PublicStigmaAssociatedWithPsychosis RiskSyndromeinaCollegePopulation: ImplicationsforPeerIntervention

Objectives: This study compared stigma associated with the psychosis risk label and diagnostic labels for nonpsychotic and psychotic mental disorders among young adult peers. Methods: Urban college respondents (N5153) read an experimental vignette describing a young adult experiencing prodromal symptoms who was randomly assigned a diagnostic label (major depression, generalized anxiety disorder, schizophrenia, or psychosis risk with and without accurate information about the psychosis risk label) and answered questions about stigma toward the individual in the vignette. Results: Compared with labels for nonpsychotic disorders, schizophrenia elicited more negative stereotyping andtheat-risklabelinvoked greater social distance and less willingness to help. Any increased social distance appeared to be reduced by accurate information about the at-risk state. No differences in stigma were found for the psychosis risk and schizophrenia labels. Conclusions: The psychosis risk label alone appeared to evoke greater status loss and discrimination. Accurate information may minimize some stigmatizing attitudes among college peers. (Psychiatric Services 64:284–288, 2013; doi:

[1]  Bruce G. Link,et al.  Effects of labeling and interpersonal contact upon attitudes towards schizophrenia: implications for reducing mental illness stigma in urban China , 2012, Social Psychiatry and Psychiatric Epidemiology.

[2]  M. Phillips,et al.  "Excessive thinking" as explanatory model for schizophrenia: impacts on stigma and "moral" status in Mainland China. , 2010, Schizophrenia bulletin.

[3]  C. Corcoran,et al.  Potential stigma associated with inclusion of the psychosis risk syndrome in the DSM-V: An empirical question , 2010, Schizophrenia Research.

[4]  C. Corcoran,et al.  Childhood onset diagnoses in a case series of teens at clinical high risk for psychosis. , 2009, Journal of child and adolescent psychopharmacology.

[5]  T. Moses.  Self-labeling and its effects among adolescents diagnosed with mental disorders. , 2009, Social science & medicine.

[6]  Tyrone D. Cannon,et al.  Prediction of psychosis in youth at high clinical risk: a multisite longitudinal study in North America. , 2008, Archives of general psychiatry.

[7]  Danielle L. Fettes,et al.  Perceived dangerousness of children with mental health problems and support for coerced treatment. , 2007, Psychiatric services.

[8]  B. Pescosolido,et al.  The Construction of Fear: Americans' Preferences for Social Distance from Children and Adolescents with Mental Health Problems∗ , 2007, Journal of health and social behavior.

[9]  D. Malaspina,et al.  Prodromal interventions for schizophrenia vulnerability: the risks of being “at risk” , 2005, Schizophrenia Research.

[10]  Godfrey D Pearlson,et al.  Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: predictive validity, interrater reliability, and training to reliability. , 2003, Schizophrenia bulletin.

[11]  Bruce G. Link,et al.  Public conceptions of mental illness: labels, causes, dangerousness, and social distance. , 1999, American journal of public health.

[12]  Bruce G. Link,et al.  Dispelling the stigma of schizophrenia: II. The impact of information on dangerousness. , 1999, Schizophrenia bulletin.

[13]  O. Wahl,et al.  Impact of a newspaper article on attitudes toward mental illness , 1996 .