Impact of cognitive therapy on internalised stigma in people with at-risk mental states

Morrison, A. P. et al. (2013) Impact of cognitive therapy on internalised stigma in people with at-risk mental states. British Journal of Psychiatry, 203(2), pp. 140-145. (doi: 10.1192/bjp.bp.112.123703)

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Background: Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma.<p></p> Aims: To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial.<p></p> Method: Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma.<p></p> Results: Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was –1.36 (95% CI –2.69 to –0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% CI –0.05 to 0.98, P = 0.079).<p></p> Conclusions: These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.<p></p>

Item Type:Articles
Glasgow Author(s) Enlighten ID:Gumley, Professor Andrew
Authors: Morrison, A. P., Birchwood, M., Pyle, M., Flach, C., Stewart, S. L.K., Byrne, R., Patterson, P., Jones, P. B., Fowler, D., Gumley, A. I., and French, P.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:British Journal of Psychiatry
Publisher:Royal College of Psychiatrists
ISSN (Online):1472-1465
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
423761Early detection and psychological intervention for individuals at high risk of psychosisAndrew GumleyMedical Research Council (MRC)G0500264/73571IHW - MENTAL HEALTH & WELLBEING