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Title: Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma, and life satisfaction among people with schizophrenia spectrum disorders
Authors: Dr. CHIO Hin-ngan, Floria 
Mak, Winnie W. S. 
Chan, Randolph Chun Ho 
Tong, Alan C. Y. 
Issue Date: 2018
Source: Schizophrenia Research, Jul 2018, vol. 197, pp. 124-130.
Journal: Schizophrenia Research 
Abstract: The promotion of insight among people with schizophrenia spectrum disorders has posed a dilemma to service providers as higher insight has been linked to positive clinical outcomes but negative psychological outcomes. The negative meaning that people attached to the illness (self-stigma content) and the recurrence of such stigmatizing thoughts (self-stigma process) may explain why increased insight is associated with negative outcomes. The present study examined how the presence of high self-stigma content and self-stigma process may contribute to the negative association between insight and life satisfaction. A total of 181 people with schizophrenia spectrum disorders were assessed at baseline. 130 and 110 participants were retained and completed questionnaire at 6-month and 1-year follow-up, respectively. Results showed that baseline insight was associated with lower life satisfaction at 6-month when self-stigma process or self-stigma content was high. Furthermore, baseline insight was predictive of better life satisfaction at 1-year follow-up when self-stigma process was low. Findings suggested that the detrimental effects of insight can be a result from both the presence of cognitive content and habitual process of self-stigma. Future insight promotion interventions should also address self-stigma content and process among people with schizophrenia spectrum disorders so as to maximize the beneficial effects of insight.
Type: Peer Reviewed Journal Article
ISSN: 0920-9964
DOI: 10.1016/j.schres.2018.01.014
Appears in Collections:Counselling and Psychology - Publication

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