{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:20:26Z","timestamp":1788171626966,"version":"build-2803163510"},"reference-count":31,"publisher":"CAIRN.INFO","issue":"HS1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,25]]},"abstract":"<jats:p>Introduction \u00a0: La stigmatisation en psychiatrie et en sant\u00e9 mentale demeure un obstacle majeur \u00e0 l\u2019acc\u00e8s aux soins, au r\u00e9tablissement et \u00e0 l\u2019inclusion sociale. Elle se manifeste par des st\u00e9r\u00e9otypes, des discriminations et une auto-stigmatisation, aggravant la souffrance psychique et les in\u00e9galit\u00e9s. L\u2019objectif de cet article est d\u2019analyser en France et en Europe, les d\u00e9terminants de l\u2019efficacit\u00e9 des facteurs protecteurs contre la stigmatisation dans les domaines de la psychiatrie et de la sant\u00e9 mentale. M\u00e9thodes\u00a0: Notre \u00e9tude s\u2019appuie sur une revue narrative critique (p\u00e9riode 2015\u20132025 ) qui repose sur une recherche structur\u00e9e dans PubMed\/MEDLINE, PsycInfo, Scopus et Web of Science, compl\u00e9t\u00e9e par une revue de la litt\u00e9rature grise (OMS, OCDE, Eurobarom\u00e8tre, Sant\u00e9 publique France, rapports associatifs). La s\u00e9lection et l\u2019\u00e9valuation de la qualit\u00e9 des sources ont \u00e9t\u00e9 r\u00e9alis\u00e9es en double lecture ind\u00e9pendante \u00e0 l\u2019aide de grilles adapt\u00e9es aux \u00e9tudes quantitatives et qualitatives. R\u00e9sultats\u00a0: Les m\u00e9canismes de la stigmatisation impliquent \u00e9tiquetage, st\u00e9r\u00e9otypisation, s\u00e9paration sociale, discrimination et auto-stigmatisation. Les cons\u00e9quences incluent retard d\u2019acc\u00e8s aux soins, aggravation de la souffrance, exclusion sociale et co\u00fbt \u00e9conomique \u00e9lev\u00e9. Les politiques publiques, les m\u00e9dias et la pair-aidance sont des leviers centraux. Des d\u00e9finitions op\u00e9rationnelles, la tra\u00e7abilit\u00e9 des chiffres et un tableau comparatif des interventions sont fournis en annexe. Discussion\u00a0: Malgr\u00e9 des avanc\u00e9es, la stigmatisation persiste\u00a0; l\u2019harmonisation des mesures, la mise en place d\u2019\u00e9valuations longitudinales et la mobilisation coordonn\u00e9e des acteurs restent n\u00e9cessaires. Conclusion\u00a0: L\u2019article met l\u2019accent sur les strat\u00e9gies innovantes fond\u00e9es sur l\u2019exp\u00e9rience v\u00e9cue\u00a0: pair-aidance et co-construction des politiques.<\/jats:p>","DOI":"10.3917\/spub.hs1.2026.0239","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:08:05Z","timestamp":1788170885000},"page":"239-251","source":"Crossref","is-referenced-by-count":0,"title":["Stigmatisation et sant\u00e9 mentale\u00a0: un d\u00e9fi de sant\u00e9 publique"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Laurence","family":"Fond-Harmant","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Gavrila-Ardelean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. World Health Organization (WHO). World mental health report : transforming mental health for all. 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