Mediation of the stigma in the influence of negative symptomatology over recovery in psychosis

  1. Nuria Ordóñez-Camblor
  2. Mercedes Paino
  3. Eduardo Fonseca-Pedrero
  4. Juan Pablo Pizarro-Ruiz
Aldizkaria:
International journal of clinical and health psychology

ISSN: 1697-2600

Argitalpen urtea: 2021

Alea: 21

Zenbakia: 2

Orrialdeak: 13-19

Mota: Artikulua

DOI: 10.1016/J.IJCHP.2021.100220 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: International journal of clinical and health psychology

Laburpena

Antecedentes/Objetivo: El interés por los procesos de recuperación en los trastornos psicóticos ha impulsado la necesidad de conocer los factores que podrían influir en dicha recuperación. La sintomatología negativa y el estigma se han relacionado negativamente con el proceso de recuperación de la psicosis. El objetivo de esta investigación es mejorar la comprensión sobre cómo el proceso de recuperación se ve afectado por la sintomatología negativa a partir del análisis de los efectos mediadores del estigma internalizado. Método: La muestra estuvo compuesta por 114 personas que habían experimentado, en algún momento de su vida, al menos un episodio psicótico clínicamente relevante. Para la evaluación se usaron el CAPE-42, STORI and e ISMI. Se utilizó el macro PROCESS para SPSS. El efecto indirecto se calculó utilizando 10.000 muestras de bootstrap para los intervalos de confianza (IC) de bootstrap corregidos por sesgo. Resultados: Los resultados muestran que la influencia de la sintomatología negativa predice la estigmatización de la persona con respecto a su trastorno, y esto predice una influencia negativa en el proceso de recuperación de la psicosis. Conclusiones: Estos resultados respaldan la importancia de sumar la reducción del estigma como estrategia específica para mejorar el proceso de recuperación en los trastornos psicóticos.

