Universität zu Köln

Zaeske, Harald, Linden, Michael, Degner, Detlef, Jockers-Scheruebl, Maria, Klingberg, Stefan, Klosterkoetter, Joachim, Maier, Wolfgang, Moeller, Hans-Jurgen, Sauer, Heinrich, Schmitt, Andrea ORCID: 0000-0002-5426-4023 and Gaebel, Wolfgang (2019). Stigma experiences and perceived stigma in patients with first-episode schizophrenia in the course of 1year after their first in-patient treatment. Eur. Arch. Psych. Clin. Neurosci., 269 (4). S. 459 - 469. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-8491

Full text not available from this repository.

Abstract

Patients with schizophrenia suffer from stigma and discrimination due to their illness. Yet it is not well examined how experiences of stigma and discrimination express at the early illness stage and how they develop subsequently. Therefore, clinical and psycho-social correlates of stigma experiences and perceived stigma are analyzed in patients with first-episode schizophrenia over the course of 1year after their first in-patient treatment. Questionnaire data assessed within the multi-centre-RCT First-Episode Study of the German Research Network on Schizophrenia were analyzed. Patients with first-episode schizophrenia were assessed 8weeks after their first in-patient treatment (post-acute assessment) and 1year later. N=48 (post-acute) and N=24 (1-year follow-up) patients provided questionnaire data appropriate for analyses, with N=12dyads. These data included burden due to stigma experiences (B-STE), perceived stigma (PDDQ), clinical (PANSS, CDSS, CGI, GAF, SAS) and psycho-social factors (LQLP, FSNK-self-esteem, KK-Scale). Cross-lag-correlation models showed a causal relation between stigma experiences (post-acute) and reduced self-esteem after 1year. Multiple regression models revealed different models for experienced and perceived stigma. Factors associated with higher stigma experiences were older age, worse clinical global impression, better social adjustment, lower self-esteem, and the belief that illness is not driven by chance or fate. The different associations between psycho-social factors and stigma experiences and perceived stigma demonstrate the complexity of this inter-relationship. The results have practical implications for psycho-educational and other therapeutic interventions addressing stigma coping. Since the sample was small and selective, replication studies are needed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zaeske, Harald UNSPECIFIED UNSPECIFIED UNSPECIFIED Linden, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Degner, Detlef UNSPECIFIED UNSPECIFIED UNSPECIFIED Jockers-Scheruebl, Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Klingberg, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Klosterkoetter, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Moeller, Hans-Jurgen UNSPECIFIED UNSPECIFIED UNSPECIFIED Sauer, Heinrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitt, Andrea UNSPECIFIED orcid.org/0000-0002-5426-4023 UNSPECIFIED Gaebel, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-147197
DOI:	10.1007/s00406-018-0892-4
Journal or Publication Title:	Eur. Arch. Psych. Clin. Neurosci.
Volume:	269
Number:	4
Page Range:	S. 459 - 469
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-8491
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MENTAL-ILLNESS; SELF-STIGMA; INTERNALIZED STIGMA; ANTICIPATED DISCRIMINATION; PEOPLE; IMPACT; PSYCHOSIS; DISORDERS; RISK; STIGMATIZATION Multiple languages Clinical Neurology; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14719