Reducing public stigma toward individuals with psychosis across race and gender: A randomized controlled trial of young adults.

Autor: Amsalem D; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America. Electronic address: doron.amsalem@nyspi.columbia.edu., Valeri L; Department of Biostatistics, Columbia University Mailman School of Public Health, United States of America., Jankowski SE; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Yang LH; Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY, United States of America; Department of Epidemiology, Mailman School of Public Health, New York, NY, United States of America., Bello I; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Nossel I; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Malinovsky I; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Smith S; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Ngo H; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Lieff SA; Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY, United States of America., Pagdon S; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Lipp A; Department of Human Ecology, University of California, Davis, United States of America., Markowitz JC; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America., Neria Y; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America; Department of Epidemiology, Columbia University Irving Medical Center, United States of America., Dixon LB; New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, United States of America.
Jazyk: angličtina
Zdroj: Schizophrenia research [Schizophr Res] 2022 May; Vol. 243, pp. 195-202. Date of Electronic Publication: 2022 Apr 06.
DOI: 10.1016/j.schres.2022.03.011
Abstrakt: Background: Social contact-based interventions effectively reduce stigma toward psychosis. We recently demonstrated the efficacy of a 90-second video intervention in reducing stigma. The current randomized controlled study presents four briefer videos differing in presenter's gender/race, with baseline, postintervention, and 30-day follow-up assessments. The study replicates previous findings and examine whether concordance of presenter's and viewer's race/gender enhanced the anti-stigma effect.
Methods: Using a crowdsourcing platform, we recruited 1993 participants ages 18-35 years to one of four brief video-based interventions (Black/White female, Black/White male presenters) or a nonintervention control condition. In the videos, a young presenter with psychosis humanized their illness through an evocative description of living a meaningful and productive life.
Results: Group-by-time ANOVA showed a significant group-by-time interaction for the total score of all five stigma domains: social distance, stereotyping, separateness, social restriction, and perceived recovery. One-way ANOVA showed greater reductions in video intervention groups than control at post-intervention and 30-day follow-up, but no differences between video groups. Matching race/gender did not further reduce stigma.
Conclusions: This randomized controlled study replicated and extended previous research findings, by showing stigma reduction across videos that differ in the presenter's gender and race, thus enhancing generalizability. The videos described the experience of psychosis and reduced stigma, suggesting their potential utility on social media platforms to increase the likelihood of seeking services and ultimately may improve access to care among young individuals with psychosis. Future research should address intersectional stigma experiences by focusing on race/gender and culturally tailoring the narrative.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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