PMID- 30286367 OWN - NLM STAT- MEDLINE DCOM- 20190326 LR - 20191210 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 270 DP - 2018 Dec TI - Stigma and discrimination in individuals with first episode psychosis; one year after first contact with psychiatric services. PG - 298-305 LID - S0165-1781(18)30672-3 [pii] LID - 10.1016/j.psychres.2018.09.044 [doi] AB - Stigma and discrimination in psychotic illness has not been robustly studied in those presenting with their first episode of psychosis (FEP). We prospectively examined patterns of stigma and discrimination one year after index presentation with FEP and correlates with baseline demographic, symptom burden, depression and level of functioning. We surveyed 101 subjects using the Discrimination and Stigma Scale-12 (DISC-12) and administered the Positive and Negative Syndrome Scale (PANSS), Global Assessment of Function (GAF) and the Patient Health Questionnaire (PHQ-9). Discrimination was experienced in 76%; being shunned by people because of mental illness, making and keeping friends and from family were most affected. Older age, female gender, marital status and a family history of mental illness were significantly associated with higher unfair treatment. Higher PANSS score at baseline, 3-month and 12-month was significantly associated with lower positive treatment, higher stopping self-scores and lower overcoming stigma scores, respectively. Higher GAF score at 12-month was associated with higher overcoming stigma scores. Lower PHQ-9 scores was significantly correlated with overcoming stigma. In conclusion, stigma and discrimination is highly prevalent among individuals with FEP; the extent is associated with specific demographic variables, symptom burden, presence of depression and level of functioning. Limitations include selection bias of subjects, potential underestimation of stigma from participants who defaulted or refused to participate and inability to establish causality. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Kinson, Rochelle Melina AU - Kinson RM AD - Department of Psychological Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433 Singapore. Electronic address: rochelle_kinson@ttsh.com.sg. FAU - Hon, Charlene AU - Hon C AD - Early Psychosis and Intervention Programme, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747 Singapore. FAU - Lee, Helen AU - Lee H AD - Early Psychosis and Intervention Programme, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747 Singapore. FAU - Abdin, Edimansyah Bin AU - Abdin EB AD - Early Psychosis and Intervention Programme, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747 Singapore. FAU - Verma, Swapna AU - Verma S AD - Early Psychosis and Intervention Programme, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747 Singapore. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180920 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adult MH - Affective Disorders, Psychotic/*psychology MH - *Discrimination, Psychological MH - Female MH - Humans MH - Male MH - Patient Health Questionnaire MH - Prevalence MH - Psychotic Disorders/*psychology MH - *Schizophrenia MH - *Schizophrenic Psychology MH - Sex Factors MH - Singapore MH - *Social Stigma MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Experienced discrimination OT - First episode psychosis OT - Overcoming stigma OT - Positive treatment OT - Stigma EDAT- 2018/10/05 06:00 MHDA- 2019/03/27 06:00 CRDT- 2018/10/05 06:00 PHST- 2018/04/16 00:00 [received] PHST- 2018/09/19 00:00 [revised] PHST- 2018/09/19 00:00 [accepted] PHST- 2018/10/05 06:00 [pubmed] PHST- 2019/03/27 06:00 [medline] PHST- 2018/10/05 06:00 [entrez] AID - S0165-1781(18)30672-3 [pii] AID - 10.1016/j.psychres.2018.09.044 [doi] PST - ppublish SO - Psychiatry Res. 2018 Dec;270:298-305. doi: 10.1016/j.psychres.2018.09.044. Epub 2018 Sep 20.