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

Author:

Mikelic Maxwell12ORCID,Jusdanis Alexander1,Bergson Zachary1,DeLuca Joseph S.13ORCID,Sarac Cansu1,Dobbs Matthew F.1,Shuster Sophia1ORCID,Vaidya Shreya1,Wyka Katarzyna4,Yang Lawrence H.56,Landa Yulia1,Corcoran Cheryl M.17,Herrera Shaynna N.1ORCID

Affiliation:

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

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

3. Department of Psychological and Brain Sciences Fairfield University Fairfield Connecticut USA

4. Department of Epidemiology and Biostatistics CUNY Graduate School of Public Health and Health Policy New York New York USA

5. School of Global Public Health New York University New York New York USA

6. Mailman School of Public Health Columbia University New York New York USA

7. U.S. Department of Veterans Affairs, VISN 2 Mental Illness Research, Education and Clinical Center (MIRECC) James J. Peters Veterans Affairs Medical Center Bronx New York USA

Abstract

AbstractAimThere 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.MethodParticipants 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.ResultsStigma did not increase and participants had greater positive emotions (e.g., feeling hopeful and relieved), post‐BEGIN.ConclusionThis study suggests that standardized CHR psychoeducation does not increase stigma in individuals at CHR.

Funder

Georgia Clinical and Translational Science Alliance

Publisher

Wiley

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