Sara Evans-Lacko
Dados Biográficos
| ID | 96432 |
|---|---|
| NOME | Sara Evans-Lacko |
| PRENOMES | Sara |
| SOBRENOME | Evans-Lacko |
| ASSINATURA | EVANS-LACKO S |
| AFILIAÇÕES | London School of Economics and Political Science |
| ORCID | 0000-0003-4691-2630 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 47 |
| TOTAL DE CITAÇÕES | 61 |
| TOTAL COMO AUTOR | 47 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
The science of child and adolescent mental health in Brazil
“Poverty is a state of mind”
Evidence suggests the relationship between poverty and poor mental health may be causal in both directions, with poverty causing mental health problems and mental health problems contributing to the difficulty of escaping poverty. Stigma against people in poverty and those with poor mental health is implicated in mechanisms which contribute to cycles of disadvantage. Here we explore attitudes to poverty among young people from low-income families…
The long-term effects of cash transfer programmes on young adults’ mental health
Poverty is associated with poorer mental health in early adulthood. Cash transfers (CTs) have been shown to improve child health and education outcomes, but it is unclear whether these effects may translate into better mental health outcomes as children reach young adulthood. Using a quasi-experimental approach that exploits variation across countries in the timing of national CT programme introduction, we examine whether longer exposure to CTs d…
Coping strategies among poverty-affected adolescents experiencing or at risk of depression and anxiety in Nepal
Adolescents employ various coping strategies to manage stress, which can impact their short and long-term mental health. Economically disadvantaged adolescents are more prone to developing maladaptive coping mechanisms due to the persistent stressors associated with poverty. In Nepal, there is a lack of research on how adolescents experiencing or at risk of depression and anxiety cope with adverse situations. This study aims to explore how adoles…
I take a deep breath first”
Previous research shows that poverty can hinder the development of self-regulation skills, yet little is known about how individuals living in poverty experience self-regulation. This qualitative study aims to understand young people's experiences as they deploy self-regulation strategies and navigate interpersonal and contextual barriers associated with chronic scarcity. Adolescents (n = 29) aged 10-19 years living in low-income urban areas in B…
Cultural adaptation process of six stigma assessment scales among Kannada speaking population in South India
For several years stigma researchers in India have relied on Western instruments or semi-structured stigma scales in their studies. However, these scales have not been rigorously translated and adapted to the local cultural framework. In the current study, we describe the cultural adaptation of six stigma scales with the purpose of using it in the native language (Kannada) based on translation steps of forward translation, expert review and synth…
The costs of school exclusion
The cost of permanent exclusion from school is an issue that has been gaining increasing attention in recent years. However, efforts to estimate these costs have mainly focused on those incurred after the student has been excluded, such as those for alternative education providers. Less focus has been given to costs associated with processes leading up to exclusion, including the time spent by school staff and other professionals (e.g. counsellor…
Stigma and its implications for dementia in South Africa
Stigma and discrimination in relation to dementia has a range of implications for people living with dementia and their families worldwide, including help-seeking, quality of life, social rejection and isolation. Few studies consider the perceptions and stigma towards dementia from multiple perspectives, such as people living with dementia, carers, general public and health-care workers. South Africa has limited evidence on the stigmatisation of …
The state of mental health in Greece
Background: Effective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece. Aim: To analyze Greece’s mental health-related indicators in comparison to countries with similar socioeconomic contexts…
Investigating the impact of poverty on mental illness in the UK Biobank using Mendelian randomization
It is unclear whether poverty and mental illness are causally related. Using UK Biobank and Psychiatric Genomic Consortium data, we examined evidence of causal links between poverty and nine mental illnesses (attention deficit and hyperactivity disorder (ADHD), anorexia nervosa, anxiety disorder, autism spectrum disorder, bipolar disorder, major depressive disorder, obsessive-compulsive disorder, post-traumatic stress disorder and schizophrenia).…
The double disadvantage faced by adolescents from low socioeconomic backgrounds with mental health problems affects earnings up to mid-life
