Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma, and life satisfaction among people with schizophrenia spectrum disorders

Floria H. N. CHIO, Winnie W. S. MAK, Randolph Chun Ho CHAN, Alan C. Y. TONG

Research output: Contribution to journalArticles

14 Citations (Scopus)

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 one-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. Copyright © 2018 Elsevier B.V. All rights reserved.

Original languageEnglish
Pages (from-to)124-130
JournalSchizophrenia Research
Volume197
Early online date01 Feb 2018
DOIs
Publication statusPublished - Jul 2018

Citation

Chio, F. H. N., Mak, W. W. S., Chan, R. C. H., & Tong, A. C. Y. (2018). Unraveling the insight paradox: One-year longitudinal study on the relationships between insight, self-stigma, and life satisfaction among people with schizophrenia spectrum disorders. Schizophrenia Research, 197, 124-130. doi: 10.1016/j.schres.2018.01.014

Keywords

  • Self-stigma
  • Life satisfaction
  • Insight
  • Schizophrenia

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