2
|
Boldrini T, Lo Buglio G, Schiano Lomoriello A, Barsanti A, Cordova E, De Salve F, Gennaro A, Girardi P, Göksal R, Katagiri N, Kim SW, Lavoie S, Lingiardi V, Malvini L, McGorry PD, Miola A, Nelson B, Oasi O, Percudani M, Placenti C, Pontillo M, Rossi C, Salcuni S, Takahashi T, Vicari S, Polari A. Service users perspectives on psychosis-risk terminology: An Italian study on labeling terms preferences and stigma. Asian J Psychiatr 2024; 102:104254. [PMID: 39393161 DOI: 10.1016/j.ajp.2024.104254] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2024] [Revised: 09/23/2024] [Accepted: 09/25/2024] [Indexed: 10/13/2024]
Abstract
AIMS The current range of labeling terms-at-risk mental state (ARMS), ultra-high risk for psychosis (UHR), and attenuated psychotic syndrome (APS)-used to refer to the psychosis-risk concept is varied, and their acceptability and potential stigma are not well understood. By involving Italian youth with lived experience of mental ill-health, we aimed to generate new labeling terms for psychosis-risk, and to evaluate literacy, attitudes, and preferences regarding these and the existing terms. Additionally, we investigated opinions of disclosure of the at-risk concept in clinical practice. METHODS Through a dual-moderator focus group, novel diagnostic terms were coined for the at-risk concept: psychosis proneness (PP), change of personal reality (CPR), and hints of subjectivity dysregulation (HSD). A specifically designed questionnaire was then completed by 47 help-seeking youths, 60 relatives, and 61 clinicians to test newly generated and already established at-risk terms. RESULTS Literacy on already established terms was significantly lower among youth (mean= 42 %) and relatives (mean= 38 %). ARMS was the preferred and least stigmatizing term among young people and clinicians. UHR was considered the most stigmatizing label. Among newly generated terms, CPR was the least stigmatizing and most informative. Disclosure of at-risk terminology was generally preferred after establishing a trusting clinician-patient relationship. CONCLUSIONS Findings support ARMS as a useful and acceptable term in clinical practice with young people, while UHR is associated with the highest stigma. CPR is promising and should be tested in cross-cultural studies. In Italy, there is an urgent need for improving literacy on prevention in mental health.
Collapse
Affiliation(s)
- Tommaso Boldrini
- Department of Psychology and Educational Science, Pegaso Telematic University, Naples, Italy
| | - Gabriele Lo Buglio
- Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
| | | | - Alice Barsanti
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Elena Cordova
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Francesca De Salve
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | - Alessandro Gennaro
- Department of Psychology and Educational Science, Pegaso Telematic University, Naples, Italy
| | - Paolo Girardi
- Department of Environmental Sciences, Informatics and Statistics, Ca' Foscari, University of Venice, Venice, Italy
| | - Renan Göksal
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Naoyuki Katagiri
- Department of Neuropsychiatry, School of Medicine, Toho University, Tokyo, Japan
| | - Sung-Wan Kim
- Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea
| | - Suzie Lavoie
- Centre for Youth Mental Health, The University of Melbourne, Australia; Orygen, Parkville, Australia
| | - Vittorio Lingiardi
- Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Patrick D McGorry
- Centre for Youth Mental Health, The University of Melbourne, Australia; Orygen, Parkville, Australia
| | - Alessandro Miola
- Department of Neuroscience, University of Padova, Padova, Italy; Casa di Cura Parco dei Tigli, Padova, Italy
| | - Barnaby Nelson
- Centre for Youth Mental Health, The University of Melbourne, Australia; Orygen, Parkville, Australia
| | - Osmano Oasi
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | | | - Claudio Placenti
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Maria Pontillo
- Child Psychiatry Unit, Department of Neuroscience Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Chiara Rossi
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | - Silvia Salcuni
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Tsutomu Takahashi
- Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan; Research Center for Idling Brain Science, University of Toyama, Toyama, Japan
| | - Stefano Vicari
- Child Psychiatry Unit, Department of Neuroscience Bambino Gesù Children's Hospital, IRCCS, Rome, Italy; Department of Life Science and Public Health, Catholic University of the Sacred Heart, Rome, Italy
| | - Andrea Polari
- Centre for Youth Mental Health, The University of Melbourne, Australia; Orygen Specialist Programs, Melbourne, Australia
| |
Collapse
|