Early childhood socioeconomic disadvantage and mental health problems are both important determinants of adult social and economic experiences, but little is known about how they interact in this respect. We aimed to assess whether poor mental health in adolescence exacerbates labour market inequalities originating from low socioeconomic status (SES) in childhood. We use a birth cohort of individuals born in 1958 in England and follow their emplo…
Parent‐ and teacher‐reported associations from adolescent bifactor models of psychopathology
BACKGROUND: Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and te…
Dementia-related stigma among health professionals, family carers, people with dementia, and the general public in Brazil
People living with dementia often experience stigma and discrimination. There is a dearth of research on this topic in low- and middle-income countries, where the majority of people living with dementia reside. We conducted a secondary analysis of an international database from Alzheimer’s Disease International on the knowledge and attitudes toward people living with dementia among four groups: carers, health professionals, people living with dem…
Potential mechanisms by which cash transfer programmes could improve the mental health and life chances of young people
Mental health is inextricably linked to both poverty and future life chances such as education, skills, labour market attachment and social function. Poverty can lead to poorer mental health, which reduces opportunities and increases the risk of lifetime poverty. Cash transfer programmes are one of the most common strategies to reduce poverty and now reach substantial proportions of populations living in low- and middle-income countries. Because …
Experiences of stigma and discrimination among people living with dementia and family carers in Brazil
This study aimed to understand stigma in relation to people living with dementia in São Paulo, Brazil. A critical narrative inquiry methodology was used. Home-based semi-structured interviews were conducted between January and March 2020 with six people living with dementia and 15 family carers. Data analysis was conducted using inductive and deductive techniques. The latter was informed by Link and Phelan's sociological theory of stigma. We foun…
The relationship between multidimensional poverty, income poverty and youth depressive symptoms
Whereas monetary poverty is associated with increased risk of depressive symptoms in young people, poverty is increasingly understood as a multidimensional problem. However, it is yet to be understood how the associations between different dimensions of poverty and youth mental health differ across countries. We examine the relationship between multidimensional, as well as income poverty, and depressive symptoms in young people (age 11–25 years) …
Can a negative religious causal attribution of mental illness affect the phenomenon of public stigma
This study assessed, through an exploratory approach, how religion-based negative causal attributions of mental illness may be associated to stigmatising attitudes and behaviours that contribute to public stigma in an Italian convenience sample. All participants (N = 311; average age = 33 years, 38.6% male) completed a set of three questionnaires: Religious Beliefs and Mental Illness Stigma Scale, the Attribution Questionnaire 27 and the Mental H…
Pilot evaluation to assess the effectiveness of youth peer community support via the Kooth online mental wellbeing website
This pilot evaluation suggests that Kooth is likely to be a cost-effective way of providing preventative support to young people with concerns about their mental health, with possible benefits across a range of domains which could be investigated in a future controlled trial
Cash transfers and the mental health of young people
This study examines the longitudinal impact of the South African Child Support Grant (CSG) on risk for depression and life satisfaction among young people (15-19 years). We analysed data from the last three waves of the National Income Dynamics Study (NIDS), a nationally representative panel survey that took place every two years from 2008 to 2017. We used an instrumental variable (IV) approach that exploits multiple changes in age eligibility fr…
Multidimensional poverty and adolescent mental health
The impact of cash transfers on mental health in children and young people in low-income and middle-income countries
Conditional cash transfers and adolescent mental health in Brazil
BACKGROUND: (BFP), during childhood reduces the risk of mental health problems in early adolescence. METHODS: We used data from 2063 participants in the 2004 Pelotas Birth Cohort study. Propensity score matching (PSM) estimated the association between BFP participation at age 6 and externalising problems (Strengths and Difficulties Questionnaire - SDQ and violent behaviour) and socio-emotional competencies (Development and Well-Being Assessment q…
Time Waits for No One
The primary aim is to describe the changes in the knowledge of mental health conditions, the attitudes toward the mentally ill, and the intended behaviour towards people with mental illness among the entire student population of the third year of a degree course in Psychology. A total of 570 students attended a seminar on stigma towards mental illness and were invited to complete an online survey which collected data on sociodemographic character…
