ArticleActa psychiatrica Scandinavica2020
Clinical and demographic correlates of stigma in first-episode psychosis: the impact of duration of untreated psychosis.
Article in Acta psychiatrica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Personal Recovery in People With a Psychotic Disorder: A Systematic Review and Meta-Analysis of Associated Factors.Frontiers in psychiatry · 2021Pooled it
- A Randomized Controlled Trial of the Effects of Early Intervention Services On Insight in First Episode Psychosis.Schizophrenia bulletin · 2022Trial
- Reducing Stigma Toward Individuals With Schizophrenia Using a Brief Video: A Randomized Controlled Trial of Young Adults.Schizophrenia bulletin · 2021Trial
- Sex-specific predictors of self-stigma reduction in psychosis resulting from metacognitive interventions: Results from a randomized clinical trial.Women's health (London, England)Trial
- The effect of Soteria on personal recovery in early episode psychosis - a two-year naturalistic cohort comparison with care as usual.Social psychiatry and psychiatric epidemiology · 2026Article
- Global, regional and national burdens of schizophrenia in adolescents and young adults: a trend analysis and forecast from 1990 to 2021.European child & adolescent psychiatry · 2026Article
- Large-Scale Public Stigma Reduction Toward Individuals With Psychosis Using Brief Videos: A Secondary Data Analysis.Schizophrenia bulletin · 2026Article
- Internalized Stigma, Insight, Social Anxiety and Quality of Life in First-Episode Psychosis: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Internalized stigma in patients with severe mental illness (SMI): A cross-sectional study from Northwestern India.Indian journal of psychiatry · 2026Article
- Identifying individuals at clinical high risk for psychosis using a battery of tasks sensitive to symptom mechanisms.Translational psychiatry · 2025Article
- Qualitative Analysis of Telephone Logs: Client Engagement and Barriers to Completing an Initial Early Psychosis Assessment.Psychiatric services (Washington, D.C.) · 2025Article
- Examining mental health engagement among veterans diagnosed with serious mental illness.Psychological services · 2025Article
- Stigma Among Historically Marginalized Young Adults with Serious Mental Illnesses: A Mixed Methods Study.Stigma and health · 2025Article
- Self-stigma profiles in schizophrenia: a Latent Class Analysis approach.Revista latino-americana de enfermagem · 2025Article
- The Use of Person-Centered Language in Scientific Research Articles Focused on Psychosis.Journal of patient-centered research and reviews · 2025Article
- Qualitative study to explore the perspectives and mental health experiences of first episode psychosis patients and their caregivers in North India.Asian journal of psychiatry · 2024Article
- Review
- The experience of stigma and treatment-seeking among youth and family members receiving first episode psychosis services.Stigma and health · 2024Article
- Rate and correlates of self-stigma in adult patients with early psychosis.Frontiers in psychiatry · 2023Article
- Youth Wellness Hubs Ontario: Development and initial implementation of integrated youth services in Ontario, Canada.Early intervention in psychiatry · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo evaluate the relationships between perceived stigma and duration of untreated psychosis (DUP), demographic characteristics, and clinical and psychosocial functioning in persons with a first episode of psychosis (FEP).
methodA total of 399 participants with FEP presenting for treatment at 34 sites in 21 states throughout the United States were evaluated using standardized instruments to assess diagnosis, symptoms, psychosocial functioning, perceived stigma, wellbeing, and subjective recovery.
resultsPerceived stigma was correlated with a range of demographic and clinical variables, including DUP, symptoms, psychosocial functioning, and subjective experience. After controlling for symptom severity, perceived stigma was related to longer DUP, schizoaffective disorder diagnosis, more severe depression, and lower wellbeing and recovery. The associations between stigma and depression, wellbeing, and recovery were stronger in individuals with long than short DUP, suggesting the effects of stigma on psychological functioning may be cumulative over the period of untreated psychosis.
conclusionThe findings suggest that independent of symptom severity, perceived stigma may contribute to delay in seeking treatment for FEP, and this delay may amplify the deleterious effects of stigma on psychological functioning. The results point to the importance of reducing DUP and validating interventions targeting the psychological effects of stigma in people with FEP.
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