Universität zu Köln

Haidl, Theresa K., Seves, Mauro, Eggers, Susanne, Rostamzadeh, Ayda, Genske, Anna, Juenger, Saskia, Woopen, Christiane, Jessen, Frank, Ruhrmann, Stephan ORCID: 0000-0002-6022-2364 and Vogeley, Kai (2019). Health literacy in clinical-high-risk individuals for psychosis: A systematic mixed-methods review. Early Interv. Psychiatry, 13 (6). S. 1293 - 1310. HOBOKEN: WILEY. ISSN 1751-7893

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Abstract

Objective Numerous studies suggest that health literacy (HL) plays a crucial role in maintaining and improving individual health. Empirical findings highlight the relation between levels of a person's HL and her/his clinical outcome. To date, the role of HL in persons at-risk for psychosis has not been systematically reviewed. Methods We conducted a systematic review using a mixed-methods approach to analyse a variety of study types. Peer-reviewed publications were systematically searched in PUBMED, Cochrane Library, PsycINFO and Web of Science. Results The search string returned 10587 publications. After screening, 15 quantitative, four qualitative studies and two reviews were included. Only one study assessed HL as primary outcome, assessing knowledge and beliefs about psychosis among the general population. In the other studies, sub-dimensions of HL were investigated. None of the publications operationalized HL or it's sub-dimensions with a validated measure. Conclusions A lack of understanding of their condition, and fear of stigmatization, were associated with a delay in help-seeking among people with clinical-high-risk state for psychosis. Family members, school personnel, general practitioners and the internet play a crucial role in the HL process. Considerable barriers in obtaining adequate specialist support emphasize the urgent need of a HL environment for persons at risk for psychosis.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Haidl, Theresa K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Seves, Mauro UNSPECIFIED UNSPECIFIED UNSPECIFIED Eggers, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Rostamzadeh, Ayda UNSPECIFIED UNSPECIFIED UNSPECIFIED Genske, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Juenger, Saskia UNSPECIFIED UNSPECIFIED UNSPECIFIED Woopen, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Jessen, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruhrmann, Stephan UNSPECIFIED orcid.org/0000-0002-6022-2364 UNSPECIFIED Vogeley, Kai UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-126516
DOI:	10.1111/eip.12776
Journal or Publication Title:	Early Interv. Psychiatry
Volume:	13
Number:	6
Page Range:	S. 1293 - 1310
Date:	2019
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1751-7893
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ULTRA-HIGH-RISK; MENTAL STATE ARMS; HELP-SEEKING; YOUNG-PEOPLE; MEDICATION ADHERENCE; EARLY INTERVENTION; EARLY RECOGNITION; EPA GUIDANCE; PATHWAYS; SCHIZOPHRENIA Multiple languages Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12651