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Journal article
Longitudinal predictors of stigma in first-episode psychosis: Mediating effects of depression
Early intervention in psychiatry, v 15(2), pp 263-270
01 Apr 2021
PMID: 32052566
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Aim Stigma is commonly experienced among individuals with schizophrenia spectrum disorders and has been shown to be a barrier to help-seeking and behavioural service utilization. Given the established relationships between stigma, barriers to treatment, and poorer psychiatric outcomes including depression and psychotic symptoms, we examined the relationships between symptoms of depression, positive and negative symptoms, and the emergence of stigma longitudinally among a sample of first-episode of psychosis (FEP) participants in the United States.
Methods Data were obtained from the Recovery After an Initial Schizophrenia Episode project of National Institute of Mental Health's Early Treatment Program. Participants (n = 404) included adults between ages 15 and 40 with schizophrenia or other psychotic disorders based on the DSM-IV. Data were analysed using structural equation modelling (SEM).
Results Findings indicated that increased positive and negative symptoms independently related to greater symptoms of depression at baseline. Furthermore, increased positive symptoms and symptoms of depression at baseline independently related to the emergence of greater stigma being experienced over time.
Conclusions Considering the role that symptoms of depression played as a factor explaining the relationships between positive and negative symptoms and emergence of stigma over time among individuals in FEP, and symptoms of depression is important predictor of stigma and may furthermore present as a viable and less stigmatizing initial treatment target in the early course of a psychotic disorder.
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Details
- Title
- Longitudinal predictors of stigma in first-episode psychosis: Mediating effects of depression
- Creators
- Lindsay A. Bornheimer - University of Michigan–Ann ArborNicholas Tarrier - University of ManchesterAaron P. Brinen - Drexel UniversityJuliann Li - University of Michigan–Ann ArborMeredith Dwyer - New York UniversityJoseph A. Himle - University of Michigan–Ann Arbor
- Publication Details
- Early intervention in psychiatry, v 15(2), pp 263-270
- Publisher
- Wiley
- Number of pages
- 8
- Grant note
- HHSN271200900019C / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) U.S. Department of Health and Human Services.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:000512890200001
- Scopus ID
- 2-s2.0-85079405972
- Other Identifier
- 991019168709104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry