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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 1/2016

01.02.2016 | Short Communication

Self-labelling and stigma as predictors of attitudes towards help-seeking among people at risk of psychosis: 1-year follow-up

verfasst von: Ziyan Xu, Mario Müller, Karsten Heekeren, Anastasia Theodoridou, Diane Dvorsky, Sibylle Metzler, Alison Brabban, Patrick W. Corrigan, Susanne Walitza, Wulf Rössler, Nicolas Rüsch

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 1/2016

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Abstract

Mental health service use is helpful but rare among young people at risk of psychosis. The label and stigma associated with mental illness may affect attitudes towards help-seeking. We examined 67 individuals at risk of psychosis over the course of 1 year. An increase of self-labelling as “mentally ill” predicted more positive attitudes towards psychiatric medication, while increased perceived stigma and the cognitive appraisal of stigma as a stressor predicted poorer attitudes towards psychotherapy after 1 year. Early intervention could improve non-stigmatizing awareness of at-risk mental state and reduce the public stigma associated with at-risk status to facilitate help-seeking.
Literatur
1.
Zurück zum Zitat Penttilä M, Jääskeläinen E, Hirvonen N, Isohanni M, Miettunen J (2014) Duration of untreated psychosis as predictor of long-term outcome in schizophrenia: systematic review and meta-analysis. Br J Psychitry 205:88–94CrossRef Penttilä M, Jääskeläinen E, Hirvonen N, Isohanni M, Miettunen J (2014) Duration of untreated psychosis as predictor of long-term outcome in schizophrenia: systematic review and meta-analysis. Br J Psychitry 205:88–94CrossRef
2.
Zurück zum Zitat Rickwood D, Deane FP, Wilson CJ (2007) When and how do young people seek professional help for mental health problems. Med J Aust 187:S35–S39PubMed Rickwood D, Deane FP, Wilson CJ (2007) When and how do young people seek professional help for mental health problems. Med J Aust 187:S35–S39PubMed
3.
Zurück zum Zitat von Reventlow HG, Kruger-Özgurdal S, Ruhrmann S, Schultze-Lutter F, Heinz A, Patterson P, Heinimaa M, Dingemans P, French P, Birchwood M, Salokangas RK, Linszen D, Morrison A, Klosterkötter J, Juckel G (2014) Pathways to care in subjects at high risk for psychotic disorders—a European perspective. Schizophr Res 152:400–407CrossRef von Reventlow HG, Kruger-Özgurdal S, Ruhrmann S, Schultze-Lutter F, Heinz A, Patterson P, Heinimaa M, Dingemans P, French P, Birchwood M, Salokangas RK, Linszen D, Morrison A, Klosterkötter J, Juckel G (2014) Pathways to care in subjects at high risk for psychotic disorders—a European perspective. Schizophr Res 152:400–407CrossRef
4.
Zurück zum Zitat Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown J, Thornicroft G (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45:11–27CrossRefPubMed Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown J, Thornicroft G (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 45:11–27CrossRefPubMed
5.
Zurück zum Zitat Gulliver A, Griffiths KM, Christensen H (2010) Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 10:113PubMedCentralCrossRefPubMed Gulliver A, Griffiths KM, Christensen H (2010) Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 10:113PubMedCentralCrossRefPubMed
6.
Zurück zum Zitat Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralCrossRefPubMed Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralCrossRefPubMed
7.
8.
Zurück zum Zitat Kaiser CR, Major B, McCoy SK (2004) Expectations about the future and the emotional consequences of perceiving prejudice. Personal Soc Psychol Bull 30:173–184CrossRef Kaiser CR, Major B, McCoy SK (2004) Expectations about the future and the emotional consequences of perceiving prejudice. Personal Soc Psychol Bull 30:173–184CrossRef
9.
Zurück zum Zitat Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 110:65–71PubMedCentralCrossRefPubMed Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 110:65–71PubMedCentralCrossRefPubMed
10.
Zurück zum Zitat Wright A, Jorm AF, Mackinnon AJ (2011) Labeling of mental disorders and stigma in young people. Soc Sci Med 73:498–506CrossRefPubMed Wright A, Jorm AF, Mackinnon AJ (2011) Labeling of mental disorders and stigma in young people. Soc Sci Med 73:498–506CrossRefPubMed
11.
