Stigma as a predictor of insight in schizophrenia

Autor(en): Pruss, Linda
Wiedl, Karl Heinz
Waldorf, Manuel 
Stichwörter: ASSOCIATIONS; AWARENESS; Awareness of illness; COGNITIVE INSIGHT; Hierarchical regression analysis; INTERNALIZED STIGMA; MENTAL-ILLNESS; NEUROCOGNITION; POOR INSIGHT; Psychiatry; PSYCHOSIS; SELF-ESTEEM; Stereotype agreement; SYMPTOMATOLOGY
Erscheinungsdatum: 2012
Herausgeber: ELSEVIER IRELAND LTD
Journal: PSYCHIATRY RESEARCH
Volumen: 198
Ausgabe: 2
Startseite: 187
Seitenende: 193
Zusammenfassung: 
Insight in schizophrenia can be seen as a multifactorial phenomenon. Although multifactorial pathways have also been suggested for insight formation, motivational explanations have rarely been tested. The present study explores stigma as one possible determinant of a motivated lack of insight in integrated models of insight formation. It examines the contribution of socio-demographic and clinical variables, neurocognitive functions, symptoms, and stigma to the prediction of insight into illness. Patients diagnosed with schizophrenia spectrum disorders (N=111) participated in a comprehensive battery of instruments to measure insight dimensions, stigma, neurocognitive functions, symptoms, socio-demographic and clinical variables. Blockwise multiple regression analysis indicates significant association of variability in insight dimensions with gender (7%) and stigma (i. e., stereotype agreement: 5%). Our findings demonstrate an incremental validity of stigma, which indicates a motivational pathway of insight formation. This study enables better understanding of the multifactorial nature of insight, which should be considered in therapeutic interventions to improve insight. The roles of gender and neurocognitive functions in insight formation are also discussed. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
ISSN: 01651781
DOI: 10.1016/j.psychres.2011.12.012

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