The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Stigma and treatment delay in first‐episode psychosis: a grounded theory study
Open accessAbstract
Aim: A longer duration of untreated psychosis (DUP) is associated with greater morbidity in the early course of schizophrenia. This formative, hypothesis‐generating study explored the effects of stigma, as perceived by family members, on DUP. Methods: Qualitative interviews were conducted with 12 African American family members directly involved in treatment initiation for a relative with first‐episode psychosis. Data analysis relied on a grounded theory approach. A testable model informed by constructs of Link's modified labelling theory was developed. Results: Four main themes were identified, including: (i) society's beliefs about mental illnesses; (ii) families' beliefs about mental illnesses; (iii) fear of the label of a mental illness; and (iv) a raised threshold for the initiation of treatment. A grounded theory model was developed as a schematic representation of the themes and subthemes uncovered in the family members' narratives. Conclusions: The findings suggest that due to fear of the official label of a mental illness, certain coping mechanisms may be adopted by families, which may result in a raised threshold for treatment initiation, and ultimately treatment delay. If the relationships within the grounded theory model are confirmed by further qualitative and quantitative research, public educational programs could be developed with the aim of reducing this threshold, ultimately decreasing DUP.
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Citations
Cites
Qualitative research in health care: Analysing qualitative data
Pope, C. (2000) · BMJ · doi:10.1136/bmj.320.7227.114 · Cited by 8,131
A Modified Labeling Theory Approach to Mental Disorders: An Empirical Assessment
Link, B. G., Cullen, F. T., Struening, E., Shrout, P. E., & Dohrenwend, B. P. (1989) · American Sociological Review · doi:10.2307/2095613 · Cited by 1,935 · cited 3×
“A grounded theory approach facilitated synthesis of themes and subthemes elicited in qualitative interviews and enabled the development of a testable model, which was informed by constructs of modified labelling theory put forth by Link et al.(19,20) The resulting model proposes possible ways in which stigma may affec…”
MethodIncome, Poverty, and Health Insurance Coverage In The United States: 2006: (668082007-001)
DeNavas-Walt, C., Proctor, B. D., & Smith, J. (2007) · PsycEXTRA Dataset · doi:10.1037/e668082007-001 · Cited by 1,636
The Prodromal Phase of First-episode Psychosis: Past and Current Conceptualizations
Yung, A. R., & McGorry, P. D. (1996) · Schizophrenia Bulletin · doi:10.1093/schbul/22.2.353 · Cited by 1,168
Wang, P. S., Berglund, P., & Kessler, R. C. (2000) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2000.9908044.x · Cited by 686 · cited 1×
“Research suggests that in the United States, racial and ethnic minorities tend to receive a lower quality of health care than non-minorities, even when access-related factors, such as patients’ insurance status and income, are controlled.(50) In the report entitled Mental Health: Culture, Race, and Ethnicity,(51) then…”
BackgroundIdentification of patient attitudes and preferences regarding treatment of depression
Cooper-Patrick, L., Powe, N. R., Jenckes, M. W., Gonzales, J. J., Levine, D. M., & Ford, D. E. (1997) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1997.00075.x · Cited by 381 · cited 2×
“Some studies also show that African Americans are more concerned with stigma than other ethnic groups in the United States and are more likely to endorse stigmatizing beliefs regarding people with psychiatric disorders and their families.(54,55) African Americans have reported that stigma is a significant treatment ba…”
BackgroundThe natural history and pathophysiology of treatment resistant schizophrenia
Sheitman, B. B., & Lieberman, J. A. (1998) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(97)00052-6 · Cited by 140
Cited by
Misra, S., Jackson, V. W., Chong, J., Choe, K., Tay, C., Wong, J., & Yang, L. H. (2021) · American Journal of Community Psychology · doi:10.1002/ajcp.12516 · Cited by 328
Dell’Osso, B., Glick, I. D., Baldwin, D. S., & Altamura, A. C. (2013) · Psychopathology · doi:10.1159/000338608 · Cited by 118
Mueser, K. T., DeTore, N. R., Kredlow, M. A., Bourgeois, M. L., Penn, D. L., & Hintz, K. (2020) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13102 · Cited by 54
Wood, L., Byrne, R., Enache, G., & Morrison, A. P. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.030 · Cited by 41
Stelzmann, D., Toth, R., & Schieferdecker, D. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10132961 · Cited by 41
Factors responsible for delay in treatment seeking in patients with psychosis: A qualitative study
Dutta, M., Spoorthy, M. S., Patel, S., & Agarwala, N. (2019) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_234_17 · Cited by 36
Henderson, J. L., Chiodo, D., Varatharasan, N., Andari, S., Luce, J., & Wolfe, J. (2023) · Early Intervention in Psychiatry · doi:10.1111/eip.13315 · Cited by 36
Self-Help Interventions for Psychosis: A Meta-Analysis
Scott, A. J., Webb, T. L., & Rowse, G. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.05.002 · Cited by 33
An Integrative Cognitive Model of Internalized Stigma in Psychosis
Wood, L., Byrne, R., & Morrison, A. P. (2017) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000224 · Cited by 27
Jansen, J. E., Pedersen, M. B., Trauelsen, A. M., Lyse Nielsen, H.-G., Haahr, U. H., & Simonsen, E. (2016) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000449 · Cited by 23
Factors influencing emerging adults' use of outpatient mental health services
Black, S. R., Fristad, M. A., Arnold, L. E., Birmaher, B., Findling, R. L., Youngstrom, E. A., & Horwitz, S. M. (2019) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2018.1501328 · Cited by 4
Parekh, U., Bardolia, D. D., Gandhi, R., & Nemlekar, S. (2024) · Current Psychiatry Research and Reviews · doi:10.2174/2666082219666230517141308
Metadata
- Authors
- Franz, L., Carter, T., Leiner, A. S., Bergner, E., Thompson, N. J., & Compton, M. T.
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2010-01-28
- Volume
- 4
- Issue
- 1
- Pages
- 47-56
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- OpenAlex
- W1964821108
- Cited by
- 162
- References
- 7
- FWCI
- 10.10
- Type
- journal article
- Language
- en
- Open access
- green
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