Impact of cognitive therapy on internalised stigma in people with at-risk mental states
Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma. To investigate the effects of cognitive therapy on internalised stigma using a sec...
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| Veröffentlicht in: | British journal of psychiatry 2013-08, Vol.203 (2), p.140-145 |
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| container_title | British journal of psychiatry |
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| creator | Morrison, Anthony P. Birchwood, Max Pyle, Melissa Flach, Clare Stewart, Suzanne L. K. Byrne, Rory Patterson, Paul Jones, Peter B. Fowler, David Gumley, Andrew I. French, Paul |
| description | Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma.
To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.
Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.
Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079).
These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population. |
| doi_str_mv | 10.1192/bjp.bp.112.123703 |
| format | Article |
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To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.
Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.
Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079).
These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.bp.112.123703</identifier><identifier>PMID: 23846995</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Cognition & reasoning ; Cognitive ability ; Cognitive therapy ; Cognitive Therapy - methods ; Female ; Group therapy ; Humans ; Intervention ; Male ; Mental disorders ; Mental health care ; Mental states ; Patient Acceptance of Health Care ; Population ; Primary care ; Psychiatry ; Psychosis ; Psychotic Disorders - diagnosis ; Psychotic Disorders - psychology ; Psychotic Disorders - therapy ; Psychotic symptoms ; Risk Factors ; Schizophrenia ; Self Concept ; Single-Blind Method ; Social Stigma ; Stereotypes ; Stigma ; Systematic review ; Treatment Outcome ; Youth</subject><ispartof>British journal of psychiatry, 2013-08, Vol.203 (2), p.140-145</ispartof><rights>Copyright © Royal College of Psychiatrists, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-ac8ce58c4961a059f7eef3908f7ba09b3b669e9acc09edb906681ae368a0f4403</citedby><cites>FETCH-LOGICAL-c449t-ac8ce58c4961a059f7eef3908f7ba09b3b669e9acc09edb906681ae368a0f4403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000067556/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,12826,27902,27903,30977,55605</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23846995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morrison, Anthony P.</creatorcontrib><creatorcontrib>Birchwood, Max</creatorcontrib><creatorcontrib>Pyle, Melissa</creatorcontrib><creatorcontrib>Flach, Clare</creatorcontrib><creatorcontrib>Stewart, Suzanne L. K.</creatorcontrib><creatorcontrib>Byrne, Rory</creatorcontrib><creatorcontrib>Patterson, Paul</creatorcontrib><creatorcontrib>Jones, Peter B.</creatorcontrib><creatorcontrib>Fowler, David</creatorcontrib><creatorcontrib>Gumley, Andrew I.</creatorcontrib><creatorcontrib>French, Paul</creatorcontrib><title>Impact of cognitive therapy on internalised stigma in people with at-risk mental states</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma.
To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.
Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.
Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079).
These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Female</subject><subject>Group therapy</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental states</subject><subject>Patient Acceptance of Health Care</subject><subject>Population</subject><subject>Primary care</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic Disorders - therapy</subject><subject>Psychotic symptoms</subject><subject>Risk Factors</subject><subject>Schizophrenia</subject><subject>Self Concept</subject><subject>Single-Blind Method</subject><subject>Social Stigma</subject><subject>Stereotypes</subject><subject>Stigma</subject><subject>Systematic review</subject><subject>Treatment Outcome</subject><subject>Youth</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkctqHDEQRUVIiCe2PyAbI_Amm56UHq1uLY3Jw2DIJiFLIWmqxxr3Q5Y0Cf77yMwkgYAhK5WKU6egLiFvGawZ0_y928W1i7Xma8ZFB-IFWTHZ8YZJ1b4kKwDoGsZbOCFvct7Vr5C8e01OuOil0rpdke83U7S-0GWgftnOoYQfSMsdJhsf6TLTMBdMsx1Dxg3NJWwnW3s04hJHpD9DuaO2NCnkezrhXOxYIVswn5FXgx0znh_fU_Lt44ev15-b2y-fbq6vbhsvpS6N9b3HtvdSK2ah1UOHOAgN_dA5C9oJp5RGbb0HjRunQameWRSqtzBICeKUvDt4Y1oe9piLmUL2OI52xmWfDWsVMMG5_g9UiraXrYCuopf_oLtl_3SGbLioSgGM60qxA-XTknPCwcQUJpseDQPzFJCpARkXa83NIaA6c3E0792Emz8TvxOpgDhK7eRS2Gzx7-7ntb8A3CWdFA</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Morrison, Anthony P.</creator><creator>Birchwood, Max</creator><creator>Pyle, Melissa</creator><creator>Flach, Clare</creator><creator>Stewart, Suzanne L. 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K.</au><au>Byrne, Rory</au><au>Patterson, Paul</au><au>Jones, Peter B.</au><au>Fowler, David</au><au>Gumley, Andrew I.</au><au>French, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of cognitive therapy on internalised stigma in people with at-risk mental states</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2013-08</date><risdate>2013</risdate><volume>203</volume><issue>2</issue><spage>140</spage><epage>145</epage><pages>140-145</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma.
To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.
Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.
Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079).
These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23846995</pmid><doi>10.1192/bjp.bp.112.123703</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of psychiatry, 2013-08, Vol.203 (2), p.140-145 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Cambridge University Press Journals Complete |
| subjects | Adolescent Adult Cognition & reasoning Cognitive ability Cognitive therapy Cognitive Therapy - methods Female Group therapy Humans Intervention Male Mental disorders Mental health care Mental states Patient Acceptance of Health Care Population Primary care Psychiatry Psychosis Psychotic Disorders - diagnosis Psychotic Disorders - psychology Psychotic Disorders - therapy Psychotic symptoms Risk Factors Schizophrenia Self Concept Single-Blind Method Social Stigma Stereotypes Stigma Systematic review Treatment Outcome Youth |
| title | Impact of cognitive therapy on internalised stigma in people with at-risk mental states |
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