Dr. CHIO Hin-ngan, FloriaFloriaDr. CHIO Hin-nganMak, Winnie W. S.Winnie W. S.MakChan, Randolph Chun HoRandolph Chun HoChanTong, Alan C. Y.Alan C. Y.Tong2019-02-212019-02-212018Schizophrenia Research, Jul 2018, vol. 197, pp. 124-130.0920-9964http://hdl.handle.net/20.500.11861/5579The 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.enPeer Reviewed Journal Article10.1016/j.schres.2018.01.014