Insight and self‐stigma in patients with schizophrenia
Open accessAbstract
Poor insight and high level of self-stigma are often present among patients with schizophrenia and are related to poorer treatment adherence, poorer social function and rehabilitation, aggressive behavior, higher level of depression, social anxiety, lower quality of life and self-esteem. Reports on a relationship between insight and stigma are controversial. We examined the relationship of the level of insight and self-stigma in a sample of 149 patients with schizophrenia. Insight was measured with the Scale to assess Unawareness of Mental Disorder and self-stigma with the Internalized Stigma of Mental Illness. Results showed 88.6% of the patients to have high or moderate insight, with a mean value of 2.73. General insight showed the highest level (2.58) and insight in positive symptoms the lowest level (2.9). The self-stigma score in general was 2.13, with stereotype endorsement being lowest (1.98). According to study results, 77.1% of patients felt minimal or low self-stigma across all subscales, except for stigma resistance subscale. Statistically significant correlation was found between insight and four subscales of self-stigma, while no correlation was found for the stigma resistance subscale only. These results imply the need of individually tailored antistigma and insight promoting programs for patients with schizophrenia.
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Some studies found a direct link between insight and stigma, while others failed to replicate it.
“Other studies have also found a direct link between insight and stigma 148 , though others have failed to replicate that 149 .”
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 [148]
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References 22 · Cited by 25
- Authors
- Vidović, D.
- Corresponding author
- Vidović, Domagoj
- Venue
- Acta Clinica Croatica
- Published
- 2016
- Volume
- 55
- Issue
- 1
- Pages
- 23-27
- ISSN
- 0353-9466 (ISSN-L)
- OpenAlex
- W2473024368
- Cited by
- 25
- References
- 22
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 8 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Acta Clinica Croatica (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- University of Zagreb University Computing Centre (SRCE) (submittedVersion, other-oa)
- 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
- schizophrenia, insight, self-stigma, internalized stigma of mental illness, Scale to Assess Unawareness of Mental Disorder, positive symptoms, stigma resistance
- MeSH terms
- Adult, Awareness, Depression, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Schizophrenia, Schizophrenic Psychology, Self Concept, Stereotyping, Social Stigma
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