Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial

Dubreucq, Julien; Faraldo, Mégane; Abbes, M; Ycart, Bernard; Richard-Lepouriel, Hélène; Favre, Sophie; Jermann, Françoise; Attal, J.; Bakri, Motassem; Cohen, Talia; Chéreau, Isabelle; Cognard, Christian; Clercq, Mikaël De; Douasbin, A.; Giordana, J. Y.; Giraud-Baro, É.; Guillard-Bouhet, Nathalie; Legros-Lafarge, Émilie; Polosan, Mircea; Pouchon, Arnaud; Rolland, Martha; Rainteau, Nicolas; Roussel, C.; Wangermez, C.; Yanos, Philip T.; Lysaker, Paul H.; Franck, Nicolás

doi:10.1186/s13063-021-05067-1

Cited by 6 publications

(6 citation statements)

References 65 publications

(92 reference statements)

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“…Reducing appraised threats requires psychoeducation and cognitive therapy. For example, narrative enhancement and cognitive therapy would harness the effects of self-narratives on one’s sense of self and identity [ 72 , 73 , 74 ], experimental learning, positive change in self-experience, cognitive skill acquisition, enhancement of hope, and coping/emotional change. Moreover, interventions to mitigate the legitimacy of discrimination may also be critical [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

“…In other words, infertile women can cope with infertility by finding other goals and positively reframing their infertility. Based on the results of these coping strategies, narrative reinforcement and cognitive therapy interventions, such as psychoeducation on positive interpretation of one’s experience, are required [ 72 , 73 , 74 ]. To encourage infertility patients to use coping strategies such as positive reframing, mass media would need to reinforce messages for infertile women to have other goals and give infertility a positive alternative meaning.…”

Section: Discussionmentioning

confidence: 99%

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Associations between Stigma, Cognitive Appraisals, Coping Strategies and Stress Responses among Japanese Women Undergoing Infertility Treatment

et al. 2022

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The number of infertility treatment cycles in Japan is the highest worldwide. Studies have shown that stigma is a predictor of stress-related symptoms including anxiety and depression in women undergoing infertility treatment. Stress management to prevent stress-related symptoms may be crucial; however, few studies have examined the model of stigma and stress responses. Based on the stress-coping model, we hypothesized that stigma threatens the identity of such women and that coping failure increases stress responses. We aimed to explore the role of cognitive appraisals and coping strategies as mediators of the association between the stigma of infertility and stress responses. In December 2021, we conducted a cross-sectional study in Japan, in which 254 women undergoing infertility treatment completed a web-based survey. Hierarchical multiple regression analysis was conducted to analyze the associations between stigma, cognitive appraisals, coping strategies, and stress responses. The results showed that explanatory power increased with each additional variable in the following order: stigma, cognitive appraisals, and coping. Participants with a high level of stigma evaluated it as threatening, and used self-blame and venting coping strategies, and showed higher stress responses. Conversely, participants who used positive reframing coping strategies exhibited lower stress responses. Based on this, effective strategies to address stigma and stress responses are necessitated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associations between Stigma, Cognitive Appraisals, Coping Strategies and Stress Responses among Japanese Women Undergoing Infertility Treatment

et al. 2022

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“…Of the total included studies, 20 (57.14%) prefer the name SS (Almeida & Sousa, 2021; Bos et al, 2013; Corrigan, Roe & Tsang, 2011; Corrigan et al, 2005; Corrigan, 2016, 2018a; Corrigan & Bink, 2016; Corrigan & Kosyluk, 2014; Corrigan & Watson, 2002a, 2002b; Dubreucq et al, 2021; Jones & Corrigan, 2014; Overton & Medina, 2008; Park et al, 2019; Reupert & Maybery, 2015; Roe et al, 2014; Rüsch et al, 2009, 2010; Vidović et al, 2016; Watson et al, 2007), 8 (22.86%) that of IS (Boyd et al, 2014; González-Domínguez et al, 2019; González-Sanguino et al, 2022; Karakaş et al, 2016; J. D. Livingston & Boyd, 2010; Quinn & Earnshaw, 2011, 2013; Yanos et al, 2008) and 7 (20.00%) use both names, assuming they are the same (Aakre et al, 2015; Krajewski et al, 2013; Lucksted & Drapalski, 2015; Tsang et al, 2016; Yanos et al, 2011, 2012, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, a component that is included with high frequency in the conceptualizations (n = 19, 54.29%) refers to self-devaluation and/or self-discrimination that people with MD experience due to the internalization that they carry out of the stereotypes and negative prejudices that exist in society about their disorder (Almeida & Sousa, 2021;Corrigan, Roe & Tsang, 2011;Corrigan et al, 2005;Corrigan, 2016Corrigan, , 2018aCorrigan & Kosyluk, 2014;Corrigan & Watson, 2002a;Dubreucq et al, 2021;Jones & Corrigan, 2014;Karakaş et al, 2016;J. D. Livingston & Boyd, 2010;Overton & Medina, 2008;Park et al, 2019;Rüsch et al, 2009Rüsch et al, , 2010Watson et al, 2007;Yanos et al, 2008Yanos et al, , 2011.…”

