ArticleEarly intervention in psychiatry2021
Longitudinal predictors of stigma in first-episode psychosis: Mediating effects of depression.
Article in Early intervention in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Stigma Among Historically Marginalized Young Adults with Serious Mental Illnesses: A Mixed Methods Study.Stigma and health · 2025Article
- Perceptions of stigma in youth at clinical high risk for psychosis and depressive symptomatology.Schizophrenia research · 2024Article
- Rate and correlates of self-stigma in adult patients with early psychosis.Frontiers in psychiatry · 2023Article
- Depression Mediates the Relationships between Hallucinations, Delusions, and Social Isolation in First-Episode Psychosis.Social work research · 2022Article
- Predictors of Internalized Stigma in Patients with Schizophrenia in Northern Chile: A Longitudinal Study.Healthcare (Basel, Switzerland) · 2022Article
- Clinical insight and cognitive functioning as mediators in the relationships between symptoms of psychosis, depression, and suicide ideation in first-episode psychosis.Journal of psychiatric research · 2022Article
- Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning.Journal of abnormal psychology · 2021Article
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Authors and funding
6 authors.
Funding
Abstract
aimStigma 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.
methodsData 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).
resultsFindings 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.
conclusionsConsidering 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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