1037/a0031730CrossRefGoogle ScholarPubMed
Lebowitz, MS, Rosenthal, JE and Ahn, WK (2016). Effects of biological versus psychosocial explanations on stigmatization of children with ADHD. Journal of Attention Disorders, 20, 240–250. doi:10.1177/1087054712469255CrossRefGoogle ScholarPubMed
Mukolo, A, Heflinger, CA and Wallston, KA (2010). The stigma of childhood mental disorders: A conceptual framework. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 92–103. doi:10.1016/j.jaac.2009.12.003Google ScholarPubMed
Oh, E, Mathers, M, Hiscock, H, Wake, M and Bayer, J (2015). Professional help seeking for young children with mental health problems. Australian Journal of Psychology, 67, 187–195. doi:10.1111/ajpy.12072CrossRefGoogle Scholar
Perry, BL, Pescosolido, BA, Martin, JK, Jensen, PS and McLeod, JD (2007). Comparison of public attributions, attitudes, and stigma in regard to depression among children and adults. Psychiatric Services, 58, 632–635. doi:10.1176/ps.2007.58.5.632CrossRefGoogle ScholarPubMed
Pescosolido, BA, Jensen, PS, Martin, JK, Perry, BL, Olafsdottir, S and Fettes, D (2008). Public knowledge and assessment of child mental health problems: Findings from the National Stigma Study-Children. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 339–349. doi:10.1097/CHI.0b013e318160e3a0CrossRefGoogle ScholarPubMed
Romer, D and Bock, M (2008). Reducing the stigma of mental illness among adolescents and young adults: The effects of treatment information. Journal of Health Communication, 13, 742–758. doi:10.1080/10810730802487406CrossRefGoogle Scholar
Sayal, K, Tischler, V, Coope, C, Robotham, S, Ashworth, M, Day, C, … Simonoff, E (2010). Parental help-seeking in primary care for child and adolescent mental health concerns: Qualitative study. The British Journal of Psychiatry, 197, 476–481. doi:10.1192/bjp.bp.110.081448CrossRefGoogle ScholarPubMed
Schlier, B, Schmick, S and Lincoln, TM (2014). No matter of etiology: Biogenetic, psychosocial and vulnerability-stress causal explanations fail to improve attitudes towards schizophrenia. Psychiatry Research, 215, 753–759. doi:10.1016/j.psychres.2013.12.056CrossRefGoogle ScholarPubMed
Schlier, B, Lange, P, Wiese, S, Wirth, A and Lincoln, T (2016). The effect of educational information about treatments for schizophrenia on stigmatizing perceptions. Journal of Behavior Therapy and Experimental Psychiatry, 52, 11–16. doi:10.1016/j.jbtep.2016.02.002CrossRefGoogle ScholarPubMed