Negative future self as a mediator in the relationship between insight and depression in psychotic disorders

MacDougall, Arlene G.; Vandermeer, Matthew R.J.; Norman, Ross M.G.

doi:10.1016/j.schres.2015.03.035

Cited by 22Schizophrenia research and treatmentMental Health Treatment and AccessMental Health and Psychiatry

Negative future self as a mediator in the relationship between insight and depression in psychotic disorders

MacDougall, Arlene G., Vandermeer, Matthew R.J., Norman, Ross M.G.·2015·Schizophrenia Research

DOI 10.1016/j.schres.2015.03.035

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Abstract

Awareness of illness in psychotic disorders is associated with better clinical outcomes, but also poorer psychological well-being. This is known as "The Insight Paradox". Understanding of the paradox has focused on the role of self-stigma. This study examines possible future self as a mediator in the relationship between insight and depression in 102 individuals in an early intervention program for psychosis. Mediation analysis demonstrated that negative possible self was the sole significant independent mediator in a model which included self-stigma. Our study shows that awareness of mental illness and perception that it will negatively impact future self increases likelihood of depression.

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Authors: MacDougall, A. G., Vandermeer, M. R. J., & Norman, R. M. G.
Affiliations: Western University (CA)
Lawson Health Research Institute (CA)
Corresponding author: MacDougall, Arlene G.
ORCID: MacDougall, Arlene G.
Vandermeer, Matthew R.J.
Norman, Ross M.G.
Venue: Schizophrenia Research
Publisher: Elsevier BV
Published: 2015-06
Volume: 165
Issue: 1
Pages: 66-69
ISSN: 0920-9964 (ISSN-L)
DOI: 10.1016/j.schres.2015.03.035
OpenAlex: W2043370814
Cited by: 22
References: 37
Citations by year: 2025: 4 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 2 · 2016: 4 · 2015: 1
FWCI: 1.90
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Schizophrenia Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: insight, depression
MeSH terms: Adult, Affect, Awareness, Depression, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Self Concept, Negotiating, Young Adult, Social Stigma

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Negative future self as a mediator in the relationship between insight and depression in psychotic disorders

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