Effects of sub-clinical psychosis and cognitive insight on psychological well-being: A structural equation model
Abstract
Psychological well-being has been widely researched along the psychosis spectrum, and increased psychotic symptoms are generally associated with worse well-being. Additionally, the construct of insight has been extensively studied in schizophrenia. While having greater insight has many benefits for those with schizophrenia, a paradox exists in which greater insight is also associated with poorer psychological well-being. However, it is unclear whether the link between insight and poor well-being occurs only once serious psychopathology has been established, or whether this is a more universal process seen even at lower levels on the psychosis spectrum. We used a structural modeling approach in an ethnically diverse, non-clinical sample of 420 undergraduates to evaluate the association between sub-clinical psychosis, cognitive insight and psychological well-being. As hypothesized, results indicated that sub-clinical psychotic symptoms were negatively associated with psychological well-being. The insight paradox was also substantiated, as greater cognitive insight was associated with worse psychological well-being. However, cognitive insight did not moderate the association between symptoms and well-being. The link between sub-clinical psychotic symptoms and psychological well-being as well as the insight paradox appears to emerge even before reaching threshold for a psychotic disorder. Research and clinical implications are discussed.
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In a non-clinical sample of 420 undergraduates, greater levels of cognitive insight are similarly linked to depression.
“Of note, in a non-clinical sample of 420 undergraduates, greater levels of cognitive insight were similarly linked to depression, suggesting that this phenomenon may be in effect beyond the boundaries of psychosis 93 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [93]
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- Authors
- Weintraub, M. J., & Weisman de Mamani, A.
- Affiliations
- University of Miami (US)
- Corresponding author
- Weintraub, Marc J.
- ORCID
- Weintraub, Marc J.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 226
- Issue
- 1
- Pages
- 149-155
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2091423647
- Cited by
- 24
- References
- 61
- Citations by year
- 2025: 3 · 2024: 2 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 1
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- cognitive insight, psychological well-being, psychosis spectrum, psychotic symptoms, schizophrenia
- MeSH terms
- Adult, Awareness, Cognition, Female, Humans, Male, Personal Satisfaction, Psychotic Disorders, Models, Statistical, Young Adult
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