Clinical and demographic correlates of stigma in first-episode psychosis: the impact of duration of untreated psychosis
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OBJECTIVE: To evaluate the relationships between perceived stigma and duration of untreated psychosis (DUP), demographic characteristics, and clinical and psychosocial functioning in persons with a first episode of psychosis (FEP). METHOD: A total of 399 participants with FEP presenting for treatment at 34 sites in 21 states throughout the United States were evaluated using standardized instruments to assess diagnosis, symptoms, psychosocial functioning, perceived stigma, wellbeing, and subjective recovery. RESULTS: Perceived stigma was correlated with a range of demographic and clinical variables, including DUP, symptoms, psychosocial functioning, and subjective experience. After controlling for symptom severity, perceived stigma was related to longer DUP, schizoaffective disorder diagnosis, more severe depression, and lower wellbeing and recovery. The associations between stigma and depression, wellbeing, and recovery were stronger in individuals with long than short DUP, suggesting the effects of stigma on psychological functioning may be cumulative over the period of untreated psychosis. CONCLUSION: The findings suggest that independent of symptom severity, perceived stigma may contribute to delay in seeking treatment for FEP, and this delay may amplify the deleterious effects of stigma on psychological functioning. The results point to the importance of reducing DUP and validating interventions targeting the psychological effects of stigma in people with FEP.
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Perceived stigma has been related to delayed treatment seeking.
“Perceived stigma has also been related to delayed treatment seeking (Mueser et al., 2020, Simonsen et al., 2019), as was also replicated in our study where patients and career described stigma as a cause for delay in seeking treatment.”
From Qualitative study to explore the perspectives and mental health experiences of first episode psychosis patients and their caregivers in North India (2024) · cites this paper as Mueser et al., 2020
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Sood, M., Chadda, R. K., Chawla, N., Shukla, T., Patil, V., Ratra, D., Rajhans, P., Padmavati, R., Thara, R., Raghavan, V., et al. (2024) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2024.104121 · Cited by 5 · see citing works
- Authors
- Mueser, K. T., DeTore, N. R., Kredlow, M. A., Bourgeois, M. L., Penn, D. L., & Hintz, K.
- Affiliations
- Boston University (US)
- New York University (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Mueser, K. T.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2019-10-11
- Volume
- 141
- Issue
- 2
- Pages
- 157-166
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- PMC
- PMC6980158
- OpenAlex
- W2976367414
- Cited by
- 54
- References
- 55
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 13 · 2020: 3
- FWCI
- 6.91
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institute on Disability, Independent Living, and Rehabilitation Research (90AR5018)
- National Institute of Mental Health (HHSN271200900019C)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- perceived stigma, first-episode psychosis, duration of untreated psychosis, treatment delay, psychosocial functioning, well-being, subjective recovery, depression, schizoaffective disorder, symptom severity, demographic correlates
- MeSH terms
- Mental Health Recovery, Psychosocial Functioning, Adolescent, Adult, Depression, Female, Humans, Male, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Severity of Illness Index, United States, Young Adult, Social Stigma, Time-to-Treatment
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