A randomised controlled trial of a group intervention to reduce engulfment and self-stigmatisation in first episode schizophrenia

McCay, E; Beanlands, H; Zipursky, R; Roy, P; Leszcz, M; Landeen, J; Ryan, K; Conrad, G; Romano, D; Francis, D; Hunt, J; Costantini, L; Chan, EY

A randomised controlled trial of a group intervention to reduce engulfment and self-stigmatisation in first episode schizophrenia

McCay, E Beanlands, H Zipursky, R Roy, P Leszcz, M Landeen, J Ryan, K Conrad, G Romano, D Francis, D Hunt, J Costantini, L Chan, EY

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Publisher:: eContent Management Pty. Ltd.
Publication Type:: Journal Article
Citation:: Advances in Mental Health, 2007, 6 (3)
Issue Date:: 2007-01

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Field	Value	Language
dc.contributor.author	McCay, E	en_US
dc.contributor.author	Beanlands, H	en_US
dc.contributor.author	Zipursky, R	en_US
dc.contributor.author	Roy, P	en_US
dc.contributor.author	Leszcz, M	en_US
dc.contributor.author	Landeen, J	en_US
dc.contributor.author	Ryan, K	en_US
dc.contributor.author	Conrad, G	en_US
dc.contributor.author	Romano, D	en_US
dc.contributor.author	Francis, D	en_US
dc.contributor.author	Hunt, J	en_US
dc.contributor.author	Costantini, L	en_US
dc.contributor.author	Chan, EY https://orcid.org/0000-0002-6847-6545	en_US
dc.date.issued	2007-01	en_US
dc.identifier.citation	Advances in Mental Health, 2007, 6 (3)	en_US
dc.identifier.issn	1837-4905	en_US
dc.identifier.uri	http://hdl.handle.net/10453/35393
dc.description.abstract	Young people coping with first episode schizophrenia may be predisposed to illness engulfment whereby the illness entirely defines self-concept. They require psychosocial intervention to preserve an identity distinct from illness, promote hopefulness, and minimise the impact of stigma, enabling them to embrace a healthy sense of self and an optimistic future. The purpose of this study was to evaluate a group intervention designed to promote healthy self-concepts by reducing self-stigmatisation and engulfment among young adults recovering from first episode schizophrenia. Participants at two first episode psychosis clinics, one in Toronto and one in Ottawa, were assigned to one of two groups: intervention plus treatment as usual, or a control with only treatment as usual. A repeated measures analysis revealed that immediately post-intervention, the treatment group significantly improved on engulfment, hope, and quality of life measures compared with the control. No improvement was observed in self-concept, self-esteem, self-efficacy, and stigma. Intervening early in the course of the illness to address engulfment and self-stigmatisation may enable young people to acquire positive attitudes toward themselves and the future. Future longitudinal data are needed to determine whether this intervention will prevent the development of chronicity and demoralisation over time.	en_US
dc.publisher	eContent Management Pty. Ltd.	en_US
dc.relation.ispartof	Advances in Mental Health	en_US
dc.title	A randomised controlled trial of a group intervention to reduce engulfment and self-stigmatisation in first episode schizophrenia	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	6	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	closed_access
pubs.consider-herdc	true	en_US
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	6	en_US

Abstract:

Young people coping with first episode schizophrenia may be predisposed to illness engulfment whereby the illness entirely defines self-concept. They require psychosocial intervention to preserve an identity distinct from illness, promote hopefulness, and minimise the impact of stigma, enabling them to embrace a healthy sense of self and an optimistic future. The purpose of this study was to evaluate a group intervention designed to promote healthy self-concepts by reducing self-stigmatisation and engulfment among young adults recovering from first episode schizophrenia. Participants at two first episode psychosis clinics, one in Toronto and one in Ottawa, were assigned to one of two groups: intervention plus treatment as usual, or a control with only treatment as usual. A repeated measures analysis revealed that immediately post-intervention, the treatment group significantly improved on engulfment, hope, and quality of life measures compared with the control. No improvement was observed in self-concept, self-esteem, self-efficacy, and stigma. Intervening early in the course of the illness to address engulfment and self-stigmatisation may enable young people to acquire positive attitudes toward themselves and the future. Future longitudinal data are needed to determine whether this intervention will prevent the development of chronicity and demoralisation over time.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/35393