Emotional and stigma-related experiences relative to being told one is at risk for psychosis.
Emotional and stigma-related experiences relative to being told one is at risk for psychosis.
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DOI：
10.1016/j.schres.2021.09.017
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发表时间：
2021-12
影响因子：
4.5
通讯作者：
Yang LH
中科院分区：
文献类型：
--
作者：
Woodberry KA;Powers KS;Bryant C;Downing D;Verdi MB;Elacqua KM;Reuman ARL;Kennedy L;Shapiro DI;West ML;Huang D;Crump FM;Grivel MM;Blasco D;Herrera SN;Corcoran CM;Seidman LJ;Link BG;McFarlane WR;Yang LH
尽管对精神病进行早期干预很有吸引力，但人们担心将青少年识别为具有高精神病风险（PR）可能会引发耻辱。这项研究采用前后设计来衡量公关参与者在被告知其公关状态后对公关的情绪变化，并根据这是否是第一次收到此信息。通过结构化访谈确定为 PR 的参与者 (n = 54) 在被告知自己处于 PR 之前和之后评估了他们对 PR 的情绪。定性分析探讨了参与者对获得此信息的反思的效价。参与者在被告知他们的 PR 状态后，报告的负面情绪明显减少 (p < .001)，无论他们是否是第一次听到这个消息 (p = 0.72)。积极情绪或人们应该将公关身份保密的主要信念没有变化。大多数参与者对反馈过程给予积极评价，但对其自我认知和/或他人对他们的看法的期望的影响持负面评价。这是第一项收集与被告知处于公关相关的事前数据并检查个人之间和个人内部的定量和定性反应的研究。对于大多数参与者来说，临床反馈刺激了负面刻板印象，尽管它减轻了一些痛苦。为了积极解决内在的耻辱感，向公关青少年提供反馈的临床医生必须关注对青少年如何看待自己以及如何感受的积极和消极影响。
Despite the appeal of early intervention in psychosis, there is concern that identifying youth as having high psychosis risk (PR) may trigger stigma. This study employed a pre-post design to measure change in PR participants’ emotions about PR upon being told of their PR status and according to whether this was the first time receiving this information. Participants (n = 54) identified as at PR via structured interview rated their emotions about PR before and after being told they were at PR. Qualitative analyses explored the valence of participant reflections on being given this information. Participants reported significantly less negative emotion after being told of their PR status (p < .001), regardless of whether they were hearing this for the first time (p = 0.72). There was no change in positive emotions or the predominant belief that they should keep their PR status private. Most participants commented positively about the process of feedback but negatively about its impact on their self-perceptions and/or expectations of others’ perceptions of them. This is the first study to collect pre-post data related to being told one is at PR and to examine quantitative and qualitative responses across and within individuals. For a majority of participants, clinical feedback stimulated negative stereotypes even as it relieved some distress. To actively address internalized stigma, clinicians providing feedback to PR youth must attend to the positive and negative impacts on how youth think about themselves as well as how they feel.
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影响因子：
3.4
作者：
HALL, RCW
通讯作者：
HALL, RCW
影响因子：
1.7
作者：
Corrigan, Patrick W.;Watson, Amy C.;Barr, Leah
通讯作者：
Barr, Leah
影响因子：
2.2
作者：
Mittal, Vijay A.;Dean, Derek J.;Saks, Elyn R.
通讯作者：
Saks, Elyn R.
影响因子：
2
作者：
Anglin DM;Greenspoon MI;Lighty Q;Corcoran CM;Yang LH
通讯作者：
Yang LH
影响因子：
4.5
作者：
Yang LH;Link BG;Ben-David S;Gill KE;Girgis RR;Brucato G;Wonpat-Borja AJ;Corcoran CM
通讯作者：
Corcoran CM