File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Rate and correlates of self-stigma in adult patients with early psychosis

TitleRate and correlates of self-stigma in adult patients with early psychosis
Authors
Keywordsduration of untreated psychosis
early psychosis
insight
internalized stigma
self-stigma
Issue Date13-Jul-2023
PublisherFrontiers Media
Citation
Frontiers in Psychiatry, 2023, v. 14 How to Cite?
AbstractIntroductionSelf-stigma impedes recovery process and is associated with poorer clinical and functional outcomes in people with psychotic disorders. However, there is limited research specifically examining self-stigma in the early stage of illness, and mixed findings were observed regarding factors associated with increased self-stigma. We aimed to investigate the rate and correlates of self-stigma in a cohort of adult patients with early psychosis using a comprehensive array of clinical, treatment and other illness-related variables. MethodsA total of 101 Chinese adult early psychosis patients aged 26-55 years who had received three-year psychiatric treatment for first psychotic episode in Hong Kong and completed self-stigma assessment were included for the current investigation. A broad range of assessments encompassing socio-demographics, premorbid adjustment, onset and illness profiles, symptom severity, psychosocial functioning, treatment characteristics and medication side-effects were conducted. ResultsTwenty-eight (27.7%) patients had moderate-to-high levels of self-stigma. Univariate linear regression analyses showed that age at study entry, sex, educational level, age at psychosis onset, duration of untreated psychosis (DUP), insight level, global psychosocial functioning, and the use of second-generation antipsychotic were related to self-stigma levels. Final multivariable regression model revealed that female sex, younger age at entry, longer DUP and better insight were independently associated with higher levels of self-stigma. ConclusionMore than one-fourth of early psychosis patients experienced significant self-stigma, highlighting an unmet need for early detection and intervention of self-stigma in the initial years of illness. Further investigation is warranted to clarify trajectories and predictors of self-stigma in the early illness course.
Persistent Identifierhttp://hdl.handle.net/10722/331277
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 1.155
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChu, RST-
dc.contributor.authorNg, CM-
dc.contributor.authorChu, SC-
dc.contributor.authorLui, TT-
dc.contributor.authorLau, FC-
dc.contributor.authorChan, SKW-
dc.contributor.authorLee, EHM-
dc.contributor.authorHui, CLM-
dc.contributor.authorChen, EYH-
dc.contributor.authorLui, SSY-
dc.contributor.authorChang, WC-
dc.date.accessioned2023-09-21T06:54:16Z-
dc.date.available2023-09-21T06:54:16Z-
dc.date.issued2023-07-13-
dc.identifier.citationFrontiers in Psychiatry, 2023, v. 14-
dc.identifier.issn1664-0640-
dc.identifier.urihttp://hdl.handle.net/10722/331277-
dc.description.abstractIntroductionSelf-stigma impedes recovery process and is associated with poorer clinical and functional outcomes in people with psychotic disorders. However, there is limited research specifically examining self-stigma in the early stage of illness, and mixed findings were observed regarding factors associated with increased self-stigma. We aimed to investigate the rate and correlates of self-stigma in a cohort of adult patients with early psychosis using a comprehensive array of clinical, treatment and other illness-related variables. MethodsA total of 101 Chinese adult early psychosis patients aged 26-55 years who had received three-year psychiatric treatment for first psychotic episode in Hong Kong and completed self-stigma assessment were included for the current investigation. A broad range of assessments encompassing socio-demographics, premorbid adjustment, onset and illness profiles, symptom severity, psychosocial functioning, treatment characteristics and medication side-effects were conducted. ResultsTwenty-eight (27.7%) patients had moderate-to-high levels of self-stigma. Univariate linear regression analyses showed that age at study entry, sex, educational level, age at psychosis onset, duration of untreated psychosis (DUP), insight level, global psychosocial functioning, and the use of second-generation antipsychotic were related to self-stigma levels. Final multivariable regression model revealed that female sex, younger age at entry, longer DUP and better insight were independently associated with higher levels of self-stigma. ConclusionMore than one-fourth of early psychosis patients experienced significant self-stigma, highlighting an unmet need for early detection and intervention of self-stigma in the initial years of illness. Further investigation is warranted to clarify trajectories and predictors of self-stigma in the early illness course.-
dc.languageeng-
dc.publisherFrontiers Media-
dc.relation.ispartofFrontiers in Psychiatry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectduration of untreated psychosis-
dc.subjectearly psychosis-
dc.subjectinsight-
dc.subjectinternalized stigma-
dc.subjectself-stigma-
dc.titleRate and correlates of self-stigma in adult patients with early psychosis-
dc.typeArticle-
dc.identifier.doi10.3389/fpsyt.2023.1200568-
dc.identifier.pmid37520240-
dc.identifier.scopuseid_2-s2.0-85166028935-
dc.identifier.volume14-
dc.identifier.eissn1664-0640-
dc.identifier.isiWOS:001034168700001-
dc.publisher.placeLAUSANNE-
dc.identifier.issnl1664-0640-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats