Prediction of self-stigma in early psychosis: 3-Year follow-up of the randomized-controlled trial on extended early intervention
In: Schizophrenia research, Jg. 195 (2017-06-10)
Online
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Zugriff:
Background Self-stigma represents a major barrier to recovery in people with psychotic disorders but is understudied in early illness stage. Longitudinal investigation of prediction for self-stigma is scarce and none is conducted in early psychosis. We aimed to prospectively examine baseline predictors of self-stigma in early psychosis patients in the context of a 3-year follow-up of a randomized-controlled trial (RCT) comparing 1-year extension of early intervention (EI) with step-down psychiatric care for first-episode psychosis (FEP). Method One hundred sixty Chinese patients were recruited from a specialized EI program for FEP in Hong Kong after they had completed this 2-year EI service, and underwent a 12-month RCT. Participants were followed up and reassessed 3 years after inclusion to the trial. Comprehensive evaluation encompassing clinical, functional, subjective quality of life and treatment-related variables were conducted. Data analysis was based on 136 participants who completed self-stigma assessment at 3-year follow-up. Results Fifty patients (36.8%) had moderate to high levels of self-stigma at 3-year follow-up. Multivariate regression analysis revealed that female gender, prior psychiatric hospitalization, longer duration of untreated psychosis and greater positive symptom severity at study intake independently predicted self-stigma at the end of 3-year study period. Conclusion Our results of more than one-third of early psychosis patients experienced significant self-stigma underscore the clinical needs for early identification and intervention of self-stigmatization in the initial years of psychotic illness. Further research is warranted to clarify prediction profile and longitudinal course of self-stigma in the early illness phase.
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Prediction of self-stigma in early psychosis: 3-Year follow-up of the randomized-controlled trial on extended early intervention
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Autor/in / Beteiligte Person: | Christy L.M. Hui ; Sherry Kit Wa Chan ; Edwin Ho Ming Lee ; Olivia Tsz Ting Jim ; Wing Chung Chang ; Gloria Hoi Kei Chan ; Vivian Wing Yan Kwong ; Eric Y.H. Chen ; Emily Sin Kei Lau ; Ryan Wui Hang Ho |
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Zeitschrift: | Schizophrenia research, Jg. 195 (2017-06-10) |
Veröffentlichung: | 2017 |
Medientyp: | unknown |
ISSN: | 1573-2509 (print) |
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