Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis
Aim The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance,...
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| Veröffentlicht in: | Early intervention in psychiatry 2022-01, Vol.16 (1), p.34-41 |
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| container_title | Early intervention in psychiatry |
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| creator | Ruiz, Bernalyn Ceccolini, Christopher J. Shah, Binoy B. Crump, Francesca Girgis, Ragy R. Brucato, Gary Yang, Lawrence H. Corcoran, Cheryl M. |
| description | Aim
The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance, as the Latinx population represents the most rapidly growing paediatric population in the United States and they face significant barriers to mental health treatment. Because Latinx persons experience high rates of mental illness‐based stigma and discrimination in their communities, they may face additional stigma‐based barriers to CHR treatment.
Method
Twenty‐six participants (15 Latinx, 11 non‐Latinx white/NLW) who met CHR criteria based on the Structured Interview for Psychosis‐Risk Syndromes (SIPS) were interviewed regarding stigma associated with CHR identification and symptoms. Using a consensus‐based open‐coding thematic analysis approach, data were analysed for stigma, discrimination, and coping responses.
Results
Instances of internalization of stereotypes appeared to be more salient to NLW participants than Latinx participants, and Latinx participants reported seemingly more anticipated rejection from stereotypes than NLW participants. Experiences of discrimination also appeared to be more salient to Latinx participants than NLW participants. Moreover, Latinx participants reported evidently greater instances of discrimination across anticipated, individual, and structural discrimination. Finally, while covering strategies appeared to be more salient to NLW's, Latinx clients more often described using secrecy as well as a greater range of coping responses, including empowerment.
Conclusion
While the experience of anticipated rejection appeared to be more salient to Latinx CHR participants and they seemingly report more secrecy than NLW, they also engaged in empowerment‐related coping strategies. Future research should continue to explore the roles of cultural values in influencing coping strategies among CHR individuals. |
| doi_str_mv | 10.1111/eip.13126 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2487150376</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2619302501</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3536-3c2e980d0da896459dd0f1350b333e53fcc95cd9c21c0948ce82cefe0fb053993</originalsourceid><addsrcrecordid>eNp10L1OwzAQB3ALgfgeeAFkiQWGgp2rk3hEVfmQKoEEDEyWa19alzQJdgPtxiPwjDwJhkIHJG65G3766_Qn5ICzUx7nDF1zyoEn6RrZ5pngnSyXsL66c7FFdkKYMCayNOGbZAtAdEFI2CaPdzM3mmqqK0tN3bhqRHHeoHdYGQzUVXSgZ66ax8u6F2dbXQaqZ9SUrnJGl3TsRuOPt3fvwhMtak-bsDDjOriwRzaKiHH_Z--Sh4v-fe-qM7i5vO6dDzoGBKQdMAnKnFlmdS7TrpDWsoKDYEMAQAGFMVIYK03CDZPd3GCeGCyQFUMmQErYJcfL3MbXzy2GmZq6YLAsdYV1G1TSzTMuGGRppEd_6KRufRW_U0nKJbBEMB7VyVIZX4fgsVCNd1PtF4oz9dW3in2r776jPfxJbIdTtCv5W3AEZ0vw6kpc_J-k-te3y8hP7wuKSQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2619302501</pqid></control><display><type>article</type><title>Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ruiz, Bernalyn ; Ceccolini, Christopher J. ; Shah, Binoy B. ; Crump, Francesca ; Girgis, Ragy R. ; Brucato, Gary ; Yang, Lawrence H. ; Corcoran, Cheryl M.</creator><creatorcontrib>Ruiz, Bernalyn ; Ceccolini, Christopher J. ; Shah, Binoy B. ; Crump, Francesca ; Girgis, Ragy R. ; Brucato, Gary ; Yang, Lawrence H. ; Corcoran, Cheryl M.</creatorcontrib><description>Aim
The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance, as the Latinx population represents the most rapidly growing paediatric population in the United States and they face significant barriers to mental health treatment. Because Latinx persons experience high rates of mental illness‐based stigma and discrimination in their communities, they may face additional stigma‐based barriers to CHR treatment.
Method
Twenty‐six participants (15 Latinx, 11 non‐Latinx white/NLW) who met CHR criteria based on the Structured Interview for Psychosis‐Risk Syndromes (SIPS) were interviewed regarding stigma associated with CHR identification and symptoms. Using a consensus‐based open‐coding thematic analysis approach, data were analysed for stigma, discrimination, and coping responses.
Results
Instances of internalization of stereotypes appeared to be more salient to NLW participants than Latinx participants, and Latinx participants reported seemingly more anticipated rejection from stereotypes than NLW participants. Experiences of discrimination also appeared to be more salient to Latinx participants than NLW participants. Moreover, Latinx participants reported evidently greater instances of discrimination across anticipated, individual, and structural discrimination. Finally, while covering strategies appeared to be more salient to NLW's, Latinx clients more often described using secrecy as well as a greater range of coping responses, including empowerment.
