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一项试点研究,调查BEGIN心理教育干预对临床高危精神病患者情绪及耻辱相关体验的影响。

A pilot study investigating the effect of the BEGIN psychoeducation intervention for people at clinical high risk for psychosis on emotional and stigma-related experiences.

作者信息

Mikelic Maxwell, Jusdanis Alexander, Bergson Zachary, DeLuca Joseph S, Sarac Cansu, Dobbs Matthew F, Shuster Sophia, Vaidya Shreya, Wyka Katarzyna, Yang Lawrence H, Landa Yulia, Corcoran Cheryl M, Herrera Shaynna N

机构信息

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Gordon F. Derner School of Psychology, Adelphi University, Garden City, New York, USA.

出版信息

Early Interv Psychiatry. 2024 Dec;18(12):1055-1061. doi: 10.1111/eip.13602. Epub 2024 Jul 30.

Abstract

AIM

There is concern that the provision of the clinical high risk for psychosis (CHR) label is stigmatizing. Prior research suggests people have nuanced reactions to feedback involving the CHR label, including a positive experience receiving feedback and improvement in negative emotions (e.g., shame), while also exhibiting concerns about self-perception and perceptions from others related to the label. The current pilot study aimed to evaluate whether individuals at CHR showed changes in emotional and stigma-related experiences following a CHR psychoeducation intervention, BEGIN: Brief Educational Guide for Individuals in Need.

METHOD

Participants at CHR (N = 26) identified via the Structured Interview for Psychosis-Risk Syndromes completed the Mental Health Attitudes Interview measuring symptom-related and CHR label-related stigma at pre- and post-intervention.

RESULTS

Stigma did not increase and participants had greater positive emotions (e.g., feeling hopeful and relieved), post-BEGIN.

CONCLUSION

This study suggests that standardized CHR psychoeducation does not increase stigma in individuals at CHR.

摘要

目的

人们担心提供精神病临床高危(CHR)标签会带来污名化。先前的研究表明,人们对涉及CHR标签的反馈有细微差别反应,包括收到反馈时的积极体验和负面情绪(如羞耻感)的改善,同时也表现出对自我认知以及他人与该标签相关认知的担忧。当前的试点研究旨在评估CHR个体在接受CHR心理教育干预(BEGIN:针对有需要个体的简短教育指南)后,其情绪和与污名相关的体验是否发生变化。

方法

通过精神病风险综合征结构化访谈确定的CHR参与者(N = 26)在干预前和干预后完成了心理健康态度访谈,以测量与症状相关和与CHR标签相关的污名。

结果

污名没有增加,且在接受BEGIN干预后,参与者有更积极的情绪(如感到充满希望和宽慰)。

结论

本研究表明,标准化的CHR心理教育不会增加CHR个体的污名。

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