{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:58:04Z","timestamp":1785700684139,"version":"3.56.0"},"reference-count":70,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100011033","name":"agencia estatal de investigaci\u00f3n","doi-asserted-by":"publisher","award":["RED2024-154206-T"],"award-info":[{"award-number":["RED2024-154206-T"]}],"id":[{"id":"10.13039\/501100011033","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Research on gender differences in self-stigma among individuals with psychosis is limited. Gender differences have been found in factors associated with self-stigma, such as self-esteem, quality of life, and cognitive insight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to determine predictors of self-stigma reduction in men and women after receiving Metacognitive Training (MCT) or a combined intervention delivering MCT alongside cognitive rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Randomized clinical trial with two intervention branches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants were randomly allocated to one of two conditions: MCT or MCT alongside cognitive rehabilitation. Assessments were carried out before and after the intervention by blinded professionals. Linear mixed models, correlation analyses, and regressions were employed to examine the effect of treatment, relationships between variables, and potential predictors of treatment response in both groups for men and women, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Self-stigma was reduced in both intervention groups, with no significant differences between them, suggesting both interventions were effective. Descriptive analyses revealed women reported higher self-stigma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200937,\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u200963.78, SD\u2009=\u200914.01) than men (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200940,\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u200959.40, SD\u2009=\u200914.52). Regression analyses suggest that post-treatment self-stigma was predicted by different predictors according to sex. In women, self-esteem (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.25, \u03b2\u2009=\u2009\u22122.31,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.023) was a significant predictor of post-treatment self-stigma, while in men, quality of life significantly predicted self-stigma scores post-treatment (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.37, \u03b2\u2009=\u2009\u22120.62,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Cognitive insight was not a significant predictor for either sex.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Distinct pathways of self-stigma recovery emerged for women and men, underscoring the need for gender-sensitive interventions. These findings underscore the need for tailored stigma-reduction interventions that consider gender-specific factors influencing mental health outcomes. Longitudinal research should assess durability and further clarify gender-related mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration:<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT06423651\">https:\/\/clinicaltrials.gov\/study\/NCT06423651<\/jats:ext-link>\n                      , Registration Number NCT06423651, 23\/05\/24\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261440689","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:55:56Z","timestamp":1785430556000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex-specific predictors of self-stigma reduction in psychosis resulting from metacognitive interventions: Results from a randomized clinical trial"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6426-560X","authenticated-orcid":false,"given":"Maria","family":"Lamarca","sequence":"first","affiliation":[{"name":"Parc Sanitari Sant Joan de D\u00e9u, Sant Boi de Llobregat, Spain"},{"name":"Grup MERITT, Fundaci\u00f3 Sant Joan de D\u00e9u, Institut de Recerca Sant Joan de D\u00e9u, Barcelona, Spain"},{"name":"Department of Clinical and Health Psychology, Faculty of Psychology, Autonomous University of Barcelona, Spain"},{"name":"Consorcio de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5929-4224","authenticated-orcid":false,"given":"Jose-Blas","family":"Navarro","sequence":"additional","affiliation":[{"name":"Department of Psychobiology and Methodology of Health 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