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Related Experiment Video

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Author Spotlight: Unveiling Mechanisms of Stress Resilience - Significant Findings, Advancements, and Future Research

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The peer-led Honest, Open, Proud program to decrease the impact of mental illness stigma among German military

Nicolas Rüsch¹, Christian Helms², Jana Hörger³

¹Department of Psychiatry II, Ulm University and BKH Günzburg, Ulm/Günzburg, Germany. nicolas.ruesch@uni-ulm.de.

Social Psychiatry and Psychiatric Epidemiology

|July 22, 2025

Summary

This summary is machine-generated.

The Honest, Open, Proud (HOP) program effectively reduced stigma stress and improved mental health outcomes for military personnel. This peer-led intervention positively impacted quality of life, self-stigma, and well-being in active servicemembers.

Keywords:

Disclosure Honest, Open, Proud Military Peer support RCT Stigma

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Published on: November 19, 2015

Area of Science:

Mental Health Research
Military Psychology
Stigma Reduction Interventions

Background:

Military servicemembers with mental illness face significant stigma, leading to discrimination and reluctance in disclosing their condition.
Stigma impacts self-perception, help-seeking behaviors, and overall quality of life within the military community.
There is a need for effective interventions to mitigate the effects of stigma on military personnel's mental health.

Purpose of the Study:

To evaluate the efficacy of the Honest, Open, Proud (HOP) program in the German military.
To assess HOP's impact on disclosure decisions and reducing stigma among military personnel with mental illness.
To determine if a peer-led group program can effectively support servicemembers in managing mental health challenges.

Main Methods:

A randomized-controlled trial involving 99 active servicemembers with mental illness.
Participants were assigned to either the HOP program plus treatment as usual (TAU) or TAU alone.
Primary endpoints included stigma stress and psychological quality of life, measured at specific follow-up points.

Main Results:

The HOP group showed a significant decrease in stigma stress compared to the control group.
No significant effect of HOP was observed on psychological quality of life at the primary endpoint.
Significant positive effects were noted for secondary outcomes including overall quality of life, self-stigma, depressive symptoms, empowerment, well-being, and attitudes toward disclosure and help-seeking.

Conclusions:

The HOP program is feasible and effective for active military servicemembers regarding stigma stress, disclosure, depressive symptoms, quality of life, and well-being.
HOP demonstrates potential as a valuable addition to mental health services and peer support within military settings.
Further integration of such programs could enhance mental health support and reduce stigma in the armed forces.