Development and validation of the Brazilian Portuguese Version of the Reported and Intended Behaviour Scale (Ribs-BP)
The object of the study was to translate and validate the Reported and Intended Behaviour Scale (RIBS) into Brazilian Portuguese. A native Brazilian speaker fluent in English translated the RIBS into Brazilian Portuguese. Comprehensibility and face validity were assessed through discussions with mental health professionals and volunteers recruited from the community. Brazilian Portuguese version of the questionnaire was back-translated into Engli…
Barriers to care and psychopathology among Bolivian migrants living in São Paulo, Brazil
The objective of this study was to investigate barriers to appropriate mental health care in a sample of Bolivian migrants living in São Paulo and to examine the association between barriers of care and the presence of symptoms of non-psychotic psychiatric disorders in this population. Considering that treatment usually reduces symptoms, it could be hypothesized that individuals reporting more barriers to care also will report more symptoms. The …
Mental Illness Stigma, Help Seeking, and Public Health Programs
Globally, more than 70% of people with mental illness receive no treatment from health care staff. Evidence suggests that factors increasing the likelihood of treatment avoidance or delay before presenting for care include (1) lack of knowledge to identify features of mental illnesses, (2) ignorance about how to access treatment, (3) prejudice against people who have mental illness, and (4) expectation of discrimination against people diagnosed w…
Long term economic impact associated with childhood bullying victimisation
Being bullied is associated with mental health problems in childhood, with increasing evidence of persisting negative impacts, and increased mental health service use, into adulthood. There are also impacts of bullying victimisation on employment, income and being in poverty, but little is known about the long-term economic impacts. We therefore aimed to estimate the most important economic consequences at age 50 of being bullied in childhood: to…
Exploring Professional Help-Seeking for Mental Disorders
Only a third of people with mental disorders seek professional help. In this study, we aimed to investigate attitudes toward help-seeking among non-help-seekers drawn from a community survey in South London. We conducted qualitative interviews with 24 participants with symptoms of mental disorders. We analyzed data using thematic analysis. Participants' reasons for not seeking professional help included perceiving their problems as normal or unsu…
Conditional Disclosure on Pathways to Care
The interrelationship between stigma and help-seeking is under-researched among children and adolescents. This study explored stigma in relation to pathways to care among young people putatively in an early stage of increased risk of developing psychotic disorders. "Pathways to care" was defined as help-seeking and support from informal and formal resources, and increased risk was determined through the presence of persistent psychotic-like exper…
Multidimensional poverty and adolescent mental health
Barriers to care and psychopathology among Bolivian migrants living in São Paulo, Brazil
The objective of this study was to investigate barriers to appropriate mental health care in a sample of Bolivian migrants living in São Paulo and to examine the association between barriers of care and the presence of symptoms of non-psychotic psychiatric disorders in this population. Considering that treatment usually reduces symptoms, it could be hypothesized that individuals reporting more barriers to care also will report more symptoms. The …
The state of mental health in Greece
Background: Effective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece. Aim: To analyze Greece’s mental health-related indicators in comparison to countries with similar socioeconomic contexts…
Investigating the impact of poverty on mental illness in the UK Biobank using Mendelian randomization
It is unclear whether poverty and mental illness are causally related. Using UK Biobank and Psychiatric Genomic Consortium data, we examined evidence of causal links between poverty and nine mental illnesses (attention deficit and hyperactivity disorder (ADHD), anorexia nervosa, anxiety disorder, autism spectrum disorder, bipolar disorder, major depressive disorder, obsessive-compulsive disorder, post-traumatic stress disorder and schizophrenia).…
Cash transfers and the mental health of young people
This study examines the longitudinal impact of the South African Child Support Grant (CSG) on risk for depression and life satisfaction among young people (15-19 years). We analysed data from the last three waves of the National Income Dynamics Study (NIDS), a nationally representative panel survey that took place every two years from 2008 to 2017. We used an instrumental variable (IV) approach that exploits multiple changes in age eligibility fr…
Development and Psychometric Properties of the Mental Health Knowledge Schedule
