Effects of Recovery Measures on Internalized Stigma in Patients Diagnosed with Schizophrenia

Caqueo-Urízar, Alejandra; Ponce-Correa, Felipe; Urzúa, Alfonso

doi:10.1007/s11469-022-00847-5

Cited by 5 publications

(8 citation statements)

References 65 publications

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“…Moreover, in this work, cognitive impairment assessed by the PANSS correlated significantly with premorbid adjustment [62]. In this sense, premorbid adjustment also assesses school performance and adjustment during childhood and adolescence, being a predictor of cognitive impairment, deficits in social cognition and severity in positive and negative symptomatology [65].…”

Section: Discussionmentioning

confidence: 92%

“…The results of the LCA analysis showed that a three-profile classification was adequate to describe latent premorbid adjustment scores, the results showed that the profile with the most favorable premorbid psychosocial functioning (C1) was more likely to have a higher subjective recovery score and greater resistance to stigma compared to the more moderate (C2) or lower functioning profiles (C3). Evidence relating recovery to premorbid adjustment is sparse [61]; similarly, few studies relate premorbid adjustment to stigma [27,62]. These results highlight the importance of premorbid functioning in the development of a favorable subjective outlook on self and recovery from the disorder.…”

Section: Discussionmentioning

confidence: 99%

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Latent Profiles of Premorbid Adjustment in Schizophrenia and Their Correlation with Measures of Recovery

Caqueo-Urízar

Ponce-Correa

Semir-González

et al. 2022

JCM

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Premorbid adjustment (PA) has classically been defined as psychosocial functioning in the areas of education, occupation, social and interpersonal relationships prior to evidence of characteristic positive symptomatology. It is a concept which possesses ample evidence regarding its predictive nature for the course of Schizophrenia. The study aimed to analyze the latent profiles of premorbid adjustment and their relationship with symptomatology, functionality, subjective recovery, stigma resistance and years of untreated psychosis. Latent class analysis (LCA) was used to elaborate a solution of three premorbid adjustment profiles in a sample of 217 patients diagnosed with Schizophrenia from Public Mental Health Centers in the city of Arica, Chile. The results show that premorbid adjustment was significantly correlated with recovery indicators and that latent profiles of better premorbid adjustment predict better outcomes in subjective recovery and stigma resistance. The results show that premorbid adjustment not only has implications for the severity of the disorder, but that psychosocial functioning prior to psychosis affects the patient’s subjectivity, the representation of the disorder and the recovery process.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Latent Profiles of Premorbid Adjustment in Schizophrenia and Their Correlation with Measures of Recovery

Caqueo-Urízar

Ponce-Correa

Semir-González

et al. 2022

JCM

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“…Given the abundance of evidence on the negative correlates of self-stigma (6)(7)(8)(9)(10)(11)(12)(13)(14)(15), clinicians should focus in treatment on selfstigma as soon as possible, to prevent individuals at UHR for psychosis form further alienation or development of more selfstigma and its negative correlates. In a review (46) on self-stigma interventions six effective interventions were found [Healthy selfconcept (47,48), Self-stigma reduction program (49), Ending selfstigma (50), Narrative enhancement and cognitive therapy (51-54), Coming out proud (55, 56), and Anti-stigma photo-voice intervention (57)], key ingredients appear to be psychoeducation, cognitive restructuring, and focus on telling one's narrative.…”

Section: Discussionmentioning

confidence: 99%

“…Self-stigma is relatively common in people with an SSD with 36.9% of patients reporting high levels of self-stigma according to a systematic review ( 6 ). Self-stigma is associated with multiple negative outcomes, such as lower levels of cognitive insight ( 7 , 8 ), low self-esteem, less hope ( 9 , 10 ), higher suicide risk ( 10 ), reduced self-efficacy, less empowerment ( 6 , 11–14 ), and worse subjective well-being ( 15 ). It is also shown to be longitudinally related to a variety of negative outcomes including more positive symptoms, anxiety and depression, lower self-esteem, and poorer social functioning ( 6 ), and self-stigma can play a mediating role between negative symptoms and recovery ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Self-stigma and cognitive insight in individuals at ultra-high risk for psychosis

