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The Relationship Between Internalized Stigma with Self-reported Cognitive Dysfunction and Insight in Schizophrenia
Merve Bilgin Koçak1, Neşe Öztürk Atkaya2
1Department of Psychiatry, Samsun Mental Health and Disease Hospital, Samsun, Türkiye.
Psychiatry and Clinical Psychopharmacology
|August 21, 2024
Summary
Internalized stigma is linked to cognitive dysfunction and insight in schizophrenia patients. Awareness of this connection is crucial for clinicians managing schizophrenia.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Schizophrenia is a complex mental disorder.
- Internalized stigma significantly impacts individuals with schizophrenia.
- Cognitive dysfunction and insight are key areas affected in schizophrenia.
Purpose of the Study:
- To investigate the relationship between internalized stigma and self-reported cognitive dysfunction.
- To examine the association between internalized stigma and insight in schizophrenia.
- To understand how stigma influences subjective experiences of cognitive impairment and self-awareness.
Main Methods:
- A cohort of 69 schizophrenia patients was assessed.
- Evaluated using the Positive and Negative Syndrome Scale, Schedule for the Assessment of Insight (SAI), Schizophrenia Cognition Rating Scale (SCoRS), and Internalized Stigma of Mental Illness (ISMI) scale.
- Correlational and regression analyses were performed to determine relationships between variables.
Main Results:
- Schizophrenia Cognition Rating Scale (SCoRS) scores positively correlated with ISMI subscales Alienation and Stereotype Endorsement.
- Schedule for the Assessment of Insight (SAI) scores positively correlated with ISMI subscales Alienation, Stereotype Endorsement, Discrimination Experience, and Social Withdrawal.
- Regression analysis indicated that SCoRS and SAI scores explained a significant portion of the variance in ISMI Alienation and Stereotype Endorsement.
Conclusions:
- Significant associations exist between internalized stigma, self-reported cognitive impairment, and insight in schizophrenia.
- Clinicians should consider internalized stigma in patients reporting cognitive deficits and higher insight.
- Addressing internalized stigma may be important for improving subjective cognitive experiences and self-awareness in schizophrenia.
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