Spontaneous labelling and stigma associated with clinical characteristics of peers ‘at‐risk’ for psychosis
Open accessAbstract
Aim: The public health benefits of utilizing an ‘at‐risk for psychosis’ designation are tempered by concerns about stigma. It is therefore of interest to examine whether symptoms associated with this designation might spontaneously induce labels associated with a psychotic disorder, other non‐psychotic disorders or non‐psychiatric labels. This pilot study explored the labels associated with characteristics of ‘high risk for psychosis’ and the corresponding stigma level. Methods: A vignette describing an identical character, followed by a series of questions about stigmatizing attitudes towards the vignette character, was administered in the present investigation. Results: The results indicated that even though most young people (59%) did not spontaneously label the vignette character with psychotic‐like diagnostic labels, the single most frequent label provided was ‘paranoid/a’. When such labelling, that is, strongly tied to psychosis, occurred, respondents exhibited stronger stigmatizing attributions of fear compared to those indicating non‐psychiatric labels (e.g. ‘weird’). Conclusions: These results suggest that the majority of respondents did not endorse diagnostic labels spontaneously, thus signaling that stigma in the majority of cases would not naturalistically be elicited. However, a segment of respondents evidenced stigma simply from behavioural changes manifested by individuals exhibiting signs of psychosis, independent of diagnosis. Implications for reducing any stigma associated with an ‘at‐risk for psychosis’ designation are discussed.
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Stigma is associated with at-risk features even when no at-risk label is attached.
“Stigma seems also associated with at-risk features even when no at-risk label is attached 266”
From Preventive psychiatry: a blueprint for improving the mental health of young people (2021) · cites this paper as [266]
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Preventive psychiatry: a blueprint for improving the mental health of young people
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- Authors
- Anglin, D. M., Greenspoon, M. I., Lighty, Q., Corcoran, C. M., & Yang, L. H.
- Affiliations
- The Graduate Center, CUNY (US)
- Antioch University Santa Barbara (US)
- City College of New York (US)
- Columbia University Irving Medical Center (US)
- Columbia University (US)
- Corresponding author
- Anglin, Deidre M.
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2013-04-18
- Volume
- 8
- Issue
- 3
- Pages
- 247-252
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- PMC
- PMC3887128
- OpenAlex
- W1922915011
- Cited by
- 35
- References
- 23
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2012: 1
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Early Intervention in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000040)
- National Institute of Mental Health (K23MH066279, R21MH086125)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- diagnostic labels, paranoid symptoms, stigmatizing attitudes, youth, psychiatric diagnosis, public perception of mental illness
- MeSH terms
- Adolescent, Adult, Attitude to Health, Mental Disorders, Female, Humans, Male, Peer Group, Pilot Projects, Psychotic Disorders, Young Adult, Social Stigma, Prodromal Symptoms
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