Methods: We describe the development of the MAKS in addition to 3 studies that were carried out to evaluate the psychometric properties of the MAKS. Adults aged 25 to 45 years in socioeconomic groups: B, C1, and C2 completed the instrument via face-to-face interview ( n = 92) and online ( n = 403). Results: Internal reliability and test-retest reliability is moderate to substantial. Validity is supported by extensive review by experts (including …
Complexity and Continuity of Treatments Among Privately Insured Youth Diagnosed with Bipolar Disorder
More evidence is needed on the causal patterns leading to increased psychotropic medication complexity and continuity and how diagnosis of bipolar disorder may drive treatment patterns
Evaluation of a brief anti-stigma campaign in Cambridge
Although these results only reflect the impact of one small scale campaign, these preliminary findings suggest several considerations for mass-media campaign development and evaluation strategies such as: (1) Aiming to influence outcomes pertaining to knowledge in the short term; (2) Planning realistic and targeted outcomes over the short, medium and long term during sustained campaigns; and (3) Monitoring indirect campaign effects such as social…
Development and psychometric properties of the Reported and Intended Behaviour Scale (Ribs)
Background. Although stigma in relation to mental health has been defined as including components of knowledge, attitudes and behaviour, no psychometrically tested instrument to assess behavioural discrimination at the population level has been developed. This paper presents details of the development and psychometric properties of the Reported and Intended Behaviour Scale (RIBS), an instrument based on the Star Social Distance Scale, to assess r…
Newspaper coverage of mental illness in the UK, 1992-2008
Newspaper coverage of mental illness became less stigmatising overall in the 1990s and 2000s, but this was not true for all diagnoses
Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries
Background Little is known about how the views of the public are related to self-stigma among people with mental health problems. Despite increasing activity aimed at reducing mental illness stigma, there is little evidence to guide and inform specific anti-stigma campaign development and messages to be used in mass campaigns. A better understanding of the association between public knowledge, attitudes and behaviours and the internalization of s…
Mass social contact interventions and their effect on mental health related stigma and intended discrimination
Findings emphasise the importance of facilitating conditions to promote positive social contact between individuals and also suggest that social contact interventions can work on a mass level. Future research should investigate this type of large scale intervention among broader and more representative populations
‘Our community is the worst’
BACKGROUND: Existing knowledge about the cultural beliefs of black and minority ethnic (BME) communities in the UK regarding stigma and mental illness is limited. MATERIAL: Data were collected in 10 focus groups, five with service users and five with laypersons, from BME communities in London. DISCUSSION: Thematic analysis identified that cultural beliefs regarding mental illness reflect four different voices present within the BME communities. C…
Mental Illness Stigma, Help Seeking, and Public Health Programs
Globally, more than 70% of people with mental illness receive no treatment from health care staff. Evidence suggests that factors increasing the likelihood of treatment avoidance or delay before presenting for care include (1) lack of knowledge to identify features of mental illnesses, (2) ignorance about how to access treatment, (3) prejudice against people who have mental illness, and (4) expectation of discrimination against people diagnosed w…
Mentally III, Public Attitudes towards
University students’ identification of stigmatizing schizophrenia in Italian newspapers
Stigma associated with mental disorders represents one main obstacle to receive appropriate care for people with mental disorders. Compared to adults, university students have higher levels of stigmatizing attitudes toward patients with schizophrenia. The primary aim of this case-control study was to assess university students' ability to identify stigma toward schizophrenia in Italian newspapers. Secondary aims were: a) to explore differences in…
Evidence for effective interventions to reduce mental-health-related stigma and discrimination
Exploring Professional Help-Seeking for Mental Disorders
Only a third of people with mental disorders seek professional help. In this study, we aimed to investigate attitudes toward help-seeking among non-help-seekers drawn from a community survey in South London. We conducted qualitative interviews with 24 participants with symptoms of mental disorders. We analyzed data using thematic analysis. Participants' reasons for not seeking professional help included perceiving their problems as normal or unsu…
Income inequality and mental illness-related morbidity and resilience
None.
