Stigma as a predictor of insight in schizophrenia
Stigma as a predictor of insight in schizophrenia
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DOI：
10.1016/j.psychres.2011.12.012
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发表时间：
2012-07
影响因子：
11.3
通讯作者：
Linda Pruß;K. Wiedl;M. Waldorf
中科院分区：
文献类型：
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作者：
Linda Pruß;K. Wiedl;M. Waldorf
精神分裂症的顿悟可以被看作是一种多因素的现象。虽然多因素途径也被认为是洞察力形成的原因，但动机解释很少得到检验。本研究探讨了在整合的洞察力形成模型中，污名作为一个可能的决定因素。它研究了社会人口统计学和临床变量，神经认知功能，症状和耻辱的预测洞察到疾病的贡献。诊断为精神分裂症谱系障碍的患者（N=111）参加了一个全面的仪器电池，以测量洞察力的尺寸，耻辱，神经认知功能，症状，社会人口统计学和临床变量。多元回归分析表明，洞察力维度的变异性与性别（7%）和耻辱（i。例如，刻板印象一致率：5%）。我们的研究结果表明，一个增量的有效性的耻辱，这表明了一个动机路径的洞察力的形成。这项研究能够更好地理解洞察力的多因素性质，这应该在治疗干预中加以考虑，以提高洞察力。性别和神经认知功能在顿悟形成中的作用也进行了讨论。
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.