The Effect of Internalized Stigma on Social Anxiety, Functioning and Subjective Recovery after Group Cognitive Interventions for First-Episode Psychosis
Bibliographic record
Abstract
Aim To evaluate whether internalized stigma predicts social anxiety, functioning, and subjective recovery in first episode psychosis differently between group cognitive-behavioral therapy that addressed internalized stigma and cognitive remediation. Methods Data was derived from a randomized controlled trial comparing group cognitive-behavioral therapy for social anxiety with group cognitive remediation in 96 first-episode psychosis participants (18-35 years) with social anxiety disorder. Social anxiety, internalized stigma, functioning, and subjective recovery were assessed at baseline, post-intervention, three and six months later. Results Linear mixed models revealed a significant positive effect of internalized stigma on social anxiety, functioning, and subjective recovery, with no significant interaction between internalized stigma and treatment group, nor with each time point for all three outcomes. Conclusion Results show that internalized stigma did predict improved outcomes but was not specific to group cognitive-behavioral therapy, relative to group cognitive remediation in the current sample, suggesting a general therapeutic benefit of group therapy.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".