Erreferentzia bibliografikoak

  • Andresen et al., 2006, Stages of Recovery Instrument: Development of a Measure of Recovery from Serious Mental Illness. Australian & New Zealand Journal of Psychiatry, 40 (2006), pp. 972-980 http://dx.doi.org/10.1080/j.1440-1614.2006.01921.x
  • Anthony, 1993, Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16 (1993), pp. 11-23 http://dx.doi.org/10.1037/h0095655
  • American Psychiatric Association APA, 2013, Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th. Ed., American Psychiatric Association, (2013),
  • Aukst-Margetić et al., 2014, Harm avoidance moderates the relationship between internalized stigma and depressive symptoms in patients with schizophrenia. Psychiatry Research, 219 (2014), pp. 92-94 http://dx.doi.org/10.1016/j.psychres.2014.05.009
  • Austin et al., 2013, Predictors of recovery in first episode psychosis: The OPUS cohort at 10 year follow-up. Schizophrenia Research, 150 (2013), pp. 163-168 http://dx.doi.org/10.1016/j.schres.2013.07.031
  • Barragan et al., 2011, “Theory of Mind”, psychotic-like experiences and psychometric schizotypy in adolescents from the general population. Psychiatry Research, 186 (2011), pp. 225-231 http://dx.doi.org/10.1016/j.psychres.2010.07.051
  • Bellack, 2006, Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications. Schizophrenia Bulletin, 32 (2006), pp. 432-442 http://dx.doi.org/10.1093/schbul/sbj044
  • Bjornestad et al., 2017, The central role of self-agency in clinical recovery from first episode psychosis. Psychosis, 9 (2017), pp. 140-148 http://dx.doi.org/10.1080/17522439.2016.1198828
  • Burgess et al., 2010, Australian Mental Health Outcomes and Classification Network “Sharing Information to Improve Outcomes” Review of Recovery Measures, (2010),
  • Chang et al., 2018, Perceived stigma of caregivers: Psychometric evaluation for Devaluation of Consumer Families Scale. International Journal of Clinical and Health Psychology, 18 (2018), pp. 170-178 http://dx.doi.org/10.1016/j.ijchp.2017.12.003
  • Corrigan and Watson, 2002, Understanding the impact of stigma on people with mental illness. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 1 (2002), pp. 16-20 http://www.ncbi.nlm.nih.gov/pubmed/16946807
  • Devoe et al., 2018, Negative Symptom Interventions in Youth at Risk of Psychosis: A Systematic Review and Network Meta-analysis. Schizophrenia Bulletin, 44 (2018), pp. 807-823 http://dx.doi.org/10.1093/schbul/sbx139
  • Fonseca-Pedrero et al., 2012, Validation of the Community Assessment Psychic Experiences-42 (CAPE-42) in Spanish college students and patients with psychosis. Actas Españolas de Psiquiatría, 40 (2012), pp. 169-176
  • Fowler et al., 2015, Exploring the Paradoxical Effects of Insight and Stigma in Psychological Recovery. North American Journal of Psychology, 17 (2015), pp. 151
  • Freudenreich, 2020, Negative Symptoms, Humana, (2020),
  • García-Álvarez et al., 2014, Factores clave de la recuperación en trastornos psicóticos. The UB Journal of Psychology, 44 (2014), pp. 135-149 https://revistes.ub.edu/index.php/Anuario-psicologia/article/view/10620
  • García-Mieres et al., 2020, The Role of Personal Identity on Positive and Negative Symptoms in Psychosis: A Study Using the Repertory Grid Technique. Schizophrenia Bulletin, 46 (2020), pp. 572-580 http://dx.doi.org/10.1093/schbul/sbz082
  • Gee et al., 2016, The course of negative symptom in first episode psychosis and the relationship with social recovery. Schizophrenia Research, 174 (2016), pp. 165-171 http://dx.doi.org/10.1016/j.schres.2016.04.017
  • Gee et al., 2019, Lived experiences of negative symptoms in first-episode psychosis: A qualitative secondary analysis. Early Intervention in Psychiatry, 13 (2019), pp. 773-779 http://dx.doi.org/10.1111/eip.12558
  • Gerlinger et al., 2013, Personal stigma in schizophrenia spectrum disorders: A systematic review of prevalence rates, correlates, impact and interventions. World Psychiatry, 12 (2013), pp. 155-164 http://dx.doi.org/10.1002/wps.20040
  • Hayes, 2018, Introduction to mediation, moderation, and conditional process analysis. 2nd Ed., The Guilford Press, (2018),
  • Hernández et al., 2020, International test commission guidelines for test adaptation: A criterion checklist. Psicothema, 32 (2020), pp. 390-398 http://dx.doi.org/10.7334/psicothema2019.306
  • Ho et al., 2018, Prediction of self-stigma in early psychosis: 3-Year follow-up of the randomized-controlled trial on extended early intervention. Schizophrenia Research, 195 (2018), pp. 463-468 http://dx.doi.org/10.1016/j.schres.2017.09.004
