Impact of cognitive therapy on internalised stigma in people with at-risk mental states

Anthony P. Morrison, Max Birchwood, Melissa Pyle, Clare Flach, Suzanne L. K. Stewart, Rory Byrne, Paul Patterson, Peter B. Jones, David Fowler, Andrew I. Gumley, Paul French
2013 British Journal of Psychiatry  
Internalised stigma in young people meeting criteria for at-risk mental states (ARMS) has been highlighted as an important issue, and it has been suggested that provision of cognitive therapy may increase such stigma. Aims To investigate the effects of cognitive therapy on internalised stigma using a secondary analysis of data from the EDIE-2 trial. Method Participants meeting criteria for ARMS were recruited as part of a multisite randomised controlled trial of cognitive therapy for prevention
more » ... rapy for prevention and amelioration of psychosis. Participants were assessed at baseline and at 6, 12, 18 and 24 months using measures of psychotic experiences, symptoms and internalised stigma. Results Negative appraisals of experiences were significantly reduced in the group assigned to cognitive therapy (estimated difference at 12 months was −1.36 (95% Cl −2.69 to −0.02), P = 0.047). There was no difference in social acceptability of experiences (estimated difference at 12 months was 0.46, 95% Cl −0.05 to 0.98, P = 0.079). Conclusions These findings suggest that, rather than increasing internalised stigma, cognitive therapy decreases negative appraisals of unusual experiences in young people at risk of psychosis; as such, it is a non-stigmatising intervention for this population.
doi:10.1192/bjp.bp.112.123703 pmid:23846995 fatcat:btwehvadg5gwbki3obqimvp2ry