Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
Autor: | Tatsuo Kikuchi, Akiko Oba, Ryuta Honma, Takahiro Maki, Osamu Teshirogi, Yusuke Ishida, Yasuko Mori, Satoshi Hase, Takayuki Ebina, Akira Fujita, Yoshinori Maita, Hisakazu Sakurai, Chikako Shoji, Hiroshi Komatsu, Akira Suzuki, Takashi Ono, Hiroaki Tomita, Sachiko Takahashi, Yoshihisa Kakuto, Shinya Ozaki |
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Rok vydání: | 2020 |
Předmět: |
Delusional disorder
business.industry Schizoaffective disorder medicine.disease Mental illness behavioral disciplines and activities 030227 psychiatry 03 medical and health sciences 0302 clinical medicine Quality of life Schizophrenia mental disorders medicine Marital status Big Five personality traits Association (psychology) business 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Neuropsychiatric Disease and Treatment. 16:2553-2561 |
ISSN: | 1178-2021 |
DOI: | 10.2147/ndt.s280485 |
Popis: | Purpose Self-stigma negatively influences self-esteem, quality of life, self-efficacy, treatment adherence, and recovery in psychiatric patients. By revealing personality traits that influence self-stigma, we can gain useful knowledge for the management of self-stigma. A previous meta-analysis indicated that patients with schizophrenia have higher scores on the Autism-Spectrum Quotient (AQ) than healthy controls. However, the relationship between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders remains unclear. Therefore, the present study aimed to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Patients and methods We recruited 127 patients with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, and delusional disorder). We assessed participants' self-stigma and autistic symptoms using the Internalized Stigma for Mental Illness (ISMI) scale and the Autism-Spectrum Quotient (AQ), respectively. The differences in the scores of ISMI and AQ according to patient characteristics were investigated. Multiple regression analysis controlling for age and gender was performed to determine the relationship between the total scores on the AQ and IMSI scale. Results Female patients showed a higher level of self-stigma than males. Unmarried patients showed a significantly higher score on the AQ than married patients. Multiple regression analysis adjusted for age and gender indicated that the total score on AQ might be a predictor of the overall rating on ISMI in patients with schizophrenia spectrum disorders. Conclusion This study is the first to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Our results highlight the importance of considering autistic symptoms in the assessment and management of self-stigma in patients with schizophrenia spectrum disorders. |
Databáze: | OpenAIRE |
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