  • Horsselenberg et al., 2016, Self-Stigma and Its Relationship with Victimization, Psychotic Symptoms and Self-Esteem among People with Schizophrenia Spectrum Disorders. PLOS ONE, 11 (2016), http://dx.doi.org/10.1371/journal.pone.0149763
  • Jacob, 2015, Recovery model of mental illness: A complementary approach to psychiatric care. Indian Journal of Psychological Medicine, 37 (2015), pp. 117-119 http://dx.doi.org/10.4103/0253-7176.155605
  • Konings et al., 2006, Validity and reliability of the CAPE: A self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatrica Scandinavica, 114 (2006), pp. 55-61 http://dx.doi.org/10.1111/j.1600-0447.2005.00741.x
  • Kular et al., 2019, Stigma and access to care in first‐episode psychosis. Early Intervention in Psychiatry, 13 (2019), pp. 1208-1213 http://dx.doi.org/10.1111/eip.12756
  • Leamy et al., 2011, Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. British Journal of Psychiatry, 199 (2011), pp. 445-452 http://dx.doi.org/10.1192/bjp.bp.110.083733
  • Lee et al., 2020, Beyond Recovery: Exploring Growth in the Aftermath of Psychosis. Frontiers in Psychiatry, 11 (2020), http://dx.doi.org/10.3389/fpsyt.2020.00108
  • Lemos-Giráldez, García-Alvarez et al., 2015, Measuring stages of recovery from psychosis. Comprehensive Psychiatry, 56 (2015), pp. 51-58 http://dx.doi.org/10.1016/j.comppsych.2014.09.021
  • Lemos-Giráldez, Vallina-Fernández et al., 2015, Esquizofrenia y otros trastornos psicóticos. Síntesis, (2015),
  • Leonhardt et al., 2017, Recovery and serious mental illness: a review of current clinical and research paradigms and future directions. Expert Review of Neurotherapeutics, 17 (2017), pp. 1117-1130 http://dx.doi.org/10.1080/14737175.2017.1378099
  • Lien et al., 2018, Insight, self-stigma and psychosocial outcomes in Schizophrenia: A structural equation modelling approach. Epidemiology and Psychiatric Sciences, 27 (2018), pp. 176-185 http://dx.doi.org/10.1017/S2045796016000950
  • Livingston and Boyd, 2010, Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71 (2010), pp. 2150-2161 http://dx.doi.org/10.1016/j.socscimed.2010.09.030
  • López-Navarro et al., 2018, Psychotic symptoms and quality of life: A mediation analysis of daily-life coping. Psychiatry Research, 262 (2018), pp. 505-509 http://dx.doi.org/10.1016/j.psychres.2017.09.034
  • López-Navarro et al., 2020, Does mindfulness improve inhibitory control in psychotic disorders? A randomized controlled clinical trial. International Journal of Clinical and Health Psychology, 20 (2020), pp. 192-199 http://dx.doi.org/10.1016/j.ijchp.2020.07.002
  • Lutgens et al., 2017, Psychological and psychosocial interventions for negative symptoms in psychosis: Systematic review and meta-analysis. British Journal of Psychiatry, 210 (2017), pp. 324-332 http://dx.doi.org/10.1192/bjp.bp.116.197103
  • Lyne et al., 2018, Negative symptoms of psychosis: A life course approach and implications for prevention and treatment. Early Intervention in Psychiatry, 12 (2018), pp. 561-571 http://dx.doi.org/10.1111/eip.12501
  • Lysaker et al., 2020, Reflection and recovery from psychosis during the time of COVID-19: Adaptation in psychotherapy in the United States. Clinica y Salud, 31 (2020), pp. 99-103 http://dx.doi.org/10.5093/CLYSA2020A16
  • Lysaker et al., 2007, Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin, 33 (2007), pp. 192-199 http://dx.doi.org/10.1093/schbul/sbl016
  • Medina-Mora et al., 2019, ICD-11 guidelines for psychotic, mood, anxiety and stress-related disorders in Mexico: Clinical utility and reliability. International Journal of Clinical and Health Psychology, 19 (2019), pp. 1-11 http://dx.doi.org/10.1016/j.ijchp.2018.09.003
  • Mueser et al., 2020, Clinical and demographic correlates of stigma in first‐episode psychosis: the impact of duration of untreated psychosis. Acta Psychiatrica Scandinavica, 141 (2020), pp. 157-166 http://dx.doi.org/10.1111/acps.13102
  • Muñiz and Fonseca-Pedrero, 2019, Ten steps for test development. Psicothema, 31 (2019), pp. 7-16 http://dx.doi.org/10.7334/psicothema2018.291
  • Muñoz et al., 2009, Estigma y enfermedad mental. Analisis del rechazo social que sufren las personas con enfermedad mental. Editorial Complutense, S. A, (2009),
