Page 138 - GHES-3-1

Global Health Economics and
Sustainability

ORIGINAL RESEARCH ARTICLE
Effectiveness of a digital single-session

cognitive behavioral psychoeducational
intervention in reducing public stigma

associated with psychosis: A randomized
controlled trial

1
Pawel D. Mankiewicz * and Jaye J.Y. Wong 2
1 Clinical Psychology Programme and Clinical and Health Psychology Centre, Department of
Psychology, Faculty of Arts and Social Sciences, National University of Singapore, Singapore
2 Department of Psychology, Faculty of Arts and Social Sciences, National University of Singapore,
Singapore

Abstract

Psychosis is a severe mental health condition that is highly stigmatized, significantly
Academic editor: increasing the costs of mental healthcare and reducing the productivity of those
Mihajlo Jakovljevic M.D. Ph.D. MAE affected. Due to public stigma, individuals with psychosis often delay seeking
*Corresponding author: professional help, exacerbating the socioeconomic burden of their ill-health.
Pawel D. Mankiewicz Psychoeducation, delivered in a structured and systematic manner, has been a key
(dr.pawel@nus.edu.sg) part of evidence-based psychological treatments and has been gradually adopted
Citation: Mankiewicz, P.D., & in stigma reduction efforts. This study evaluated the effectiveness of a digital
Wong, J.J.Y. (2025). Effectiveness single-session cognitive behavioral psychoeducation intervention in reducing
of a digital single-session cognitive
behavioral psychoeducational public stigma toward people with psychosis in a collectivist society through a
intervention in reducing public randomized controlled trial. Stigma was assessed using standardized self-report
stigma associated with psychosis: tools at pre-intervention, post-intervention, and 1-month follow-up. A significant
A randomized controlled trial. Global
Health Econ Sustain, 3(1):130-147. reduction was observed in stereotyping, prejudice, and discrimination on seven
https://doi.org/10.36922/ghes.3363 out of 10 public stigma components post-intervention. However, the desired
Received: April 4, 2024 effects were maintained for only two components at the 1-month follow-up. No
significant changes were found in negative emotions, tolerance, and support from
1st revised: July 31, 2024 pre-intervention to post-intervention. Attribution of responsibility significantly
2nd revised: August 12, 2024 increased after the intervention, contrary to predictions. The findings of this study
Accepted: August 12, 2024 provide empirical support for the short-term effectiveness of a brief cognitive
behavioral psychoeducation intervention in reducing public stigma toward
Published online: October 7, 2024 individuals with psychosis while highlighting the potential benefits of delivering
Copyright: © 2024 Author(s). this intervention digitally. At the same time, the limitations of individual-level
This is an Open-Access article interventions in sustaining long-term effects are discussed from a sociocultural
distributed under the terms of the
Creative Commons Attribution perspective. This study also examined the relevance of these findings in the context
License, permitting distribution, of health economics.
and reproduction in any medium,
provided the original work is
properly cited. Keywords: Mental ill-health; Psychosis; Public stigma; Psychoeducation; Economic
Publisher’s Note: AccScience burden; Cognitive behavioral therapy; Randomized controlled trial
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Volume 3 Issue 1 (2025) 130 https://doi.org/10.36922/ghes.3363