{"id":"https://openalex.org/W7225328017","doi":"https://doi.org/10.1371/journal.pmen.0000753","title":"Exploring internalized stigma among people living with psychosis and their caregivers: Insights from a community rehabilitation initiative in Malawi","display_name":"Exploring internalized stigma among people living with psychosis and their caregivers: Insights from a community rehabilitation initiative in Malawi","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225328017","doi":"https://doi.org/10.1371/journal.pmen.0000753","pmid":"https://pubmed.ncbi.nlm.nih.gov/42986929","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13739228"},"language":"en","primary_location":{"id":"doi:10.1371/journal.pmen.0000753","doi":"https://doi.org/10.1371/journal.pmen.0000753","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pmen.0000753","pdf_url":"https://journals.plos.org/mentalhealth/article/file?id=10.1371/journal.pmen.0000753&type=printable","source":{"id":"https://openalex.org/S4404663781","display_name":"PLOS mental health.","issn_l":"2837-8156","issn":["2837-8156"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Mental Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.plos.org/mentalhealth/article/file?id=10.1371/journal.pmen.0000753&type=printable","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025003447","display_name":"Mia Buono","orcid":"https://orcid.org/0000-0001-7317-9492","observed_orcids":["https://orcid.org/0000-0001-7317-9492"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Mia Buono","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0001-7317-9492","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019043750","display_name":"Kazione Kulisewa","orcid":"https://orcid.org/0000-0002-2979-4495","observed_orcids":["https://orcid.org/0000-0002-2979-4495"]},"institutions":[{"id":"https://openalex.org/I4403928428","display_name":"Kamuzu University of Health Sciences","ror":"https://ror.org/00khnq787","country_code":"MW","type":"education","lineage":["https://openalex.org/I4403928428"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Kazione Kulisewa","raw_affiliation_strings":["Kamuzu University of Health Sciences"],"raw_orcid":"https://orcid.org/0000-0002-2979-4495","affiliations":[{"raw_affiliation_string":"Kamuzu University of Health Sciences","institution_ids":["https://openalex.org/I4403928428"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019657241","display_name":"Brian Wells Pence","orcid":"https://orcid.org/0000-0001-7321-9538","observed_orcids":["https://orcid.org/0000-0001-7321-9538"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian W. Pence","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085036522","display_name":"Bradley Neil Gaynes","orcid":"https://orcid.org/0000-0002-8283-5030","observed_orcids":["https://orcid.org/0000-0002-8283-5030"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bradley N. Gaynes","raw_affiliation_strings":["University of North Carolina at Chapel Hill","University of North Carolina at Chapel Hill School of Medicine"],"raw_orcid":"https://orcid.org/0000-0002-8283-5030","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"University of North Carolina at Chapel Hill School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039581697","display_name":"Abigail M. Morrison","orcid":"https://orcid.org/0000-0003-1952-8991","observed_orcids":["https://orcid.org/0000-0003-1952-8991"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Abigail M. Morrison","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117447056","display_name":"Joshua Chienda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4403928428","display_name":"Kamuzu University of Health Sciences","ror":"https://ror.org/00khnq787","country_code":"MW","type":"education","lineage":["https://openalex.org/I4403928428"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Joshua Chienda","raw_affiliation_strings":["Kamuzu University of Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kamuzu University of Health Sciences","institution_ids":["https://openalex.org/I4403928428"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5019572911","display_name":"Melissa Ann Stockton","orcid":"https://orcid.org/0000-0002-0737-7180","observed_orcids":["https://orcid.org/0000-0002-0737-7180"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa A. Stockton","raw_affiliation_strings":["University of North Carolina at Chapel Hill","University of Pennsylvania"],"raw_orcid":"https://orcid.org/0000-0002-0737-7180","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"University of Pennsylvania","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5025003447"],"corresponding_institution_ids":["https://openalex.org/I114027177"],"apc_list":{"value":2496,"currency":"USD","value_usd":2496},"apc_paid":{"value":2496,"currency":"USD","value_usd":2496},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"11","first_page":"e0000753","last_page":"e0000753"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9829000234603882,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.01080000028014183,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12980","display_name":"Family Caregiving in Mental