Reducing self-stigma in psychosis

The burden of self-stigma in psychosis has been widely studied, leading to the development and implementation of self-stigma reduction programmes to ameliorate its impact. In order to successfully improve self-stigma in psychosis, we must evaluate the effect of available interventions to help clinic...

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Detalles Bibliográficos
Autores: Lamarca, Maria, Espinosa, Victoria, Acuña, Vanessa, Vila-Badia, Regina|||0000-0001-8819-3991, Balsells-Mejia, Sol, Moritz, Steffen|||0000-0001-8601-0143, Berna, Fabrice|||0000-0002-6118-0629, König, Caroline|||0000-0002-7543-8686, Gawęda, Łukasz|||0000-0001-6578-1846, Barajas Vélez, Ana|||0000-0003-1103-9499, Ochoa, Susana|||0000-0001-6792-1080
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:308842
Acceso en línea:https://ddd.uab.cat/record/308842
https://dx.doi.org/urn:doi:10.1016/j.psychres.2024.116262
Access Level:acceso abierto
Palabra clave:Schizophrenia
Psychotic disorders
Internalised stigma
Therapy
Personalised treatment
Descripción
Sumario:The burden of self-stigma in psychosis has been widely studied, leading to the development and implementation of self-stigma reduction programmes to ameliorate its impact. In order to successfully improve self-stigma in psychosis, we must evaluate the effect of available interventions to help clinicians select the most appropriate approach for their patients. This systematic review and meta-analysis aimed to evaluate the effect of self-stigma reduction interventions in people with psychosis while considering the interventions' characteristics as an important moderator of their effect. The results from this systematic review suggest that interventions involving more than one component, particularly those combining psychoeducation, social skills training and cognitive approaches, were most effective at reducing self-stigma in people with psychosis. Additionally, shorter interventions were found best reduced self-stigma at post-treatment evaluation. A meta-analysis mirrored these results, finding an overall favourable effect of interventions but high heterogeneity in the sample. Subgroup analyses found larger self-stigma reductions following multi-component interventions compared to single-component interventions. An analysis of risk of bias revealed a trend suggesting studies with lower risk of bias produced smaller effects. The results of this review can inform practitioners select and develop interventions to reduce self-stigma in psychosis.