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SU119. InternalizedStigma in Adults WithEarly-Phase vsProlonged Psychosis Ruth L. FirminJenifer L. VohsLauren Luther2017 год

SU119. Internalized Stigma in Adults With Early-Phase vs Prolonged Psychosis
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Аннотация: Background: While internalized stigma is associated with negative outcomes among those with prolonged psychosis, surprisingly little work has focused on when in the course of one’s illness stigma is internalized and the impact of internalization on symptoms or quality of life over the course of the illness. Therefore, this study investigated whether (1) internalized stigma is greater among those later in the course of psychosis and (2) whether internalized stigma has a stronger negative relationship with quality of life or symptoms among those with prolonged compared to early-phase psychosis. Methods: Individuals with early-phase (n = 40) and prolonged psychosis (n = 71) who were receiving outpatient services at an early-intervention clinic and a VA medical center, respectively, completed self-report measures of internalized stigma and interview-rated measures of symptoms and quality of life. Results: Controlling for education, race, and sex differences, internalized stigma was significantly greater among those with prolonged compared to early-phase psychosis. Internalized stigma was negatively related to quality of life and positively related to symptoms in both groups. Furthermore, the magnitude of the relationship between cognitive symptoms and internalized stigma was significantly greater among those with early-phase psychosis. Stereotype endorsement, discrimination experiences, and social withdrawal also deferentially related to symptoms and quality of life across the 2 samples. Conclusion: Findings suggest that internalized stigma is an important variable to incorporate into models of early psychosis. Further, internalized stigma may be a possible treatment target among those in their early phase of psychosis.
Год издания: 2017
Авторы: Ruth L. Firmin, Jenifer L. Vohs, Lauren Luther, Philip T. Yanos, Bethany L. Leonhardt, Paul H. Lysaker
Издательство: Oxford University Press
Источник: Schizophrenia Bulletin
Ключевые слова: Mental Health Treatment and Access
Другие ссылки: Schizophrenia Bulletin (PDF)
Schizophrenia Bulletin (HTML)
PubMed Central (HTML)