title: Longitudinal course of self-labeling, stigma stress and well-being among young people at risk of psychosis.
abstract: Stigma may undermine the well-being of young people at risk of psychosis. We therefore measured self-labeling, stigma variables and well-being at baseline and again one year later among 77 at-risk participants. An increase in self-labeling during this period predicted heightened stigma stress after one year and a decrease in stigma stress predicted better well-being at follow-up, controlling for symptoms, psychiatric comorbidity and sociodemographic variables. Besides early intervention programmes, strategies are needed to reduce the public stigma associated with at-risk status and to support young people at risk to better cope with self-labeling and stigma stress.
authors.affiliation: Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany; Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland. Electronic address: nicolas.ruesch@uni-ulm.de.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Rüsch
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Mario
authors.initials: M
authors.lastname: Müller
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Karsten
authors.initials: K
authors.lastname: Heekeren
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Theodoridou
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Sibylle
authors.initials: S
authors.lastname: Metzler
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Diane
authors.initials: D
authors.lastname: Dvorsky
authors.affiliation: Illinois Institute of Technology, Chicago, USA.
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Corrigan
authors.affiliation: Hospital of Child and Adolescent Psychiatry, University of Zürich, Switzerland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Walitza
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland; Institute of Psychiatry, Laboratory of Neuroscience, LIM27, University of Sao Paulo, Brazil.
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D011618:Psychotic Disorders / Q000523:psychology*; D012306:Risk; D012649:Self Concept; D057545:Social Stigma; D013315:Stress, Psychological; D055815:Young Adult
keywords: At-risk mental state; Labeling; Stigma; Stigma stress; Well-being