Cited by 688Schizophrenia research and treatmentMental Health Treatment and AccessMental Health and Psychiatry

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Toward Understanding the Insight Paradox: Internalized Stigma Moderates the Association Between Insight and Social Functioning, Hope, and Self-esteem Among People with Schizophrenia Spectrum Disorders

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Lysaker, P. H., Roe, D., Yanos, P. T.·2006·Schizophrenia Bulletin

DOI 10.1093/schbul/sbl016PMC PMC2012366

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Abstract

Research has paradoxically linked awareness of illness to both better function outcomes and lesser hope and self-esteem. One possible explanation for these findings is that acceptance of having schizophrenia may impact outcomes differently depending on the meanings the person attaches to this acceptance, particularly whether he or she accepts stigmatizing beliefs about mental illness. To explore this possibility we performed a cluster analysis of 75 persons with schizophrenia spectrum disorders based on single measures of insight using the Positive and Negative Syndrome Scale, internalized stigma using the Internalized Stigma of Mental Illness Scale, and compared groups on concurrent assessments of hope and self-esteem. Three groups were produced by the cluster analyses: low in sight/mild stigma (n = 23), high insight/minimal stigma (n = 25), and high insight/moderate stigma (n = 27). As predicted, analysis of variance-comparing groups revealed that the high insight/moderate stigma group had significantly the lowest levels of hope on the Beck Hopelessness Scale and self-esteem using the Multidimensional Self-esteem Inventory. As predicted, the high insight/minimal stigma group also had significantly less impaired social function than the other groups. Implications for assisting persons to come to cope with awareness of illness and stigma are discussed.

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Authors: Lysaker, P. H., Roe, D., & Yanos, P. T.
Affiliations: Richard L. Roudebush VA Medical Center (US)
University of Medicine and Dentistry of New Jersey (US)
Rutgers, The State University of New Jersey (US)
Corresponding author: Lysaker, P. H.
ORCID: Lysaker, P. H.
Roe, D.
Yanos, P. T.
Venue: Schizophrenia Bulletin
Publisher: Oxford University Press (OUP)
Published: 2006-12-07
Volume: 33
Issue: 1
Pages: 192-199
ISSN: 0586-7614 (ISSN-L)
1745-1701
DOI: 10.1093/schbul/sbl016
PMC: PMC2012366
OpenAlex: W2162981648
Cited by: 688
References: 57
Citations by year: 2026: 24 · 2025: 22 · 2024: 39 · 2023: 35 · 2022: 18 · 2021: 37 · 2020: 46 · 2019: 41 · 2018: 51 · 2017: 43 · 2016: 53 · 2015: 36 · 2014: 45 · 2013: 43 · 2012: 47
FWCI: 11.50
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Schizophrenia Bulletin (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (K23MH066973)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: insight, self-stigma
MeSH terms: Adaptation, Psychological, Adult, Awareness, Culture, Female, Humans, Internal-External Control, Male, Middle Aged, Motivation, Personality Inventory, Prejudice, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Self Concept, Sick Role, Social Adjustment, Outcome Assessment, Health Care

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Toward Understanding the Insight Paradox: Internalized Stigma Moderates the Association Between Insight and Social Functioning, Hope, and Self-esteem Among People with Schizophrenia Spectrum Disorders

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