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Longitudinal predictors of stigma in first‐episode psychosis: Mediating effects of depression
Author(s) -
Bornheimer Lindsay A.,
Tarrier Nicholas,
Brinen Aaron P.,
Li Juliann,
Dwyer Meredith,
Himle Joseph A.
Publication year - 2021
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12935
Subject(s) - psychiatry , depression (economics) , psychosis , stigma (botany) , psychology , schizophrenia (object oriented programming) , clinical psychology , mental health , macroeconomics , economics
Aim Stigma is commonly experienced among individuals with schizophrenia spectrum disorders and has been shown to be a barrier to help‐seeking and behavioural service utilization. Given the established relationships between stigma, barriers to treatment, and poorer psychiatric outcomes including depression and psychotic symptoms, we examined the relationships between symptoms of depression, positive and negative symptoms, and the emergence of stigma longitudinally among a sample of first‐episode of psychosis (FEP) participants in the United States. Methods Data were obtained from the Recovery After an Initial Schizophrenia Episode project of National Institute of Mental Health's Early Treatment Program. Participants (n = 404) included adults between ages 15 and 40 with schizophrenia or other psychotic disorders based on the DSM‐IV. Data were analysed using structural equation modelling (SEM). Results Findings indicated that increased positive and negative symptoms independently related to greater symptoms of depression at baseline. Furthermore, increased positive symptoms and symptoms of depression at baseline independently related to the emergence of greater stigma being experienced over time. Conclusions Considering the role that symptoms of depression played as a factor explaining the relationships between positive and negative symptoms and emergence of stigma over time among individuals in FEP, and symptoms of depression is important predictor of stigma and may furthermore present as a viable and less stigmatizing initial treatment target in the early course of a psychotic disorder.