Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

Shin, Yeon-Jeong; Joo, Yung Hyup; Kim, Jonghoon

doi:10.2147/ndt.s108537

Cited by 22 publications

(15 citation statements)

References 52 publications

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“…Nevertheless, this result is not consistent with the studies by Vrbova et al and Shin et al, which showed no significant association between the level of internalized stigma and the duration of the disease. 10 , 28 …”

Section: Discussionmentioning

confidence: 99%

Internalized stigma and its correlates among patients with severe mental illness

Szczęśniak¹,

Kobyłko²,

Wojciechowska³

et al. 2018

NDT

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PurposeThe aim of this study was to investigate the perceived level of internalized stigma among patients with severe mental illnesses and its relationship with demographic and clinical variables in Poland.Patients and methodsA study sample (n=114, mean age=42.46±14.1 years; 55% of females) consisting of patients with nonorganic psychotic disorders as well as unipolar and bipolar affective disorders was evaluated (58% of outpatients and 39% of inpatients). All patients filled in the Internalized Stigma of Mental Illness (ISMI) scale (maximum severity=4). The demographic and clinical data were collected.ResultsThe study population demonstrated a mild level of internalized stigma (2.23±0.5). The highest score was observed in the alienation domain (2.63±0.8) and reflected moderate severity. The lowest score was noted in the stereotype endorsement domain (2.08±0.6). Moreover, the highest degree of internalized stigma was present in participants with unipolar affective disorder and was of moderate severity (2.46±0.6), while the level was moderate in the alienation domain (2.85±0.8). The level of vocational training education was the only variable associated with higher internalized stigma (P=0.02). There were no associations between gender, employment, and marital status and internalized stigma. The duration of the disease was the only clinical factor showing a significant positive correlation with stigma internalization (r=0.23; P=0.01). The number of hospital admissions and suicide attempts was not significantly correlated with internalized stigma.ConclusionPeople with severe mental illnesses in Poland experience a mild level of self-reported internalized stigma. Internalized stigmatization was most strongly associated with alienation, which indicates the need for stigma assessment procedures followed by stigma intervention programs in daily clinical practice. This is in accordance with the trend of environmental “open door” psychiatry, which could be the first step to decrease the level of stigma and internalized stigma in psychiatric patients in Poland.

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Section: Discussionmentioning

confidence: 99%

Internalized stigma and its correlates among patients with severe mental illness

Szczęśniak¹,

Kobyłko²,

Wojciechowska³

et al. 2018

NDT

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“…A meta-analysis revealed that neurocognitive deficits has a significant small-moderate relationship with objective QoL measures (functional status rated by either client or clinician) but insignificant relationship with subjective QoL (client satisfaction) (63) whereas, three recent studies suggest that cognitive deficits when assessed from the patients' point of view, produces significant relationship with QoL (64–66). This warrants the need to further investigate the role cognition plays in QoL of patients with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Health-Related Quality of Life in Schizophrenia: Beyond the Medical Model

Lim

Lee

2018

Front. Psychiatry

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Background: Improving Quality of Life (QoL) in Schizophrenia is an important treatment objective in the shift toward person-centered and recovery-oriented care. Health-Related Quality of Life (HRQoL) is a focused aspect of QoL that is directly impacted by healthcare intervention. This aim of the current study was to ascertain the clinical determinants of HRQoL in Schizophrenia and their collective contribution to HRQoL.Methods: 157 stable outpatients with schizophrenia were recruited for this study. Data collected included sociodemographic information and clinical characteristics. HRQoL was assessed on the RAND-36. Psychopathology was assessed on the Positive and Negative Syndrome Scale (PANSS) and functioning measured on the Global Assessment Scale (GAS).Findings: Multiple regression revealed that the Physical Health Component (PHC) of the RAND-36 was associated with positive symptoms (beta = −0.218, p = 0.005) and presence of psychiatric comorbidity (beta = −0.215, p = 0.003). The Mental Health Component (MHC) was associated with depressive (beta = −0.364, p < 0.001) and positive (beta = −0.175, p = 0.021,) symptoms. Symptoms, functioning, presence of psychiatric comorbidities, gender and age account for 20.3% of the total variance observed in HRQoL.Conclusion: Depressive and positive symptoms are key clinical determinants of HRQoL in people with schizophrenia. However, the medical model—looking solely at clinical determinants—could not account for a large proportion of variance in HRQoL. Hence, future research beyond the medical model is required to uncover the determinants of HRQoL in Schizophrenia. Identifying these factors will contribute toward developing a holistic and person-centered management plan for people with schizophrenia.

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“…Underestimation of skills is also problematic if lack of confidence leads to avoidance of activities ( Silberstein and Harvey, 2019 ). Furthermore, subjective cognitive complaints are related to internalized stigma and poorer quality of life among persons with schizophrenia ( Shin et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Executive dysfunction in schizophrenia: Predictors of the discrepancy between subjective and objective measures

Haugen

Stubberud

Ueland

et al. 2021

Schizophrenia Research: Cognition

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This study aimed to investigate what characterizes individuals with schizophrenia who experience more or less subjective executive dysfunction in everyday life compared to objective executive performance on neuropsychological tests. Sixty-six participants with broad schizophrenia spectrum disorders completed a comprehensive assessment of executive function. Discrepancies between performance on neuropsychological tests (objective) and an extensive self-report questionnaire (subjective) of central executive functions (inhibition, shifting and working memory) were calculated. Higher level of self-efficacy was the best predictor of experiencing fewer subjective cognitive complaints compared to objective performance, followed by higher levels of disorganized symptoms. Depressive symptoms did not predict discrepancy between subjective and objective executive function. Higher estimated IQ predicted greater subjective working memory difficulties in everyday life despite better objective performance. Results may aid clinicians in the assessment and remediation of cognitive impairment. Low self-efficacy may identify individuals who are not able to utilize their potential executive functions in daily life. Interventions aimed at fostering self-efficacy ought to be included in cognitive remediation for these individuals. Disorganized symptoms could prove useful in identifying individuals who are in need of cognitive remediation for executive dysfunction, despite that they overestimate their skills. These individuals may benefit from efforts to increase insight into cognitive dysfunction.

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Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

Cited by 22 publications

References 52 publications

Internalized stigma and its correlates among patients with severe mental illness

Internalized stigma and its correlates among patients with severe mental illness

Determinants of Health-Related Quality of Life in Schizophrenia: Beyond the Medical Model

Executive dysfunction in schizophrenia: Predictors of the discrepancy between subjective and objective measures

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