Zurück zum Zitat Corcoran CM, First MB, Cornblatt B (2010) The psychosis risk syndrome and its proposed inclusion in the DSM-V: a risk–benefit analysis. Schizophr Res 120:16–22PubMedCentralCrossRefPubMed Corcoran CM, First MB, Cornblatt B (2010) The psychosis risk syndrome and its proposed inclusion in the DSM-V: a risk–benefit analysis. Schizophr Res 120:16–22PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Yang LH, Wonpat-Borja AJ, Opler MG, Corcoran CM (2010) Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: an empirical question. Schizophr Res 120:42–48PubMedCentralCrossRefPubMed Yang LH, Wonpat-Borja AJ, Opler MG, Corcoran CM (2010) Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: an empirical question. Schizophr Res 120:42–48PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Rüsch N, Heekeren K, Theodoridou A, Dvorsky D, Müller M, Paust T, Corrigan PW, Walitza S, Rössler W (2013) Attitudes towards help-seeking and stigma among young people at risk for psychosis. Psychiatry Res 210:1313–1315CrossRefPubMed Rüsch N, Heekeren K, Theodoridou A, Dvorsky D, Müller M, Paust T, Corrigan PW, Walitza S, Rössler W (2013) Attitudes towards help-seeking and stigma among young people at risk for psychosis. Psychiatry Res 210:1313–1315CrossRefPubMed
14.
Zurück zum Zitat Theodoridou A, Heekeren K, Dvorsky D, Metzler S, Franscini M, Haker H, Kawohl W, Rüsch N, Walitza S, Rössler W (2014) Early recognition of high risk of bipolar disorder and psychosis: an overview of the ZInEP “early recognition” study. Front Public Health 2:166PubMedCentralCrossRefPubMed Theodoridou A, Heekeren K, Dvorsky D, Metzler S, Franscini M, Haker H, Kawohl W, Rüsch N, Walitza S, Rössler W (2014) Early recognition of high risk of bipolar disorder and psychosis: an overview of the ZInEP “early recognition” study. Front Public Health 2:166PubMedCentralCrossRefPubMed
15.
Zurück zum Zitat Schultze-Lutter F, Addington J, Ruhrmann S, Klosterkötter J (2007) Schizophrenia proneness instrument, adult version (SPI-A). Giovanni Fioriti Editore, Rome Schultze-Lutter F, Addington J, Ruhrmann S, Klosterkötter J (2007) Schizophrenia proneness instrument, adult version (SPI-A). Giovanni Fioriti Editore, Rome
16.
Zurück zum Zitat Schultze-Lutter F, Koch E (2010) Schizophrenia Proneness Instrument: child and youth version (SPI-CY). Giovanni Fioriti Editore, Rome Schultze-Lutter F, Koch E (2010) Schizophrenia Proneness Instrument: child and youth version (SPI-CY). Giovanni Fioriti Editore, Rome
17.
Zurück zum Zitat Miller TJ, McGlashan TH, Rosen JL, Cadenhead K, Ventura J, McFarlane W, Perkins DO, Pearlson GD, Woods SW (2003) Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: predictive validity, interrater reliability, and training to reliability. Schizophr Bull 29:703–715CrossRefPubMed Miller TJ, McGlashan TH, Rosen JL, Cadenhead K, Ventura J, McFarlane W, Perkins DO, Pearlson GD, Woods SW (2003) Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: predictive validity, interrater reliability, and training to reliability. Schizophr Bull 29:703–715CrossRefPubMed
18.
Zurück zum Zitat Angst J, Adolfsson R, Benazzi F, Gamma A, Hantouche E, Meyer TD, Skeppar P, Vieta E, Scott J (2005) The HCL-32: towards a self-assessment tool for hypomanic symptoms in outpatients. J Affect Disord 88:217–233CrossRefPubMed Angst J, Adolfsson R, Benazzi F, Gamma A, Hantouche E, Meyer TD, Skeppar P, Vieta E, Scott J (2005) The HCL-32: towards a self-assessment tool for hypomanic symptoms in outpatients. J Affect Disord 88:217–233CrossRefPubMed
19.
Zurück zum Zitat Sheehan D, Lecrubier Y, Harnett Sheehan K, Janavs J, Weiller E, Keskiner A, Schinka J, Knapp E, Sheehan M, Dunbar G (1997) The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. Eur Psychiatry 12:232–241CrossRef Sheehan D, Lecrubier Y, Harnett Sheehan K, Janavs J, Weiller E, Keskiner A, Schinka J, Knapp E, Sheehan M, Dunbar G (1997) The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. Eur Psychiatry 12:232–241CrossRef
20.
Zurück zum Zitat Link BG (1987) Understanding labeling effects in the area of mental disorders: an assessment of the effects of expectations of rejection. Am Sociol Rev 52:96–112CrossRef Link BG (1987) Understanding labeling effects in the area of mental disorders: an assessment of the effects of expectations of rejection. Am Sociol Rev 52:96–112CrossRef
21.
Zurück zum Zitat Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13:261–276CrossRefPubMed Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13:261–276CrossRefPubMed
22.
Zurück zum Zitat Yang LH, Anglin DM, Wonpat-Borja AJ, Opler MG, Greenspoon M, Corcoran CM (2013) Public stigma associated with psychosis risk syndrome in a college population: implications for peer intervention. Psychiatr Serv 64:284–288PubMedCentralCrossRefPubMed Yang LH, Anglin DM, Wonpat-Borja AJ, Opler MG, Greenspoon M, Corcoran CM (2013) Public stigma associated with psychosis risk syndrome in a college population: implications for peer intervention. Psychiatr Serv 64:284–288PubMedCentralCrossRefPubMed
Metadaten
Titel
Self-labelling and stigma as predictors of attitudes towards help-seeking among people at risk of psychosis: 1-year follow-up
verfasst von
Ziyan Xu
Mario Müller
Karsten Heekeren
Anastasia Theodoridou
Diane Dvorsky
Sibylle Metzler
Alison Brabban
Patrick W. Corrigan
Susanne Walitza
Wulf Rössler
Nicolas Rüsch
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 1/2016
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-015-0576-2

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