Elucidating the relationship between internalized stigma, cognitive insight, illness severity, and functioning in patients with schizophrenia using a path analysis approach
| Autor: | Sherry Kit Wa Chan, Edwin Ho Ming Lee, John R. Bola, Roger Man Kin Ng, Eric Y.H. Chen, Samson Tse, Wing Chung Chang, Min Yi Sum, Christy Lai Ming Hui |
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| Rok vydání: | 2020 |
| Předmět: |
Internalized stigma
education Social Stigma Patient Acuity Cognition macromolecular substances General Medicine Self Concept 030227 psychiatry stomatognathic diseases 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Cross-Sectional Studies Schizophrenia Illness severity Humans In patient 030212 general & internal medicine Psychology Path analysis (statistics) health care economics and organizations Clinical psychology |
| Zdroj: | Journal of mental health (Abingdon, England). 31(1) |
| ISSN: | 1360-0567 |
| Popis: | There is a paucity of studies examining the interrelationship between internalized stigma, cognitive insight, illness severity, and functioning.This study examined the dynamics of the relationship between these factors using a path modelling approach.Two hundred and seven patients with schizophrenia spectrum disorders were recruited in this cross-sectional study. Patients were assessed on internalized stigma, cognitive insight (including its two domains, self-reflectiveness and self-certainty), illness severity and functioning. Path analysis was used to test the hypothesized model for the interrelationship between the variables.A direct positive association was observed between self-certainty and internalized stigma. This was also observed via the paths running through illness severity and functioning. Self-reflectiveness was only associated with self-certainty in the model. The residual variance of internalized stigma in the path model was relatively high.Our findings highlight that self-certainty is associated with internalized stigma along with illness severity and functioning in individuals with schizophrenia. Therefore, interventions on reduction of internalized stigma may benefit from a multipronged approach targeting self-certainty, illness severity and functioning. The relatively high residual variance of internalized stigma in the model highlights the need for further research to provide better understanding on the mechanisms underlying internalized stigma. |
| Databáze: | OpenAIRE |
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