Conclusion
While the experience of anticipated rejection appeared to be more salient to Latinx CHR participants and they seemingly report more secrecy than NLW, they also engaged in empowerment‐related coping strategies. Future research should continue to explore the roles of cultural values in influencing coping strategies among CHR individuals.</description><identifier>ISSN: 1751-7885</identifier><identifier>EISSN: 1751-7893</identifier><identifier>DOI: 10.1111/eip.13126</identifier><identifier>PMID: 33543593</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>Adaptation, Psychological ; Child ; clinical high‐risk ; Coping ; Discrimination ; Empowerment ; Ethnicity ; Humans ; Latinx ; Mental health ; Minority & ethnic groups ; Pediatrics ; Psychosis ; Psychotic Disorders - psychology ; Rejection ; Risk ; Social Stigma ; Stereotypes ; Stigma ; United States</subject><ispartof>Early intervention in psychiatry, 2022-01, Vol.16 (1), p.34-41</ispartof><rights>2021 Wiley Publishing Asia Pty Ltd</rights><rights>2021 Wiley Publishing Asia Pty Ltd.</rights><rights>2022 John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-3c2e980d0da896459dd0f1350b333e53fcc95cd9c21c0948ce82cefe0fb053993</citedby><cites>FETCH-LOGICAL-c3536-3c2e980d0da896459dd0f1350b333e53fcc95cd9c21c0948ce82cefe0fb053993</cites><orcidid>0000-0003-3267-6171 ; 0000-0001-7252-7141</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Feip.13126$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Feip.13126$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33543593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruiz, Bernalyn</creatorcontrib><creatorcontrib>Ceccolini, Christopher J.</creatorcontrib><creatorcontrib>Shah, Binoy B.</creatorcontrib><creatorcontrib>Crump, Francesca</creatorcontrib><creatorcontrib>Girgis, Ragy R.</creatorcontrib><creatorcontrib>Brucato, Gary</creatorcontrib><creatorcontrib>Yang, Lawrence H.</creatorcontrib><creatorcontrib>Corcoran, Cheryl M.</creatorcontrib><title>Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis</title><title>Early intervention in psychiatry</title><addtitle>Early Interv Psychiatry</addtitle><description>Aim
The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance, as the Latinx population represents the most rapidly growing paediatric population in the United States and they face significant barriers to mental health treatment. Because Latinx persons experience high rates of mental illness‐based stigma and discrimination in their communities, they may face additional stigma‐based barriers to CHR treatment.
Method
Twenty‐six participants (15 Latinx, 11 non‐Latinx white/NLW) who met CHR criteria based on the Structured Interview for Psychosis‐Risk Syndromes (SIPS) were interviewed regarding stigma associated with CHR identification and symptoms. Using a consensus‐based open‐coding thematic analysis approach, data were analysed for stigma, discrimination, and coping responses.
Results
Instances of internalization of stereotypes appeared to be more salient to NLW participants than Latinx participants, and Latinx participants reported seemingly more anticipated rejection from stereotypes than NLW participants. Experiences of discrimination also appeared to be more salient to Latinx participants than NLW participants. Moreover, Latinx participants reported evidently greater instances of discrimination across anticipated, individual, and structural discrimination. Finally, while covering strategies appeared to be more salient to NLW's, Latinx clients more often described using secrecy as well as a greater range of coping responses, including empowerment.
Conclusion
While the experience of anticipated rejection appeared to be more salient to Latinx CHR participants and they seemingly report more secrecy than NLW, they also engaged in empowerment‐related coping strategies. Future research should continue to explore the roles of cultural values in influencing coping strategies among CHR individuals.</description><subject>Adaptation, Psychological</subject><subject>Child</subject><subject>clinical high‐risk</subject><subject>Coping</subject><subject>Discrimination</subject><subject>Empowerment</subject><subject>Ethnicity</subject><subject>Humans</subject><subject>Latinx</subject><subject>Mental health</subject><subject>Minority & ethnic groups</subject><subject>Pediatrics</subject><subject>Psychosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Rejection</subject><subject>Risk</subject><subject>Social Stigma</subject><subject>Stereotypes</subject><subject>Stigma</subject><subject>United States</subject><issn>1751-7885</issn><issn>1751-7893</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10L1OwzAQB3ALgfgeeAFkiQWGgp2rk3hEVfmQKoEEDEyWa19alzQJdgPtxiPwjDwJhkIHJG65G3766_Qn5ICzUx7nDF1zyoEn6RrZ5pngnSyXsL66c7FFdkKYMCayNOGbZAtAdEFI2CaPdzM3mmqqK0tN3bhqRHHeoHdYGQzUVXSgZ66ax8u6F2dbXQaqZ9SUrnJGl3TsRuOPt3fvwhMtak-bsDDjOriwRzaKiHH_Z--Sh4v-fe-qM7i5vO6dDzoGBKQdMAnKnFlmdS7TrpDWsoKDYEMAQAGFMVIYK03CDZPd3GCeGCyQFUMmQErYJcfL3MbXzy2GmZq6YLAsdYV1G1TSzTMuGGRppEd_6KRufRW_U0nKJbBEMB7VyVIZX4fgsVCNd1PtF4oz9dW3in2r776jPfxJbIdTtCv5W3AEZ0vw6kpc_J-k-te3y8hP7wuKSQ</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Ruiz, Bernalyn</creator><creator>Ceccolini, Christopher J.