et al. 2023

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BackgroundImpaired cognitive insight and increased self-stigma have been consistently reported in individuals diagnosed with schizophrenia spectrum disorders, but little is known about its presence in individuals at ultra-high risk of developing a psychosis, although self-stigma is associated with transition.to psychosis. The current study examined whether self-stigma is already present in individuals at ultra-high risk of psychosis, and whether this is associated with impaired cognitive insight.Methods184 participants were recruited divided over three groups, namely individuals diagnosed with a schizophrenia spectrum disorder (SSD; n = 92, 34% females), individuals at ultra-high risk for psychosis (UHR; n = 43, 59% females) and general population controls (GPC; n = 49, 27% females). All participants completed assessments on demographic information (gender, age, education), and cognitive insight. In addition, participants with SSD and individuals at UHR completed a questionnaire on self-stigma.ResultsThe level of self-stigma did not differ between individuals at UHR and individuals diagnosed with SSD. Cognitive insight also did not differ significantly between the three groups, but the subscale self-reflection differed between the three groups [F(2,184) = 4.20, p = 0.02], with the UHR and SSD groups showing more self-reflection. Pearson’s correlation analyses showed that in individuals at UHR total cognitive insight and its self-reflection subscale were significantly associated with the alienation subscale of self-stigma, and in individuals with SSD self-certainty subscale of cognitive insight was significantly associated with stereotype endorsement.ConclusionFindings show that self-stigma was already present in the UHR phase, to a similar degree as in individuals with a diagnosis of a SSD, and is thus not dependent of previous experience of having a label of SSD. Cognitive insight in individuals at UHR of psychosis appears to be intact, but individuals at UHR showed more self-reflectiveness, and individuals at risk with high cognitive insight also experience high levels of self-stigma. Overall findings from our study suggest that pre-emptive interventions targeting self-stigma, while considering cognitive insight, are needed early on in manifestation of psychotic illness, preferably already in the UHR phase.

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“…A foreign scholar conducted the first study on psychological rehabilitation for patients with schizophrenia and found that their quality of life improved compared to general psychological interventions [ 32 ]. All studies have shown that family health education can improve the quality of life of schizophrenia patients [ 33 ]. Possible reasons for improving the quality of life in schizophrenia through psychological rehabilitation are health education and family interventions.…”

Section: Discussionmentioning

confidence: 99%

Application Research of Humanistic Care and Situational Integration in Nursing of Schizophrenia in Recovery Period

Zhang

2022

Contrast Media & Molecular Imaging

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Objective. To formulate corresponding nursing humanistic care measures according to the needs of patients, evaluate the intervention effect of patients, and provide reference for nursing staff to better provide nursing humanistic care for patients with schizophrenia in convalescence. Methods. Using the random number table method, 110 inpatients with convalescent schizophrenia were randomly divided into the control group (n = 55) and the experimental group (n = 55). The sample t-test was used to compare the changes of patient insight, treatment attitude, rehabilitation efficacy, and negative emotion score before and after nursing humanistic nursing intervention, and analyze the effect of nursing humanistic care intervention. Results. Nursing satisfaction: the nursing satisfaction of the experimental group increased from 84.6% to 96.2%, after intervention, satisfaction of the experimental group was 96.2% higher than that of 86.5% of the control group. Conclusion. Nursing intervention measures based on needs of nursing humanistic care can improve nursing satisfaction, insight and treatment attitude of patients, enhance recovery effect of patients, reduce negative emotions of patients, and benefit recovery of patients’ conditions.

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Effects of Recovery Measures on Internalized Stigma in Patients Diagnosed with Schizophrenia

Cited by 5 publications

References 65 publications

Latent Profiles of Premorbid Adjustment in Schizophrenia and Their Correlation with Measures of Recovery

Latent Profiles of Premorbid Adjustment in Schizophrenia and Their Correlation with Measures of Recovery

Self-stigma and cognitive insight in individuals at ultra-high risk for psychosis

Application Research of Humanistic Care and Situational Integration in Nursing of Schizophrenia in Recovery Period

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