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Impact of cognitive therapy on internalised stigma in people with at-risk mental states
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Morrison, A. P., Birchwood, M. J., Pyle, M., Flach, C., Stewart-Brown, Sarah L., Byrne, R., Patterson, Paul, Jones, P. (Peter), Dr., Fowler, David, Gumley, A. and French, P. (2013) Impact of cognitive therapy on internalised stigma in people with at-risk mental states. British Journal of Psychiatry, 203 (2). pp. 140-145. doi:10.1192/bjp.bp.112.123703 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.112.123703
Abstract
BACKGROUND:
Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma.
AIMS:
To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.
METHOD:
Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.
RESULTS:
Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was -1.36 (95% CI -2.69 to -0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI -0.05 to 0.98, P = 0.079).
CONCLUSIONS:
These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HM Sociology H Social Sciences > HQ The family. Marriage. Woman H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Youth--Mental health, People with mental disabilities, Mental illness--Physiological aspects, Cognitive therapy for teenagers | ||||||
| Journal or Publication Title: | British Journal of Psychiatry | ||||||
| Publisher: | Royal College of Psychiatrists | ||||||
| ISSN: | 0007-1250 | ||||||
| Official Date: | August 2013 | ||||||
| Dates: |
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| Volume: | 203 | ||||||
| Number: | 2 | ||||||
| Page Range: | pp. 140-145 | ||||||
| DOI: | 10.1192/bjp.bp.112.123703 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Funder: | Medical Research Council (Great Britain) (MRC), Great Britain. Department of Health (DoH) | ||||||
| Grant number: | G0500264 (MRC) |
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