</creator><creator>Shah, Binoy B.</creator><creator>Crump, Francesca</creator><creator>Girgis, Ragy R.</creator><creator>Brucato, Gary</creator><creator>Yang, Lawrence H.</creator><creator>Corcoran, Cheryl M.</creator><general>Wiley Publishing Asia Pty Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3267-6171</orcidid><orcidid>https://orcid.org/0000-0001-7252-7141</orcidid></search><sort><creationdate>202201</creationdate><title>Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis</title><author>Ruiz, Bernalyn ; Ceccolini, Christopher J. ; Shah, Binoy B. ; Crump, Francesca ; Girgis, Ragy R. ; Brucato, Gary ; Yang, Lawrence H. ; Corcoran, Cheryl M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3536-3c2e980d0da896459dd0f1350b333e53fcc95cd9c21c0948ce82cefe0fb053993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adaptation, Psychological</topic><topic>Child</topic><topic>clinical high‐risk</topic><topic>Coping</topic><topic>Discrimination</topic><topic>Empowerment</topic><topic>Ethnicity</topic><topic>Humans</topic><topic>Latinx</topic><topic>Mental health</topic><topic>Minority & ethnic groups</topic><topic>Pediatrics</topic><topic>Psychosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Rejection</topic><topic>Risk</topic><topic>Social Stigma</topic><topic>Stereotypes</topic><topic>Stigma</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruiz, Bernalyn</creatorcontrib><creatorcontrib>Ceccolini, Christopher J.</creatorcontrib><creatorcontrib>Shah, Binoy B.</creatorcontrib><creatorcontrib>Crump, Francesca</creatorcontrib><creatorcontrib>Girgis, Ragy R.</creatorcontrib><creatorcontrib>Brucato, Gary</creatorcontrib><creatorcontrib>Yang, Lawrence H.</creatorcontrib><creatorcontrib>Corcoran, Cheryl M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Early intervention in psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruiz, Bernalyn</au><au>Ceccolini, Christopher J.</au><au>Shah, Binoy B.</au><au>Crump, Francesca</au><au>Girgis, Ragy R.</au><au>Brucato, Gary</au><au>Yang, Lawrence H.</au><au>Corcoran, Cheryl M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis</atitle><jtitle>Early intervention in psychiatry</jtitle><addtitle>Early Interv Psychiatry</addtitle><date>2022-01</date><risdate>2022</risdate><volume>16</volume><issue>1</issue><spage>34</spage><epage>41</epage><pages>34-41</pages><issn>1751-7885</issn><eissn>1751-7893</eissn><abstract>Aim
The experiences of culturally diverse individuals at clinical high‐risk for psychosis (CHR) is not well studied. Exploratory research needs to examine whether differences exist between racial/ethnic groups within the CHR population. Understanding experiences of Latinx patients is of importance, as the Latinx population represents the most rapidly growing paediatric population in the United States and they face significant barriers to mental health treatment. Because Latinx persons experience high rates of mental illness‐based stigma and discrimination in their communities, they may face additional stigma‐based barriers to CHR treatment.
Method
Twenty‐six participants (15 Latinx, 11 non‐Latinx white/NLW) who met CHR criteria based on the Structured Interview for Psychosis‐Risk Syndromes (SIPS) were interviewed regarding stigma associated with CHR identification and symptoms. Using a consensus‐based open‐coding thematic analysis approach, data were analysed for stigma, discrimination, and coping responses.
Results
Instances of internalization of stereotypes appeared to be more salient to NLW participants than Latinx participants, and Latinx participants reported seemingly more anticipated rejection from stereotypes than NLW participants. Experiences of discrimination also appeared to be more salient to Latinx participants than NLW participants. Moreover, Latinx participants reported evidently greater instances of discrimination across anticipated, individual, and structural discrimination. Finally, while covering strategies appeared to be more salient to NLW's, Latinx clients more often described using secrecy as well as a greater range of coping responses, including empowerment.
Conclusion
While the experience of anticipated rejection appeared to be more salient to Latinx CHR participants and they seemingly report more secrecy than NLW, they also engaged in empowerment‐related coping strategies. Future research should continue to explore the roles of cultural values in influencing coping strategies among CHR individuals.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>33543593</pmid><doi>10.1111/eip.13126</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3267-6171</orcidid><orcidid>https://orcid.org/0000-0001-7252-7141</orcidid></addata></record> |
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| subjects | Adaptation, Psychological Child clinical high‐risk Coping Discrimination Empowerment Ethnicity Humans Latinx Mental health Minority & ethnic groups Pediatrics Psychosis Psychotic Disorders - psychology Rejection Risk Social Stigma Stereotypes Stigma United States |
| title | Stigma and coping experiences in Latinx individuals at clinical high‐risk for psychosis |
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