Illness","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/self-stigma","display_name":"self-stigma","score":0.9819999933242798},{"id":"https://openalex.org/keywords/psychosis","display_name":"psychosis","score":0.9589999914169312},{"id":"https://openalex.org/keywords/caregivers","display_name":"caregivers","score":0.4650000035762787},{"id":"https://openalex.org/keywords/anticipated-stigma","display_name":"anticipated stigma","score":0.9769999980926514},{"id":"https://openalex.org/keywords/experienced-stigma","display_name":"experienced stigma","score":0.9789999723434448},{"id":"https://openalex.org/keywords/community-based-rehabilitation","display_name":"community-based rehabilitation","score":0.8849999904632568},{"id":"https://openalex.org/keywords/mental-health-outcomes","display_name":"mental health outcomes","score":0.7580000162124634},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.8149999976158142},{"id":"https://openalex.org/keywords/anxiety-symptoms","display_name":"anxiety symptoms","score":0.9929999709129333},{"id":"https://openalex.org/keywords/malawi","display_name":"Malawi","score":0.8450000286102295},{"id":"https://openalex.org/keywords/stigma-scale","display_name":"stigma scale","score":0.4009999930858612},{"id":"https://openalex.org/keywords/usual-care-comparison","display_name":"usual care comparison","score":0.531000018119812},{"id":"https://openalex.org/keywords/blantyre-malawi","display_name":"Blantyre, Malawi","score":0.7630000114440918},{"id":"https://openalex.org/keywords/scale-dimensionality","display_name":"scale dimensionality","score":0.4650000035762787},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.5109999775886536},{"id":"https://openalex.org/keywords/social-functioning","display_name":"social functioning","score":0.36399999260902405}],"concepts":[{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.7289999723434448},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6062999963760376},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5867000222206116},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4927999973297119},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.4350000023841858},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.428600013256073},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.40470001101493835},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3569999933242798},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3517000079154968},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3237999975681305},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.32280001044273376},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.28519999980926514},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.27649998664855957},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27070000767707825},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.26489999890327454},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.2587999999523163}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1371/journal.pmen.0000753","doi":"https://doi.org/10.1371/journal.pmen.0000753","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pmen.0000753","pdf_url":"https://journals.plos.org/mentalhealth/article/file?id=10.1371/journal.pmen.0000753&type=printable","source":{"id":"https://openalex.org/S4404663781","display_name":"PLOS mental health.","issn_l":"2837-8156","issn":["2837-8156"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Mental Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13739228","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739228/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13739228/pdf/pmen.0000753.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Ment Health","raw_type":"Text"},{"id":"pmid:42986929","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42986929","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS mental health","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1371/journal.pmen.0000753","doi":"https://doi.org/10.1371/journal.pmen.0000753","is_oa":true,"landing_page_url":"https://doi.org/10.1371/journal.pmen.0000753","pdf_url":"https://journals.plos.org/mentalhealth/article/file?id=10.1371/journal.pmen.0000753&type=printable","source":{"id":"https://openalex.org/S4404663781","display_name":"PLOS mental health.","issn_l":"2837-8156","issn":["2837-8156"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","norway-1"],"host_organization":"https://openalex.org/P4310315706","host_organization_name":"Public Library of Science","host_organization_lineage":["https://openalex.org/P4310315706"],"host_organization_lineage_names":["Public Library of Science"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"PLOS Mental Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.4074000120162964,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G4337192072","display_name":"Enhancing post-acute mental health outcomes for patients with psychosis in Malawi  through nurse-delivered community-based rehabilitation: The ENHANCE Pilot