Experiencing psychosis-spectrum symptoms is challenging to youth. Among many difficulties, internalized mental health stigma-the internalization of negative stereotypes-can lead to shame and withdrawal. The objective of this study was to better understand the correlates of internalized stigma among a clinical sample of youth with psychosis-spectrum symptoms. Participants (n = 66; 12-25 years old) were referred by community providers in Maryland, United States. Psychosis-spectrum symptoms were measured via the Structured Interview for Psychosis-Risk Syndromes (SIPS); family-functioning was measured via the Family Assessment Device. Interviewers rated participants' social/role functioning via the Global Functioning: Social and Role Scales. Internalized stigma was measured using the Internalized Stigma of Mental Illness (ISMI) total scale and subscales. The sample included 34 individuals at clinical high risk for psychosis, 16 experiencing early psychosis, and 16 help-seeking controls. Regression analyses indicated that unusual beliefs, avolition, role functioning, and lower family-functioning (caregiver-reported) were significantly associated with higher aspects of internalized stigma, controlling for other symptoms and sociodemographics. These models explained 27% of the variance (adjusted R2) in the total ISMI scale and between 15% to 49% of the variance in ISMI-subscales. Among this help-seeking sample, unusual beliefs, avolition, higher role functioning, and lower family-functioning (caregiver-reported) were associated with more internalized stigma. Pending future research with larger samples, therapeutic interventions focused on these factors and their correlates may benefit youth. Future research is needed to determine temporal precedence of these associations. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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在寻求帮助的青年样本中内化心理健康耻辱的预测因素：精神病谱症状和家庭功能的作用。

经历精神病谱系症状对年轻人来说是一个挑战。在许多困难中，内化的心理健康污名——负面刻板印象的内化——会导致羞耻和退缩。本研究的目的是更好地了解患有精神病谱症状的青年临床样本中内化污名的相关性。参与者（n = 66；12-25 岁）由美国马里兰州的社区提供者转介。精神病谱症状通过精神病风险综合征结构化访谈 (SIPS) 进行测量；通过家庭评估设备测量家庭功能。采访者通过全球功能：社会和角色量表评估参与者的社会/角色功能。使用精神疾病的内在污名（ISMI）总量表和子量表测量内化污名。样本包括 34 名临床精神病高风险个体、16 名早期精神病患者和 16 名寻求帮助的对照者。回归分析表明，不寻常的信念、意志、角色功能和较低的家庭功能（照顾者报告）与内化污名的较高方面显着相关，控制其他症状和社会人口统计学。这些模型解释了总 ISMI 量表中 27% 的方差（调整后的 R2）和 ISMI 子量表中 15% 至 49% 的方差。在这个寻求帮助的样本中，不寻常的信念、意志、较高的角色功能和较低的家庭功能（照护者报告）与更多的内化污名相关。在未来进行更大样本的研究之前，针对这些因素及其相关因素的治疗干预可能会使青年受益。需要未来的研究来确定这些关联的时间优先级。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。