Insight and Self-Stigma in Patients With Schizophrenia

Vidović, Domagoj

doi:10.20471/acc.2016.55.01.4

Cited by 22 publications

(18 citation statements)

References 21 publications

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“…As reviewed above, stigma may result in insight leading to despair, and individuals may consider a meaningful life no longer a viable possibility 39,81 . Other studies have also found a direct link between insight and stigma 148 , though others have failed to replicate that 149 .…”

Section: Social and Political Factors As A Root Of Poor Insightmentioning

confidence: 97%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage. This research also suggests that poor insight may arise in response to biological, experiential, neuropsychological, social-cognitive, metacognitive and socio-political factors. Studies of the effects of existing and developing treatments indicate that they may influence insight. In the context of earlier research and historical models, these findings support an integrative model of poor insight. This model suggests that insight requires the integration of information about changes in internal states, external circumstances, others' perspectives and life trajectory as well as the multifaceted consequences and causes of each of those changes. One implication is that treatments should, beyond providing education, seek to assist persons with schizophrenia to integrate the broad range of complex and potentially deeply painful experiences which are associated with mental illness into their own personally meaningful, coherent and adaptive picture.

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Section: Social and Political Factors As A Root Of Poor Insightmentioning

confidence: 97%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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“…Internalized stigmatization may cause schizophrenic patients to restrict their interaction with society, detach themselves from social interactions and experience feelings such as anxiety, shame, lack of self-confidence, helplessness, and weakness. Patients face many adverse effects, such as reduced self-esteem, unemployment, income loss (Omori et al, 2014; Vidovic et al, 2016; Bukhari et al, 2019). Internalized stigmatization prevents the help seeking behaviors of the patients with schizophrenia and their compliance with psychosocial treatment, poses a risk for hospitalization and may negatively affect the recovery (Wahl, 2012).…”

Section: Introductionmentioning

confidence: 99%

Internalized stigmatization and subjective recovery in individuals with chronic mental illness

Kaşli

Al²,

Bademli

2020

Int J Soc Psychiatry

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Background: Individuals with mental illness, as they are stigmatized by society, are also stigmatized themselves, and this process is internalized. This may adversely affect the recovery process. Aims: This study was conducted to investigate the relationship between internalized stigmatization and subjective recovery in patients with schizophrenic. Method: This research was performed for patients with schizophrenia at rehabilitation centers registered with the community mental health center. The survey was performed out with 94 patients in the recovery phase who met the inclusion criteria and who going to the center. Sociodemographic information form, internalized stigmatization scale and subjective recovery assessment scale were used in the collection of data. Results: In the study it was found that there is a relationship between internalized stigmatization and subjective recovery. Increased levels of internalized stigma patient outcome would decrease the level of recovery. Conclusion: It is recommended that nurses perform intervention programs to reduce internalized stigmatization in patients with schizophrenia.

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“…The experienced stigma is related to the emotional experience of discrimination. The self-stigma is accompanied by a loss of positive beliefs about themselves, a decrease in self-esteem and self-confidence, and poorer insight among the individuals with psychoses 10,12–16…”

Section: Introductionmentioning

confidence: 99%

Self-stigma and schizophrenia: a cross-sectional study

Vrbová¹,

Praško²,

Holubová³

et al. 2016

NDT

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ObjectiveThe aim of this study was to investigate the degree of self-stigma in schizophrenia and its association with clinical and demographic factors.Patients and methodsA total of 197 outpatients (54.3% females) diagnosed with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, delusional disorder) according to International Classification of Diseases – tenth edition participated in the study. The mean age of the patients was 40.10±11.49 years. All individuals completed the Internalized Stigma of Mental Illness (ISMI) scale and a demographic questionnaire. The disorder severity was assessed by both a psychiatrist (the objective version of Clinical Global Impression – severity scale [objCGI-S]) and the patients (the subjective version of Clinical Global Impression – severity scale [subjCGI-S]). Treatment with antipsychotics stabilized the patients.ResultsThe overall level of self-stigma measured by the total score of the ISMI was 63.32±13.59. The total score of the ISMI positively correlated with the severity of the disorder measured by the objCGI-S and subjCGI-S. In addition, self-stigma positively correlated with the treatment duration and the number of psychiatric hospitalizations. The backward stepwise regression was applied to identify the most significant factors connected to self-stigma. The regression analysis identified the following regressors as the most relevant to self-stigma: the number of previous psychiatric hospitalizations, the severity of the disorder rated by a psychiatrist, and the difference between the objective rating and the subjective rating of the severity of the disorder.ConclusionOutpatients with schizophrenia spectrum disorders, who have undergone a higher number of psychiatric hospitalizations, who dispose of a higher severity of the disorder and show a higher discrepancy between their rating of the severity and the psychiatric rating, showed a greater degree of self-stigma. The management of self-stigma in patients with schizophrenia should be implemented in the routine care.

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Insight and Self-Stigma in Patients With Schizophrenia

Cited by 22 publications

References 21 publications

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Internalized stigmatization and subjective recovery in individuals with chronic mental illness

Self-stigma and schizophrenia: a cross-sectional study

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