Experience of stigmatization in children receiving inpatient and outpatient mental health treatment: a longitudinal study

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dc.coverageDOI: 10.1007/s00787-021-01904-5
dc.creatorKaushik, Anya
dc.creatorPapachristou, Efstathios
dc.creatorTelesia, Laurence
dc.creatorDima, Danai
dc.creatorFewings, Sandra
dc.creatorKostaki, Evgenia
dc.creatorGaete, Jorge
dc.creatorPloubidis, George B
dc.creatorKyriakopoulos, Marinos
dc.date2021
dc.date.accessioned05-01-2026 18:12
dc.date.available05-01-2026 18:12
dc.description<p>Mental health-related stigma is poorly understood, and minimal research has focused on the experience of stigma from children's perspectives. We sought to investigate whether children treated as inpatients and outpatients had different experiences of stigma over time and whether stigma is linked to global functioning cross-sectionally and longitudinally. Children, aged 8-12 years, receiving treatment within a national specialist mental health inpatient unit were matched for age, gender and diagnosis with children receiving outpatient treatment (N?=?64). Validated measures of stigma, global functioning and symptom severity were collected at the start of treatment and upon discharge from the ward for inpatients, and a similar timeframe for their individually matched outpatients. Latent change score models and partial correlation coefficients were employed to test our hypotheses. No differences in most aspects of stigma between children treated as inpatients and outpatients were observed, except for personal rejection at baseline and self-stigma at follow-up favouring outpatients. A reduction in stigma was observed in societal devaluation, personal rejection and secrecy for inpatients, and self-stigma and secrecy for outpatients between the two assessments. Societal devaluation declined at a higher rate among inpatients compared to outpatients, albeit reductions in stigma were comparable for all remaining measures. No association was found between the change in stigma and change in global functioning. Future research may offer further insights into the development and maintenance of stigma and identify key targets for anti-stigma interventions to reduce its long-term impact.</p>eng
dc.descriptionMental health-related stigma is poorly understood, and minimal research has focused on the experience of stigma from children’s perspectives. We sought to investigate whether children treated as inpatients and outpatients had different experiences of stigma over time and whether stigma is linked to global functioning cross-sectionally and longitudinally. Children, aged 8–12 years, receiving treatment within a national specialist mental health inpatient unit were matched for age, gender and diagnosis with children receiving outpatient treatment (N = 64). Validated measures of stigma, global functioning and symptom severity were collected at the start of treatment and upon discharge from the ward for inpatients, and a similar timeframe for their individually matched outpatients. Latent change score models and partial correlation coefficients were employed to test our hypotheses. No differences in most aspects of stigma between children treated as inpatients and outpatients were observed, except for personal rejection at baseline and self-stigma at follow-up favouring outpatients. A reduction in stigma was observed in societal devaluation, personal rejection and secrecy for inpatients, and self-stigma and secrecy for outpatients between the two assessments. Societal devaluation declined at a higher rate among inpatients compared to outpatients, albeit reductions in stigma were comparable for all remaining measures. No association was found between the change in stigma and change in global functioning. Future research may offer further insights into the development and maintenance of stigma and identify key targets for anti-stigma interventions to reduce its long-term impact. © 2021, The Author(s).spa
dc.identifierhttps://investigadores.uandes.cl/en/publications/69f45069-a826-407d-84c3-b4410a04571e
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.source-2021
dc.subjectChildren
dc.subjectGlobal functioning
dc.subjectInpatient
dc.subjectMental health treatment
dc.subjectOutpatient
dc.subjectStigma
dc.subjectSDG 3 - Good Health and Well-being
dc.titleExperience of stigmatization in children receiving inpatient and outpatient mental health treatment: a longitudinal studyeng
dc.typeArticleeng
dc.typeArtículospa
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