Reducing self-stigma in psychosis : A systematic review and meta-analysis of psychological interventions
Lamarca, Maria (Institut de Recerca Sant Joan de Déu)
Espinosa, Victoria (Institut de Recerca Sant Joan de Déu)
Acuña, Vanessa (Universidad de Valparaíso. Departamento de Psiquiatría)
Vila-Badia, Regina (Institut de Recerca Sant Joan de Déu)
Balsells-Mejia, Sol (Fundació Sant Joan de Déu per a la Recerca)
Moritz, Steffen (Universitätsklinikum Hamburg-Eppendorf (UKE))
Berna, Fabrice (University Hospital of Strasbourg)
König, Caroline (Universitat Politècnica de Catalunya)
Gawęda, Łukasz (Institute of Psychology (Polònia))
Barajas Vélez, Ana (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Ochoa, Susana (Institut de Recerca Sant Joan de Déu)

Data:	2024
Resum:	The burden of self-stigma in psychosis has been widely studied, leading to the development and implementation of self-stigma reduction programmes to ameliorate its impact. In order to successfully improve self-stigma in psychosis, we must evaluate the effect of available interventions to help clinicians select the most appropriate approach for their patients. This systematic review and meta-analysis aimed to evaluate the effect of self-stigma reduction interventions in people with psychosis while considering the interventions' characteristics as an important moderator of their effect. The results from this systematic review suggest that interventions involving more than one component, particularly those combining psychoeducation, social skills training and cognitive approaches, were most effective at reducing self-stigma in people with psychosis. Additionally, shorter interventions were found best reduced self-stigma at post-treatment evaluation. A meta-analysis mirrored these results, finding an overall favourable effect of interventions but high heterogeneity in the sample. Subgroup analyses found larger self-stigma reductions following multi-component interventions compared to single-component interventions. An analysis of risk of bias revealed a trend suggesting studies with lower risk of bias produced smaller effects. The results of this review can inform practitioners select and develop interventions to reduce self-stigma in psychosis.
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	Schizophrenia ; Psychotic disorders ; Internalised stigma ; Therapy ; Personalised treatment
Publicat a:	Psychiatry research, Vol. 342 (December 2024) , ISSN 1872-7123

DOI: 10.1016/j.psychres.2024.116262

19 p, 3.9 MB

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