title: Self-labelling and stigma as predictors of attitudes towards help-seeking among people at risk of psychosis: 1-year follow-up.
abstract: Mental health service use is helpful but rare among young people at risk of psychosis. The label and stigma associated with mental illness may affect attitudes towards help-seeking. We examined 67 individuals at risk of psychosis over the course of 1 year. An increase of self-labelling as "mentally ill" predicted more positive attitudes towards psychiatric medication, while increased perceived stigma and the cognitive appraisal of stigma as a stressor predicted poorer attitudes towards psychotherapy after 1 year. Early intervention could improve non-stigmatizing awareness of at-risk mental state and reduce the public stigma associated with at-risk status to facilitate help-seeking.
authors: Department of Psychiatry II, University of Ulm and BKH Günzburg, Parkstrasse 11, 89073, Ulm, Germany. ziyan.xu@uniklinik-ulm.de.
authors: Ziyan
authors: Z
authors: Xu
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.
authors: Mario
authors: M
authors: Müller
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.
authors: Karsten
authors: K
authors: Heekeren
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.
authors: Anastasia
authors: A
authors: Theodoridou
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.
authors: Diane
authors: D
authors: Dvorsky
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.
authors: Sibylle
authors: S
authors: Metzler
authors: School of Medicine, Pharmacy and Health, Durham University, Durham, UK.
authors: Alison
authors: A
authors: Brabban
authors: Illinois Institute of Technology, Chicago, IL, USA.
authors: Patrick W
authors: PW
authors: Corrigan
authors: Hospital of Child and Adolescent Psychiatry, University of Zürich, Zurich, Switzerland.
authors: Susanne
authors: S
authors: Walitza
authors: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Zurich, Switzerland.|Institute of Psychiatry, Laboratory of Neuroscience, LIM27, University of Sao Paulo, Sao Paulo, Brazil.
authors: Wulf
authors: W
authors: Rössler
authors: Department of Psychiatry II, University of Ulm and BKH Günzburg, Parkstrasse 11, 89073, Ulm, Germany.
authors: Nicolas
authors: N
authors: Rüsch
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D000066505:Help-Seeking Behavior; D006801:Humans; D016014:Linear Models; D008297:Male; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000503:physiopathology / Q000523:psychology*; D012649:Self Concept; D057545:Social Stigma; D055815:Young Adult
keywords: At risk of psychosis; Help-seeking; Self-labelling; Stigma
references: Psychiatry Res. 2013 Dec 30;210(3):1313-5
references: 24012162
references: BMC Psychiatry. 2010 Dec 30;10:113
references: 21192795
references: Schizophr Bull. 2003;29(4):703-15
references: 14989408
references: Soc Sci Med. 2011 Aug;73(4):498-506
references: 21794967
references: Front Public Health. 2014 Oct 01;2:166
references: 25325050
references: Psychiatr Serv. 2013 Mar 1;64(3):284-8
references: 23450386
references: J Affect Disord. 2005 Oct;88(2):217-33
references: 16125784
references: Br J Psychiatry. 2014 Aug;205(2):88-94
references: 25252316
references: Schizophr Res. 2010 Jul;120(1-3):42-8
references: 20399610
references: Pers Soc Psychol Bull. 2004 Feb;30(2):173-84
references: 15030632
references: Schizophr Res. 2009 May;110(1-3):65-71
references: 19237266
references: Schizophr Res. 2009 May;110(1-3):59-64
references: 19269140
references: Schizophr Res. 2014 Feb;152(2-3):400-7
references: 24377700
references: Psychol Med. 2015 Jan;45(1):11-27
references: 24569086
references: Annu Rev Psychol. 2005;56:393-421
references: 15709941
references: Med J Aust. 2007 Oct 1;187(7 Suppl):S35-9
references: 17908023
references: Schizophr Bull. 1987;13(2):261-76
references: 3616518
references: Schizophr Res. 2010 Jul;120(1-3):16-22
references: 20381319