Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma, and life satisfaction among people with schizophrenia spectrum disorders
Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma, and life satisfaction among people with schizophrenia spectrum disorders
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DOI：
10.1016/j.schres.2018.01.014
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发表时间：
2018-07-01
影响因子：
4.5
通讯作者：
Tong, Alan C. Y.
中科院分区：
文献类型：
--
作者：
Chio, Floria H. N.;Mak, Winnie W. S.;Tong, Alan C. Y.
在精神分裂症谱系障碍患者中促进洞察力给服务提供者带来了困境，因为更高的洞察力与积极的临床结果有关，但与消极的心理结果有关。人们对疾病的负面意义（自我污名内容）和这种污名化思想的反复出现（自我污名过程）可以解释为什么增加的洞察力与负面结果相关。本研究旨在探讨高自我污名含量和高自我污名过程的存在如何影响自知力与生活满意度之间的负相关。共有181名精神分裂症谱系障碍患者在基线进行了评估。分别保留130名和110名参与者，并在6个月和1年随访时完成问卷调查。结果发现，当自我污名过程或自我污名内容较高时，基线自知力与6个月时较低的生活满意度相关。此外，基线自知力是预测更好的生活满意度在1年随访时，自我耻辱的过程是低的。研究结果表明，自知力的有害影响可能是认知内容的存在和自我污名的习惯性过程的结果。未来的洞察力促进干预措施还应解决精神分裂症谱系障碍患者自我污名的内容和过程，以最大限度地发挥洞察力的有益作用。(C)2018 Elsevier B.V.版权所有。
The promotion of insight among people with schizophrenia spectrum disorders has posed a dilemma to service providers as higher insight has been linked to positive clinical outcomes but negative psychological outcomes. The negative meaning that people attached to the illness (self-stigma content) and the recurrence of such stigmatizing thoughts (self-stigma process) may explain why increased insight is associated with negative outcomes. The present study examined how the presence of high self-stigma content and self-stigma process may contribute to the negative association between insight and life satisfaction. A total of 181 peoplewith schizophrenia spectrum disorders were assessed at baseline. 130 and 110 participants were retained and completed questionnaire at 6-month and 1-year follow-up, respectively. Results showed that baseline insight was associated with lower life satisfaction at 6-month when self-stigma process or self-stigma content was high. Furthermore, baseline insight was predictive of better life satisfaction at 1-year follow-up when self-stigma process was low. Findings suggested that the detrimental effects of insight can be a result fromboth the presence of cognitive content and habitual process of self-stigma. Future insight promotion interventions should also address self-stigma content and process among people with schizophrenia spectrum disorders so as to maximize the beneficial effects of insight. (C) 2018 Elsevier B.V. All rights reserved.