  • Norman et al., 2018, An examination of components of recovery after five years of treatment in an early intervention program for psychosis. Schizophrenia Research, 195 (2018), pp. 469-474 http://dx.doi.org/10.1016/j.schres.2017.08.054
  • Obiols et al., 2008, Síntomas seudo-psicóticos en adolescentes de la población general. Revista de Psicopatología y Psicología Clínica, 13 (2008), pp. 205-217 http://dx.doi.org/10.5944/rppc.vol.13.num.3.2008.4060
  • Oexle et al., 2018, Self-stigma as a barrier to recovery: a longitudinal study. European Archives of Psychiatry and Clinical Neuroscience, 268 (2018), pp. 209-212 http://dx.doi.org/10.1007/s00406-017-0773-2
  • Park et al., 2013, Internalized stigma in schizophrenia: Relations with dysfunctional attitudes, symptoms, and quality of life. Psychiatry Research, 205 (2013), pp. 43-47 http://dx.doi.org/10.1016/j.psychres.2012.08.040
  • Paz García-Portilla and Bobes, 2013, Ante el nuevo reto de identificar el síndrome negativo de la esquizofrenia The new challenge in identifying the negative syndrome of schizophrenia. Revista de Psiquiatría y Salud Mental, 6 (2013), pp. 141-143 http://dx.doi.org/10.1016/j.rpsm.2013.09.002
  • Pemberton and Wainwright, 2014, The end of mental illness thinking?. International Journal of Clinical and Health Psychology, 14 (2014), pp. 216-220 http://dx.doi.org/10.1016/j.ijchp.2014.05.003
  • Pyle et al., 2018, Peer support for internalised stigma experienced by people with psychosis: Rationale and recommendations. Psychosis, 10 (2018), pp. 146-152 http://dx.doi.org/10.1080/17522439.2018.1437212
  • Rector et al., 2005, The negative symptoms of schizophrenia: A cognitive perspective. Canadian Journal of Psychiatry, 50 (2005), pp. 247-257 http://dx.doi.org/10.1177/070674370505000503
  • Ritsher et al., 2003, Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121 (2003), pp. 31-49 http://dx.doi.org/10.1016/j.psychres.2003.08.008
  • Roca and Crespí, 2013, El estigma social. Impacto social de la esquizofrenia, Glosa, (2013),
  • Ros-Morente et al., 2011, Process of adaptation to Spanish of the Community Assessment of Psychic Experiences (CAPE). Actas Española de Psiquiatría, 39 (2011), pp. 95-105 https://www.mentalhealth.va.gov/communityproviders/docs/review_recovery_measures.pdf
  • Schrank et al., 2014, Insight, positive and negative symptoms, hope, depression and self-stigma: A comprehensive model of mutual influences in schizophrenia spectrum disorders. Epidemiology and Psychiatric Sciences, 23 (2014), pp. 271-279 http://dx.doi.org/10.1017/S2045796013000322
  • Singla et al., 2020, Recovery and its correlates in patients with schizophrenia. Asian Journal of Psychiatry, 52 (2020), http://dx.doi.org/10.1016/j.ajp.2020.102162
  • Slade, 2009, Personal recovery and mental illness: A guide for mental health professionals. Personal Recovery and Mental Illness: A Guide for Mental Health Professionals, Cambridge University Press, (2009), http://dx.doi.org/10.1017/CBO9780511581649
  • Stefanis et al., 2002, Evidence that three dimensions of psychosis have a distribution in the general population. Psychological Medicine, 32 (2002), pp. 347-358 http://dx.doi.org/10.1017/S0033291701005141
  • Vass et al., 2017, How stigma gets under the skin: the role of stigma, self-stigma and self-esteem in subjective recovery from psychosis. Psychosis, 9 (2017), pp. 235-244 http://dx.doi.org/10.1080/17522439.2017.1300184
  • Weeks et al., 2011, A UK validation of the Stages of Recovery Instrument. International Journal of Social Psychiatry, 57 (2011), pp. 446-454 http://dx.doi.org/10.1177/0020764010365414
  • Wood et al., 2017, The impact of stigma on emotional distress and recovery from psychosis: The mediatory role of internalised shame and self-esteem. Psychiatry Research, 255 (2017), pp. 94-100 http://dx.doi.org/10.1016/j.psychres.2017.05.016
  • Xu et al., 2016, Self-labelling and stigma as predictors of attitudes towards help-seeking among people at risk of psychosis: 1-year follow-up. European Archives of Psychiatry and Clinical Neuroscience, 266 (2016), pp. 79-82 http://dx.doi.org/10.1007/s00406-015-0576-2
  • Yanos et al., 2011, Narrative enhancement and cognitive therapy: A new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy, 61 (2011), pp. 576-595 http://dx.doi.org/10.1521/ijgp.2011.61.4.576
  • Young and Ng, 2016, The prevalence and predictors of self-stigma of individuals with mental health illness in two Chinese cities. International Journal of Social Psychiatry, 62 (2016), pp. 176-185 http://dx.doi.org/10.1177/0020764015614596
Datuen iturria: Dialnet