Undertreatment of people with major depressive disorder in 21 countries
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organiz…
Conditional Disclosure on Pathways to Care
The interrelationship between stigma and help-seeking is under-researched among children and adolescents. This study explored stigma in relation to pathways to care among young people putatively in an early stage of increased risk of developing psychotic disorders. "Pathways to care" was defined as help-seeking and support from informal and formal resources, and increased risk was determined through the presence of persistent psychotic-like exper…
Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders
Background The treatment gap between the number of people with mental disorders and the number treated represents a major public health challenge. We examine this gap by socio-economic status (SES; indicated by family income and respondent education) and service sector in a cross-national analysis of community epidemiological survey data. Methods Data come from 16 753 respondents with 12-month DSM-IV disorders from community surveys in 25 countri…
Treatment gap for anxiety disorders is global
BACKGROUND: Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV (where DSM is Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived a need for treatment; (ii) received any treatment; and (iii) received possibly adequate treatment. METHODS: Data from 23 community surveys…
Need for information in a representative sample of outpatients with schizophrenia disorders
BACKGROUND: Providing adequate information and involving patients in treatment have become an essential component of mental health care. Despite this, research regarding the extent to which this need has been met in clinical services is still scarce. AIMS: To investigate the need for information about psychiatric condition and treatment among outpatients with schizophrenia disorders and how this need is associated with service use, adjusting for …
Long term economic impact associated with childhood bullying victimisation
Being bullied is associated with mental health problems in childhood, with increasing evidence of persisting negative impacts, and increased mental health service use, into adulthood. There are also impacts of bullying victimisation on employment, income and being in poverty, but little is known about the long-term economic impacts. We therefore aimed to estimate the most important economic consequences at age 50 of being bullied in childhood: to…
Valuing recovery-oriented practice at the interface between mental health services and communities
BACKGROUND: Implementing recovery-oriented mental health services is a policy priority in many countries. In addition, some governments have prioritised new forms of organising, financing and governing the provision of mental health services with a stronger focus on co-delivery and involving communities. Most research in the recovery field has focused on interventions. There is limited knowledge about the role of organisational characteristics an…
How to Measure Knowledge About Mental Disorders? Validation of the Italian Version of the Maks
Development and validation of the Brazilian Portuguese Version of the Reported and Intended Behaviour Scale (Ribs-BP)
The object of the study was to translate and validate the Reported and Intended Behaviour Scale (RIBS) into Brazilian Portuguese. A native Brazilian speaker fluent in English translated the RIBS into Brazilian Portuguese. Comprehensibility and face validity were assessed through discussions with mental health professionals and volunteers recruited from the community. Brazilian Portuguese version of the questionnaire was back-translated into Engli…
Barriers to care and psychopathology among Bolivian migrants living in São Paulo, Brazil
The objective of this study was to investigate barriers to appropriate mental health care in a sample of Bolivian migrants living in São Paulo and to examine the association between barriers of care and the presence of symptoms of non-psychotic psychiatric disorders in this population. Considering that treatment usually reduces symptoms, it could be hypothesized that individuals reporting more barriers to care also will report more symptoms. The …
The impact of cash transfers on mental health in children and young people in low-income and middle-income countries
Psychiatry (38 obras) · Psychology (36 obras) · Mental health (35 obras) · Medicine (30 obras) · Mental Health Treatment and Access (26 obras) · Child and Adolescent Psychosocial and Emotional Development (17 obras) · Clinical Psychology (16 obras) · Population (13 obras) · Social Psychology (12 obras) · Sociology (12 obras)