BACKGROUND:Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma. AIMS: To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial. METHOD:Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma. RESULTS:Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079). CONCLUSIONS: These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.
RCT Entities:
BACKGROUND: Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma. AIMS: To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial. METHOD:Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma. RESULTS: Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079). CONCLUSIONS: These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.
Authors: Joseph S DeLuca; Lawrence H Yang; Alicia A Lucksted; Philip T Yanos; Jordan DeVylder; Deidre M Anglin; Yulia Landa; Cheryl M Corcoran Journal: Schizophr Bull Date: 2021-10-21 Impact factor: 7.348
Authors: Joseph S DeLuca; LeeAnn Akouri-Shan; Samantha Y Jay; Samantha L Redman; Emily Petti; Alicia Lucksted; Pamela Rakhshan Rouhakhtar; Mallory J Klaunig; Sarah M Edwards; Gloria M Reeves; Jason Schiffman Journal: J Abnorm Psychol Date: 2021-08
Authors: Mary C Kapella; Barbara E Berger; Boris A Vern; Sachin Vispute; Bharati Prasad; David W Carley Journal: PLoS One Date: 2015-04-21 Impact factor: 3.240
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Authors: Alison R Yung; Stephen J Wood; Ashok Malla; Barnaby Nelson; Patrick McGorry; Jai Shah Journal: Psychol Med Date: 2019-10-28 Impact factor: 7.723