Self-stigma profiles in schizophrenia: a Latent Class Analysis approach.
Alejandra Caqueo-Urízar, Felipe Ponce-Correa, Alfonso Urzúa and 2 others
PMID 40667948WHAT IT FOUND
Among 227 people with schizophrenia, poorer adjustment in social, school, and work roles before psychosis onset was linked to higher self-stigma profiles.
Ethnicity, gender, untreated psychosis duration, and symptom severity were not significant predictors.
Key findings
01The analysis identified three self-stigma profiles: high (98 patients), moderate (77 patients), and low (52 patients).
02Poorer adjustment before psychosis onset was the only significant predictor of membership in the high or moderate stigma profiles compared with the low stigma profile.
03Ethnicity, gender, duration of untreated psychosis, and symptom severity were not significant predictors of stigma profile membership.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was convenience-based from three public mental health centers in Arica, Chile, so it may not represent people with schizophrenia in other settings. The study used a cross-sectional design, so it cannot show that premorbid adjustment caused stigma or how stigma profiles change over time. Only stabilized community-dwelling patients able to take part were included, and patients with neurological or central nervous system disorders were excluded, so the findings may not apply to acute or medically complex patients. Stigma, premorbid adjustment, symptoms, and duration of untreated psychosis were measured at one time by self-report and record-based methods, and some information relied on recall. The sample size was determined by feasibility and eligible participants attending follow-up, not by a stated power calculation.
Declared interests
The supplied text reports funding by Agencia Nacional de Investigación y Desarrollo, Grant # FONDECYT 1200785, Chile.
The easy way to misread this
Do not conclude that poorer adjustment before psychosis onset causes high self-stigma. The study was cross-sectional and only reported an association at one time point.