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Stigma and access to care in first-episode psychosis
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Kular, Ariana, Perry, Benjamin Ian, Brown, Luke, Gajwani, Ruchika, Jasini, Rubina, Islam, Zoebia, Birchwood, M. J. and Singh, Swaran P. (2019) Stigma and access to care in first-episode psychosis. Early Intervention in Psychiatry, 13 (5). pp. 1208-1213. doi:10.1111/eip.12756 ISSN 1751-7885.
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Official URL: https://doi.org/10.1111/eip.12756
Abstract
Aim
Mental health‐related stigma is considered a significant barrier to help‐seeking and accessing care in those experiencing mental illness. Long duration of untreated psychosis is associated with poorer outcomes. The impact of stigma on the duration of untreated psychosis, in first‐episode psychosis remains unexplored. To examine the association between mental health‐related stigma and access to care in people experiencing first‐episode psychosis in Birmingham, UK.
Methods
We collected data on a prospective cohort of first‐episode psychosis. The Stigma Scale was used as a measure of mental health‐related stigma, and duration of untreated psychosis as a measure of delay in accessing care. We performed logistic and linear regression analyses to explore the relationship between mental health‐related stigma and duration of untreated psychosis, adjusting for sex, age, educational level, religion and ethnicity.
Results
On the 89 participants included in this study, linear regression analysis revealed that overall stigma and the discrimination sub‐factor were significant predictors of longer duration of untreated psychosis, whereas logistic regression identified the disclosure sub‐factor to be a significant predictor of longer duration of untreated psychosis.
Conclusions
These findings demonstrate that stigmatizing views of mental illness from the patient's perspectives can result in delayed access to care. This emphasizes the importance of tackling mental health‐related stigma to ensure early treatment and improved outcomes for people experiencing first‐episode psychosis.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Psychoses -- Treatment, Mental health | ||||||||
| Journal or Publication Title: | Early Intervention in Psychiatry | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1751-7885 | ||||||||
| Official Date: | October 2019 | ||||||||
| Dates: |
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| Volume: | 13 | ||||||||
| Number: | 5 | ||||||||
| Page Range: | pp. 1208-1213 | ||||||||
| DOI: | 10.1111/eip.12756 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | "This is the peer reviewed version of the following article: Kular A, Perry BI, Brown L, et al. Stigma and access to care in first‐episode psychosis. Early Intervention in Psychiatry. 2018;1–6., which has been published in final form at 10.1111/eip.12756 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 21 November 2018 | ||||||||
| Date of first compliant Open Access: | 9 November 2019 | ||||||||
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