ArticleSchizophrenia research2010
Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: an empirical question.
Article in Schizophrenia research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 155 citations in OpenAlex.
- Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.Schizophrenia bulletin · 2021Pooled it
- Psychosis risk screening in different populations using the Prodromal Questionnaire: A systematic review.Early intervention in psychiatry · 2018Pooled it
- Positive Reframing of Psychosis Risk is Perceived as Less Frightening and Stigmatising Than Negative Framing by Adolescents With and Without Prodromal Symptoms: An Experimental Simulated Feedback Study.Early intervention in psychiatry · 2025Trial
- Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China.Social psychiatry and psychiatric epidemiology · 2012Trial
- Article
- Predicting risk of psychosis in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Anhedonia and Negative Symptoms in First-Episode Psychosis: A Systematic Review and Meta-Analysis of Prevalence, Mechanisms, and Clinical Implications.Healthcare (Basel, Switzerland) · 2025Review
- Internalized Stigma Is a Predictor of Mental Health Secrecy and Loneliness in Young People With Clinical Depression Symptoms: A Longitudinal Study.Journal of clinical psychology · 2025Article
- Positive Reframing of Psychosis Risk Is Seen as More Beneficial and Less Harmful Than Negative Framing by Clinicians: An Experimental Videotaped Simulated Feedback Study.Schizophrenia bulletin · 2025Article
- Negative symptoms and self-reflection increase alienation in individuals at clinical high-risk for psychosis.Frontiers in psychiatry · 2025Article
- Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- The association between mental health stigma and face emotion recognition in individuals at risk for psychosis.Stigma and health · 2023Article
- Psychoeducation for individuals at clinical high risk for psychosis: A scoping review.Schizophrenia research · 2023Article
- Internalized stigma mediates the relation between psychosis-risk symptoms and subjective quality of life in a help-seeking sample.Schizophrenia research · 2022Article
- The reality of at risk mental state services: a response to recent criticisms.Psychological medicine · 2021Article
- Applying a Transdiagnostic Cognitive-Behavioral Treatment to Adolescents at High Risk for Serious Mental Illness: Rationale and Preliminary Findings.Cognitive and behavioral practice · 2020Article
- A Narrative Review of Alzheimer's Disease Stigma.Journal of Alzheimer's disease : JAD · 2020Review
- Impact of "psychosis risk" identification: Examining predictors of how youth view themselves.Schizophrenia research · 2019Article
- Validation of the Korean Version of the Prodromal Questionnaire-Brief Version in Non-Help-Seeking Individuals.Psychiatry investigation · 2019Article
- Gender effect on public stigma changes towards psychosis in the Hong Kong Chinese population: a comparison between population surveys of 2009 and 2014.Social psychiatry and psychiatric epidemiology · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
While the "clinical high-risk state" for psychosis has demonstrated good reliability and fair predictive validity for psychotic disorders, over 50% of identified subjects do not progress to psychosis. Despite the benefits that early detection and treatment might offer, debate concerning the official inclusion of a "psychosis risk syndrome" in the upcoming DSM-V frequently involves concerns about the impact of stigma on patients, families and institutions. We add to this debate by providing an analysis of the theoretical and empirical stigma literature to evaluate the potential effects of stigma associated with the psychosis risk syndrome. Theorists' conceptualizations of how stigma exerts its negative effects emphasize internalization of pejorative societal stereotypes ('self-stigma'), negative emotional reactions, harmful behavioral coping strategies, and structural discrimination as key mechanisms. Studies assessing the comparative effects of symptomatic behavior when compared with a psychiatric diagnosis label in predicting rejecting social attitudes indicate that treating symptomatic behaviors is likely to diminish overall stigma. However, any publically held 'preexisting conceptions' about what a psychosis risk syndrome means are still likely to exert negative effects. Additionally, particular features of this syndrome--that it occurs during adolescence when identity formation may be in flux--may also shape manifestations of stigma. Utilizing other well-established 'at-risk' conditions (e.g., genetic susceptibility) to model potential discrimination for this syndrome, we suggest that future discrimination is likely to occur in insurance and family domains. We conclude by proposing stigma measurement strategies, including recommending that field trials prior to DSM-V adopt systematic measures to assess any stigma that this psychosis risk syndrome might confer via future community use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.