Spontaneous labelling and stigma associated with clinical characteristics of peers 'at-risk' for psychosis.
Spontaneous labelling and stigma associated with clinical characteristics of peers 'at-risk' for psychosis.
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DOI：
10.1111/eip.12047
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发表时间：
2014-08
影响因子：
2
通讯作者：
Yang LH
中科院分区：
文献类型：
--
作者：
Anglin DM;Greenspoon MI;Lighty Q;Corcoran CM;Yang LH
利用“精神病风险”称号的公共卫生益处受到对耻辱感的担忧的影响。因此，研究与该指定相关的症状是否可能自发地诱导与精神病性障碍、其他非精神病性障碍或非精神病性标签相关的标签是有意义的。这项初步研究探讨了与“精神病高风险”特征相关的标签和相应的耻辱水平。描述一个相同的字符，其次是一系列的问题，污名化的态度对小插曲字符，在本调查管理。结果表明，即使大多数年轻人（59%）没有自发标签的小插曲字符与精神病样的诊断标签，最常见的标签是“偏执/a”。当这样的标签，也就是说，强烈联系到精神病，发生，受访者表现出更强的污名化归因的恐惧相比，那些指示非精神病标签（例如“怪异”）。这些结果表明，大多数受访者并没有自发地认可诊断标签，从而表明，在大多数情况下，耻辱不会自然地引起。然而，一部分受访者仅仅从个人表现出精神病迹象而表现出的行为变化中证明了耻辱，而与诊断无关。减少任何与“精神病风险”指定相关的耻辱的影响进行了讨论。
The public health benefits of utilizing an ‘at-risk for psychosis’ designation are tempered by concerns about stigma. It is therefore of interest to examine whether symptoms associated with this designation might spontaneously induce labels associated with a psychotic disorder, other non-psychotic disorders or non-psychiatric labels. This pilot study explored the labels associated with characteristics of ‘high risk for psychosis’ and the corresponding stigma level. A vignette describing an identical character, followed by a series of questions about stigmatizing attitudes towards the vignette character, was administered in the present investigation. The results indicated that even though most young people (59%) did not spontaneously label the vignette character with psychotic-like diagnostic labels, the single most frequent label provided was ‘paranoid/a’. When such labelling, that is, strongly tied to psychosis, occurred, respondents exhibited stronger stigmatizing attributions of fear compared to those indicating non-psychiatric labels (e.g. ‘weird’). These results suggest that the majority of respondents did not endorse diagnostic labels spontaneously, thus signaling that stigma in the majority of cases would not naturalistically be elicited. However, a segment of respondents evidenced stigma simply from behavioural changes manifested by individuals exhibiting signs of psychosis, independent of diagnosis. Implications for reducing any stigma associated with an ‘at-risk for psychosis’ designation are discussed.
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影响因子：
7.8
作者：
Angermeyer, M. C.;Holzinger, A.;Matschinger, H.
通讯作者：
Matschinger, H.
影响因子：
2.9
作者：
Biddle, Lucy;Donovan, Jenny;Gunnell, David
通讯作者：
Gunnell, David
影响因子：
6.7
作者：
Angermeyer, MC;Buyantugs, L;Matschinger, H
通讯作者：
Matschinger, H
影响因子：
1.6
作者：
Fennell, Dana;Liberato, Ana S. Q.
通讯作者：
Liberato, Ana S. Q.
影响因子：
4.4
作者：
Thompson, AH;Stuart, H;Dickson, RA
通讯作者：
Dickson, RA