Evidence map›Paper›PMID 30937510›Full record

Trial reportSocial psychiatry and psychiatric epidemiology2019

A randomized-controlled trial of treatment for self-stigma among persons diagnosed with schizophrenia-spectrum disorders.

Philip T Yanos, Paul H Lysaker, Steven M Silverstein, Beth Vayshenker, Lauren Gonzales, Michelle L West, David Roe

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05130853 nacompletednot on this mapstarted 2021, after this paper: background citation

Social Cognition Individualized Activities Lab (SoCIAL) for the Training of Social Cognition and Narrative Enhancement in Patients With Schizophrenia: A Randomized Controlled Study to Assess Efficacy and Generalization to Real-life Functioning

TypeinterventionalSponsorUniversity of Campania Luigi VanvitelliRan2021 to 2022Enrolled48ConditionsSchizophrenia, Schizo Affective DisorderArmsSocial Skills and Neurocognitive Individualized Training (SoCIAL), Treatmment-as-usual
NCT06567145 narecruitingnot on this mapstarted 2024, after this paper: background citation

Assessing the Effectiveness and Feasibility of Group-based Treatment for Self-stigma in People With Mental Disorders: a Pragmatic Multisite Randomized Controlled Trial in Routine Mental Health Services in North-east Italy

TypeinterventionalSponsorUniversita di VeronaRan2024 to 2025Enrolled416ConditionsStigma, Mental Disorders, Self-stigmaArmsNarrative Enhancement Cognitive Therapy (NECT)
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 2 countries.

Philip T YanosJohn Jay College of Criminal Justice, City University of New York, New York, USA. pyanos@jjay.cuny.edu.ORCID http://orcid.org/0000-0002-1596-6671
Paul H LysakerRoudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, USA.
Steven M SilversteinRutgers University, Piscataway, USA.
Beth VayshenkerNew York State Psychiatric Institute, New York, USA.
Lauren GonzalesGordon F. Derner School of Psychology, Adelphi University, New York, USA.
Michelle L WestHarvard Medical School, Boston, USA.
David RoeUniversity of Haifa, Haifa, Israel.
Adelphi University · USCity University of New York · USHarvard University · USNew York State Psychiatric InstituteRichard L. Roudebush VA Medical Center · USRutgers, The State University of New Jersey · USUniversity of Haifa · IL

Funding

Randomized Controlled Trial of Treatment for Internalized Stigma in SchizophreniaR01MH094310 · NIMH · JOHN JAY COLLEGE OF CRIMINAL JUSTICE · PI YANOS, PHILIP T · 2013 to 2016
$2.4M
Foundation for the National Institutes of Health 1R01MH0094310NIMH NIH HHS R01 MH094310
6 · The paper itself

Abstract

purposeA substantial body of research indicates that self-stigma is associated with poorer outcomes related to recovery among people with severe mental illnesses. Narrative Enhancement and Cognitive Therapy (NECT) is a structured, group-based approach which targets the effects of self-stigma. A randomized-controlled trial was conducted to examine the efficacy of NECT.

methodsOne hundred and seventy persons, recruited from both outpatient and comprehensive treatment settings, meeting criteria for schizophrenia-spectrum disorders and moderate-to-elevated self-stigma, were randomly assigned to NECT or supportive group therapy and assessed at four time points over the course of nearly a year. Participants completed measures of self-stigma, hope, self-esteem, functioning, psychiatric symptoms, coping with symptoms, and narrative insight.

resultsAnalyses indicated that NECT participants in outpatient sites improved significantly more over time in self-stigma compared to supportive group therapy participants in outpatient sites, while NECT participants in comprehensive (including day treatment and psychiatric rehabilitation program) sites improved significantly more in hopelessness and narrative insight than other participants. NECT participants as a group showed decreases in the social withdrawal component of self-stigma, decreased in their use of avoidant coping strategies, and were more engaged in treatment than supportive group therapy participants. There was no evidence for effects of NECT on social functioning or psychiatric symptoms.

conclusionsFindings suggest that NECT primarily impacts self-stigma and related outcomes, and that the degree of its effects is partially dependent on the treatment context in which it is offered.

Indexed as

Schizophrenic PsychologySocial StigmaAdaptation, PsychologicalAdultCognitive Behavioral TherapyFemaleHopeHumansMaleMiddle AgedNarrative TherapyOutpatientsSchizophreniaSelf ConceptSocial AdjustmentTreatment OutcomeCopingGroup therapyInsightRecoverySelf-stigma

Identifiers

PMID30937510
PMCPMC6773531
OpenAlexW2932478740

What OpenQuestion holds

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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.