PMID- 29927070
OWN - NLM
STAT- MEDLINE
DCOM- 20191115
LR  - 20191115
IS  - 1751-7893 (Electronic)
IS  - 1751-7885 (Linking)
VI  - 13
IP  - 4
DP  - 2019 Aug
TI  - Clinical high risk for psychosis: The effects of labelling on public stigma in a 
      undergraduate population.
PG  - 874-881
LID - 10.1111/eip.12691 [doi]
AB  - AIM: Schizophrenia is a highly stigmatized disorder. Identification of youth at 
      high risk for psychosis has the potential for improved outcomes. However, 
      identifying youth at risk could subject them to increased public stigma. Using an 
      experimental vignette design, this study examined relative levels of public 
      stigma elicited by the labels "schizophrenia," "clinical high risk (CHR)," 
      "attenuated psychotic symptoms syndrome (APSS)," a label implying normative 
      adolescent development ("a bad breakup"), and a no-label control condition. 
      METHODS: Ninety-six undergraduates (age: 18.8 + 1.1, range: 18-22) read a 
      vignette describing an adolescent experiencing symptoms typical of CHR for 
      psychosis. The vignette label (APSS, CHR, schizophrenia, a bad breakup or no 
      label) was counterbalanced between participants. Participants answered questions 
      assessing stigma toward the individual and their prior knowledge of and 
      familiarity with psychosis. RESULTS: Overall stigma did not differ across 
      conditions. Only ratings of personal responsibility were higher for the breakup 
      label than the schizophrenia label (P < .05). More prior knowledge about, and 
      higher familiarity with, psychotic symptoms predicted lower overall stigma. 
      CONCLUSION: We did not find that schizophrenia, CHR or APSS labels elicited 
      elevated stigma in this sample relative to the control labels. This may reflect 
      relatively low levels of mental health stigma in the group studied, a new finding 
      inconsistent with earlier work. Greater levels of knowledge about and familiarity 
      with psychosis were associated with lower stigma. These findings reinforce the 
      potential for mental health awareness campaigns to reduce stigma but also raise 
      questions about factors contributing to lower rates of stigma.
CI  - (c) 2018 John Wiley & Sons Australia, Ltd.
FAU - Parrish, Emma M
AU  - Parrish EM
AUID- ORCID: 0000-0003-1937-8145
AD  - Department of Psychology, Northeastern University, Boston, Massachusetts.
AD  - Center for Early Detection Assessment and Response to Risk at Massachusetts 
      Mental Health Center, Boston, Massachusetts.
AD  - Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical 
      Center, Boston, Massachusetts.
AD  - Commonwealth Research Center, Boston, Massachusetts.
FAU - Kim, Nancy S
AU  - Kim NS
AD  - Department of Psychology, Northeastern University, Boston, Massachusetts.
FAU - Woodberry, Kristen A
AU  - Woodberry KA
AD  - Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical 
      Center, Boston, Massachusetts.
AD  - Commonwealth Research Center, Boston, Massachusetts.
FAU - Friedman-Yakoobian, Michelle
AU  - Friedman-Yakoobian M
AD  - Center for Early Detection Assessment and Response to Risk at Massachusetts 
      Mental Health Center, Boston, Massachusetts.
AD  - Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical 
      Center, Boston, Massachusetts.
AD  - Commonwealth Research Center, Boston, Massachusetts.
LA  - eng
PT  - Journal Article
DEP - 20180621
PL  - Australia
TA  - Early Interv Psychiatry
JT  - Early intervention in psychiatry
JID - 101320027
SB  - IM
MH  - Adolescent
MH  - Female
MH  - Humans
MH  - Male
MH  - Massachusetts
MH  - Psychotic Disorders/diagnosis/*psychology
MH  - *Public Opinion
MH  - Schizophrenia/*diagnosis
MH  - *Schizophrenic Psychology
MH  - *Social Stigma
MH  - *Stereotyping
MH  - Students/*psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - adolescent
OT  - psychotic disorders
OT  - risk factors
OT  - schizophrenia
OT  - social stigma
EDAT- 2018/06/22 06:00
MHDA- 2019/11/16 06:00
CRDT- 2018/06/22 06:00
PHST- 2018/01/06 00:00 [received]
PHST- 2018/05/01 00:00 [revised]
PHST- 2018/05/16 00:00 [accepted]
PHST- 2018/06/22 06:00 [pubmed]
PHST- 2019/11/16 06:00 [medline]
PHST- 2018/06/22 06:00 [entrez]
AID - 10.1111/eip.12691 [doi]
PST - ppublish
SO  - Early Interv Psychiatry. 2019 Aug;13(4):874-881. doi: 10.1111/eip.12691. Epub 
      2018 Jun 21.