Trial","funder_award_id":"R34MH131234","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225328017.pdf","grobid_xml":"https://content.openalex.org/works/W7225328017.grobid-xml"},"referenced_works_count":49,"referenced_works":["https://openalex.org/W1757067810","https://openalex.org/W1974733099","https://openalex.org/W1976985160","https://openalex.org/W1985329916","https://openalex.org/W1992857340","https://openalex.org/W2067431038","https://openalex.org/W2070692157","https://openalex.org/W2086114718","https://openalex.org/W2092977881","https://openalex.org/W2097583070","https://openalex.org/W2100984249","https://openalex.org/W2129074935","https://openalex.org/W2131115009","https://openalex.org/W2134622328","https://openalex.org/W2138008655","https://openalex.org/W2140606211","https://openalex.org/W2145371508","https://openalex.org/W2150578706","https://openalex.org/W2157124305","https://openalex.org/W2169438619","https://openalex.org/W2187582573","https://openalex.org/W2299616158","https://openalex.org/W2312227430","https://openalex.org/W2326814277","https://openalex.org/W2494749460","https://openalex.org/W2613268471","https://openalex.org/W2751829473","https://openalex.org/W2758169934","https://openalex.org/W2793478500","https://openalex.org/W2886368623","https://openalex.org/W2912683158","https://openalex.org/W2914761006","https://openalex.org/W2921199185","https://openalex.org/W2953462171","https://openalex.org/W2982143323","https://openalex.org/W3045667256","https://openalex.org/W3083732958","https://openalex.org/W3113090724","https://openalex.org/W3197164403","https://openalex.org/W4213367093","https://openalex.org/W4307638457","https://openalex.org/W4385423771","https://openalex.org/W4388042157","https://openalex.org/W4408565321","https://openalex.org/W4409642813","https://openalex.org/W4410113993","https://openalex.org/W4413544024","https://openalex.org/W4414037846","https://openalex.org/W4414199160"],"related_works":["https://openalex.org/W2945886201","https://openalex.org/W2795354959","https://openalex.org/W4280648589","https://openalex.org/W2602643776","https://openalex.org/W2996062953","https://openalex.org/W2605615445","https://openalex.org/W4200538690","https://openalex.org/W2895755444","https://openalex.org/W4309004313","https://openalex.org/W3200468063"],"abstract_inverted_index":{"People":[0],"living":[1],"with":[2,135,202,233,246,266,279],"psychosis":[3],"(PWLE)":[4],"experience,":[5],"anticipate,":[6],"and":[7,13,25,32,49,52,59,87,100,116,126,150,224,251,285,306],"internalize":[8],"stigma.":[9,130,238,310],"Over":[10,257],"time,":[11,258],"experienced":[12,151],"anticipated":[14,148,225],"stigma":[15,29,40,55,111,141,152,198,205,217,226,242,263,274,287],"can":[16],"increase":[17],"internalized":[18,28,50,54,129,146,204,237,241,262,273,286,309],"stigma,":[19,147,149,172],"negatively":[20],"impacting":[21],"health.":[22],"However,":[23],"predictors":[24,48,125,305],"outcomes":[26,127,307],"of":[27,110,128,308],"among":[30,179,290],"PWLE":[31,86,291],"their":[33],"caregivers":[34,89],"remain":[35],"unknown.":[36],"We":[37,62,113],"explore":[38,301],"how":[39,53],"changes":[41],"over":[42,276],"time;":[43],"the":[44,108,182,296,302],"associations":[45,123],"between":[46,124,167,304],"hypothesized":[47],"stigma;":[51],"influences":[56],"mental":[57],"health":[58],"functional":[60],"outcomes.":[61],"analyzed":[63],"data":[64],"from":[65,154],"a":[66,73],"two-arm":[67],"pilot":[68],"randomized":[69],"controlled":[70],"trial":[71],"comparing":[72],"community-based":[74],"rehabilitation":[75],"intervention":[76,183],"to":[77,121,156,185,298,300],"enhanced":[78],"usual":[79,186],"care":[80,187],"in":[81,159,215,236,261,292],"Blantyre,":[82],"Malawi":[83],"(NCT06080477).":[84],"Sixty":[85],"118":[88],"who":[90],"met":[91],"eligibility":[92],"criteria":[93],"completed":[94],"interviewer-administered":[95],"surveys":[96],"at":[97,176],"baseline,":[98,195,240],"6,":[99],"12":[101,157,177,277],"months.":[102],"Exploratory":[103],"factor":[104],"analysis":[105],"(EFA)":[106],"assessed":[107],"dimensionality":[109],"scales.":[112,142],"used":[114],"correlations":[115],"adjusted":[117],"generalized":[118],"estimating":[119],"equations":[120],"examine":[122],"EFA":[131],"supported":[132],"single-factor":[133],"structures":[134],"adequate":[136],"internal":[137],"consistency":[138],"for":[139,170],"most":[140],"Among":[143],"PWLE,":[144],"mean":[145],"decreased":[153,275],"baseline":[155],"months":[158,178],"both":[160],"arms.":[161],"Stigma":[162],"measures":[163],"were":[164,230,264],"generally":[165],"comparable":[166],"arms":[168],"except":[169],"family-enacted":[171,197,216],"which":[173],"was":[174,199,243],"lower":[175],"those":[180],"receiving":[181],"compared":[184],"(mean":[188],"difference":[189],"=":[190,209,220],"-0.97;":[191],"-1.88,":[192],"-0.05).":[193],"At":[194,239],"higher":[196,203,267],"moderately":[200],"associated":[201,232,245,265,281],"scores":[206],"(correlation":[207],"coefficient":[208,219],"0.34;":[210],"0.13,":[211],"0.53).":[212],"Greater":[213],"change":[214,235],"(regression":[218],"0.24;":[221],"0.04,":[222],"0.43)":[223],"(0.14;":[227,248],"0.02,":[228],"0.26)":[229],"weakly":[231,244],"greater":[234,259],"depressive":[247],"-0.08,":[249,255],"0.35)":[250],"anxiety":[252,268],"symptoms":[253],"(0.11;":[254],"0.31).":[256],"increases":[260],"(0.13;":[269],"0.01,":[270],"0.24).":[271],"Caregivers'":[272],"months,":[278],"no":[280],"predictors.":[282],"Anticipated,":[283],"experienced,":[284],"are":[288],"prevalent":[289],"Malawi.":[293],"Findings":[294],"suggest":[295],"need":[297],"continue":[299],"mechanisms":[303]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-06T00:00:00"}