Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning

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dc.contributor.authorDeLuca, Joseph
dc.contributor.authorAkouri-Shan, LeeAnn
dc.contributor.authorJay, Samantha
dc.contributor.authorRedman, Samantha
dc.contributor.authorPetti, Emily
dc.contributor.authorLucksted, Alicia
dc.contributor.authorRouhakhtar, Pamela Rakhshan
dc.contributor.authorKlaunig, Mallory
dc.contributor.authorEdwards, Sarah M.
dc.contributor.authorReeves, Gloria M.
dc.contributor.authorSchiffman, Jason
dc.date.accessioned2023-08-23T22:13:59Z
dc.date.available2023-08-23T22:13:59Z
dc.date.issued2022-08-01
dc.description.abstractBackground: Experiencing psychosis-spectrum symptoms is challenging to youth. Among many difficulties, internalized mental health stigma—the internalization of negative stereotypes—can lead to shame and withdrawal. The objective of this study was to better understand the correlates of internalized stigma among a clinical sample of youth with psychosis-spectrum symptoms. Method: Participants (n=66; 12-25-years-old) were referred by community providers in Maryland, United States. Psychosis-spectrum symptoms were measured via the Structured Interview for Psychosis-Risk Syndromes (SIPS); family-functioning was measured via the Family Assessment Device. Interviewers rated participants’ social/role functioning via the Global Functioning: Social and Role Scales. Internalized stigma was measured using the Internalized Stigma of Mental Illness (ISMI) total scale and subscales. Results: The sample included 34 individuals at clinical high risk for psychosis, 16 experiencing early psychosis, and 16 help-seeking controls. Regression analyses indicated that unusual beliefs, avolition, role functioning, and lower family-functioning (caregiver-reported) were significantly associated with higher aspects of internalized stigma, controlling for other symptoms and sociodemographics. These models explained 27% of the variance (adjusted R2) in the total ISMI scale and between 15%-49% of the variance in ISMI-subscales. Conclusions: Among this help-seeking sample, unusual beliefs, avolition, higher role functioning, and lower family-functioning (caregiver-reported) were associated with more internalized stigma. Pending future research with larger samples, therapeutic interventions focused on these factors and their correlates may benefit youth. Future research is needed to determine temporal precedence of these associations.en_US
dc.description.sponsorshipThis work was supported by the National Institute of Mental Health (grant R01MH112612 J.S.), the Maryland Department of Health and Mental Hygiene, Behavioral Health Administration through the Maryland Center of Excellence on Early Intervention Program (MEIP) (OPASS# 14-13717G/M00B4400241), and the Substance Abuse and Mental Health Services Administration (Community Intervention for those at Clinical High Risk for Psychosis, vis a vis MD State Dept of Health, SM081092-01).en_US
dc.description.urihttps://psycnet.apa.org/doiLanding?doi=10.1037%2Fabn0000679en_US
dc.format.extent13 pagesen_US
dc.genrejournal articlesen_US
dc.genrepostprintsen_US
dc.identifierdoi:10.13016/m26tf3-l8ob
dc.identifier.citationDeLuca, J. S., Akouri-Shan, L., Jay, S. Y., Redman, S. L., Petti, E., Lucksted, A., Rouhakhtar, P. R., Klaunig, M. J., Edwards, S. M., Reeves, G. M., & Schiffman, J. (2021). Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning. Journal of Abnormal Psychology, 130(6), 587–593. https://doi.org/10.1037/abn0000679en_US
dc.identifier.urihttps://psycnet.apa.org/doi/10.1037/abn0000679
dc.identifier.urihttp://hdl.handle.net/11603/29329
dc.language.isoen_USen_US
dc.publisherAPAen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Student Collection
dc.relation.ispartofUMBC Faculty Collection
dc.rights©American Psychological Association, [2022]. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at: https://doi.org/10.1037/abn0000679.en_US
dc.titlePredictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioningen_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0002-5958-7219en_US
dcterms.creatorhttps://orcid.org/0000-0001-5485-5061en_US
dcterms.creatorhttps://orcid.org/0000-0002-9001-8102en_US
dcterms.creatorhttps://orcid.org/0000-0003-1291-6422en_US
dcterms.creatorhttps://orcid.org/0000-0001-8008-3552en_US
dcterms.creatorhttps://orcid.org/0000-0002-9271-3547en_US
dcterms.creatorhttps://orcid.org/0000-0002-1363-4497en_US

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