Mental Health Stigma in the Workplace and its Association with Possible Actions of Managers to Prevent Sickness Absence of Employees with Mental Health Problems in the Swedish Private Sector: a Video Vignette Study.

The study was cross-sectional, so it cannot show that stigma caused managers to have fewer possible actions. All data came from managers' own reports, and the stigma measures were collected at the manager level only, so employee experiences were not measured. The sample was self-recruited and limited to Swedish private-sector managers, which limits how far it applies to public-sector workplaces or other settings. The dropout analysis showed micro companies and managers with postgraduate education were under-represented, and the pink sector was over-represented. The video vignettes showed only concentration, forgetfulness and doubtfulness, so results may not apply to other mental health problems. The employee, collegial and organizational stigma measures were newly created and not validated.

Do not conclude that stigma causes managers to prevent sickness absence less often. The study is cross-sectional and measured only managers' self-reported attitudes and perceived possibilities, so it cannot show cause, actual actions, or employee outcomes.