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Can Destigmatizing Mental Health Increase Willingness to Seek Help? Experimental Evidence from Nepal

Author

Listed:
  • Lacey, Lindsey

    (Allegheny County Department of Human Services)

  • Mishra, Nirajana

    (Northeastern University)

  • Mukherjee, Priya

    (University of Wisconsin-Madison)

  • Prakash, Nikhilesh

    (Stockholm School of Economics)

  • Prakash, Nishith

    (Northeastern University)

  • Quinn, Diane

    (University of Connecticut)

  • Sabarwal, Shwetlena

    (World Bank)

  • Saraswat, Deepak

    (University of Connecticut)

Abstract

We conducted a randomized control trial to study the impact of two information messages aimed at reducing the stigma associated with mental illness on the willingness to seek mental healthcare among adults in Nepal. The first intervention shares information about the prevalence of mental health issues and the efficacy of treatment. The second intervention shares information about the mental health struggles of a Nepali celebrity and how he benefited from treatment. We find three results. First, compared to a no-information control group, both interventions increase participants' stated willingness to seek mental health treatment. This effect is driven by participants with high personal and anticipated stigma, less severe symptoms of depression and anxiety, and who hold strong beliefs about conformity to masculinity. Second, the impact on participants' stated willingness to seek mental health treatment mirrors their willingness to pay for counseling. Third, participants are, on average, more likely to report willingness to seek help when the enumerator is female.

Suggested Citation

  • Lacey, Lindsey & Mishra, Nirajana & Mukherjee, Priya & Prakash, Nikhilesh & Prakash, Nishith & Quinn, Diane & Sabarwal, Shwetlena & Saraswat, Deepak, 2024. "Can Destigmatizing Mental Health Increase Willingness to Seek Help? Experimental Evidence from Nepal," IZA Discussion Papers 17166, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp17166
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    1. Christopher Blattman & Julian C. Jamison & Margaret Sheridan, 2017. "Reducing Crime and Violence: Experimental Evidence from Cognitive Behavioral Therapy in Liberia," American Economic Review, American Economic Association, vol. 107(4), pages 1165-1206, April.
    2. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    3. Joep Agteren & Matthew Iasiello & Laura Lo & Jonathan Bartholomaeus & Zoe Kopsaftis & Marissa Carey & Michael Kyrios, 2021. "A systematic review and meta-analysis of psychological interventions to improve mental wellbeing," Nature Human Behaviour, Nature, vol. 5(5), pages 631-652, May.
    4. Matthew W. Ridley & Gautam Rao & Frank Schilbach & Vikram H. Patel, 2020. "Poverty, Depression, and Anxiety: Causal Evidence and Mechanisms," NBER Working Papers 27157, National Bureau of Economic Research, Inc.
    5. Mahalik, James R. & Burns, Shaun M. & Syzdek, Matthew, 2007. "Masculinity and perceived normative health behaviors as predictors of men's health behaviors," Social Science & Medicine, Elsevier, vol. 64(11), pages 2201-2209, June.
    6. Rashda Tabassum & Ann Macaskill & Iftikhar Ahmad, 2000. "Attitudes Towards Mental Health in an Urban Pakistani Community in the United Kingdom," International Journal of Social Psychiatry, , vol. 46(3), pages 170-181, September.
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    More about this item

    Keywords

    mental health; stigma; prejudice; seeking help; celebrity; Nepal;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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