Section: Componentsmentioning

confidence: 99%

Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review

Fernández,

Grandón,

López-Angulo

et al. 2023

Int J Soc Psychiatry

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Background: In the literature on stigma, authors often use self-stigma or internalized stigma interchangeably to refer to this type of stigma. This results in a lack of conceptual clarity with negative repercussions for measurement and intervention. Aims: To identify how internalized stigma and self-stigma are conceptualized in people diagnosed with a mental disorder and establish similarities and differences between both concepts. Method: A scoping review was conducted. Thirty-five studies that conceptualized internalized stigma or self-stigma were selected. Results: It was identified that the concepts are defined from nine components, and there are more conceptualizations that have points in common than those that consider some component of their own. To gain conceptual clarity, the use of the term internalized stigma is recommended, being a process made up of stages: acceptance of stereotypes and prejudices by people with mental disorders and their subsequent internalization. The latter leads to negative consequences for those affected, which can be understood as the personal impact of this process, which has a crucial socio-cultural component. Lines of research are proposed to provide solidity to studies on this type of stigma. Conclusions: The term internalized stigma should be used when referring to the type of stigma that includes acceptance, internalization and personal impact for the subjects of the stigma. In contrast, self-stigma should be reserved to refer to stigma that is directed toward the ‘self’ and includes subtypes of stigma.

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“…A recently funded trial will evaluate the impact of Narrative Enhancement and Cognitive Therapy (NECT) in CSC (National Institutes of Health, 2021). NECT aims to decrease self-stigma through a 20-session group that uses a combination of psychoeducation, cognitive restructuring, and narrative psychotherapy elements (Dubreucq et al, 2021). CSC programs would also benefit from peer specialists with a formalized anti-stigma practice framework integrated into the team.…”

Section: Discussionmentioning

confidence: 99%

How early stigmatizing experiences, peer connections, and peer spaces influenced pathways to employment or education after a first-episode of psychosis.

Blajeski¹,

Klodnick²,

Caruso³

et al. 2022

Psychiatric Rehabilitation Journal

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Objective: This study explored the pathways to employment, education, and/or disability among young adults with First-Episode Psychosis (FEP) with the intent to reduce poverty and disability among this population. Method: Using a critical case design, 10 young adults (ages 21-28) completed two qualitative interviews exploring the key moments that influenced their pathway toward employment and education or disability after experiencing a first-episode of psychosis. Participants had lived experience of an FEP, had completed a Coordinated Specialty Care (CSC) program, and were members of the Early Assessment and Support Alliance's Young Adult Leadership Council (YALC). Qualitative analysis was completed using a four-step template approach and focus group. Results: Early stigmatizing behavior by hospital staff and the diagnostic label of psychosis challenged participants' self-identity and self-confidence which led to a pause in vocational activities. Meeting peers (i.e., other individuals who had experienced a first-episode of psychosis) through their CSC program normalized their psychosis diagnosis and alleviated feelings of selfstigma; this was integral in returning to and initiating new employment and education goals. YALC involvement provided opportunities for practicing work skills, such as public speaking, and additional peer support that further eradicated self-stigma and improved connection to employment. Conclusions and Implications for Practice: Implications for CSC models include broad consideration of the ways that early psychiatric labeling can construct self-stigma, and how this phenomenon stunts the self-confidence needed to pursue employment and education goals. Specific recommendations include utilizing peer connections, peer spaces, and peer-delivered anti-stigma interventions to enhance employment and education pathways. Impact and ImplicationsThis study illustrates how young adults experienced self-stigma in response to a psychosis diagnosis in young adulthood and how this delayed their career pathways. Natural peer support was critical in restoring self-identity and career pathways among young people with first-episode psychosis. Study findings have implications for improving Coordinated Specialty Care practice to include peer-based and other anti-stigma interventions for young adults with first-episode psychosis.

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Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial

Cited by 6 publications

References 65 publications

Associations between Stigma, Cognitive Appraisals, Coping Strategies and Stress Responses among Japanese Women Undergoing Infertility Treatment

Associations between Stigma, Cognitive Appraisals, Coping Strategies and Stress Responses among Japanese Women Undergoing Infertility Treatment

Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review

How early stigmatizing experiences, peer connections, and peer spaces influenced pathways to employment or education after a first-episode of psychosis.

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