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Structural stigma and its impact on healthcare for consumers diagnosed with Borderline Personality Disorder_ protocol for a scoping review277.29 kB
Preprint VersionCC BY V4.0, Open Access
Preprint
Structural stigma and its impact on healthcare for consumers diagnosed with Borderline Personality Disorder: protocol for a scoping review
Research Square, Vol.7 July 2020
Research Square Company
2020
Abstract
Background
Structural stigma in health systems experienced by consumers diagnosed with Borderline Personality Disorder (BPD), is a widespread phenomenon that causes health inequities and harm for this population. Structural stigma in this context relates to organisational practices, cultural norms, and institutional policies that limits consumers’ access to health services, quality of care, and health and well-being. BPD is a mental illness with high morbidity and mortality, characterised by instability in interpersonal relationships, self-image, and emotional and behavioral deregulation, which stem from significant traumatic childhood/life events, and/or biological etiologies. This scoping review aims to explore the literature on structural stigma in health systems specific to BPD, and to provide an overview of the impact of stigma on healthcare services for BPD consumers, and their carers/families.
Methods
This scoping review will follow the Joanna Briggs Institute (JBI) guidelines. The search strategy was developed and tested using PsycINFO. A comprehensive search will be conducted across PsycINFO, MEDLINE, CINAHL, Scopus, ProQuest, Cochrane library and JBI Evidence-Based databases; as well as a grey literature search using Google search engine. Studies will be screened by title, abstract and full text articles, by separate reviewers against the eligibility criteria. Selected full text articles will be accessed against the inclusion criteria. Quantitative and qualitative data will be extracted from the selected full text articles. A narrative summary of findings will then be conducted and presented in accordance with the JBI guidelines for scoping reviews, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) 2015 checklist. Quality appraisal of the included articles will be assessed using the Mixed Methods Appraisal Tool (MMAT) 2018 version.
Discussion
This review is anticipated to enhance both identification and understanding of those structures in health systems (i.e., policies, cultural norms, and practices), that manifest and perpetuate stigma experienced by consumers with BPD, and their carers/families. The findings can be used to inform future research, policy and practice relating to stigma reduction strategies that can be adopted to improve the provision of BPD-responsive services and care for this population.
Scoping review registration
This scoping review was submitted for registration in Open for Science Framework on 11th June 2020.
Details
- Title
- Structural stigma and its impact on healthcare for consumers diagnosed with Borderline Personality Disorder: protocol for a scoping review
- Authors
- Pauline Klein (Author) - Flinders UniversityA. Kate Fairweather-Schmidt (Author) - Flinders UniversitySharon Lawn (Author) - Flinders UniversityHelen Stallman (Author) - University of the Sunshine Coast, Queensland, School of Social Sciences - LegacyPaul Cammell (Author) - Flinders University
- Publication details
- Research Square, Vol.7 July 2020
- Publisher
- Research Square Company
- Date published
- 2020
- DOI
- 10.21203/rs.3.rs-40586/v1
- ISSN
- 2693-5015
- Copyright note
- This work is licensed under a CC BY 4.0 License. (https://creativecommons.org/licenses/by/4.0/)
- Organisation Unit
- School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99482288102621
- Output Type
- Preprint
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