Patients' insight and felt stigma among psychiatric patients

Knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among people diagnosed with schizophrenia in a long‐term care facility

“…Dewedar and team claimed that there was no statistically significant correlation between insight and stigma found among PDwS ( r = .112, P = .222). In contrast to the present finding, several studies 16,19,20 reported a statistically significant association ( P < .05) between the level of insight into illness and level of stigma among PDwS and that stigma is an important determinant of insight. The literature proposes that the realization of the illness is influenced by stimulation factors, among which stigma may present as one.…”

“…This finding is similar to a previous study that found no statistically significant relationship between patient's characteristics and level of insight 46 . However, other studies found that gender ( P < .05), 20,27 level of education ( χ 2 = 29.93, P = .001), 31 and marital status ( χ 2 = 8.18, P = .042), 19 had a significant association with the level of insight. This study reported no significant association between patients’ characteristics and level of insight into illness, an occurrence that could be justified by the researcher not considering gender as a part of patients’ characteristics, for all the participants were male.…”

“…On the other hand, it is observed that there is a higher level of internalized stigma among patients who were treated at mental health hospital in Jordan compared to developed countries such as the United States, Japan, and European countries, where low mean self‐stigma scores (1.61; 2.33) were found using the ISMI, same as the current study 35,36 . However, the levels of internalized stigma in this study are in the same lines as those observed in low‐income Arab countries, such as; Egypt 21 who use the ISMI, and the felt stigma scale ( M = 28.24, SD = 7.63) in the study by Mahmoud and Berma, 19 and African countries, like Sudan 37 who use structured standardized questions that assesses stigma attitude. This result is probably related to the socioeconomic conditions and public policies on mental health.…”

“…Research on the reliability and validity of the BIS found the test to have a high internal consistency (Cronbach's α = .75). In this study, the Arabic version was used, 19 which showed acceptable Cronbach's α (.68). In the current study, Cronbach's α of the BIS was found to be .71.…”

“…Different studies across the world have tried to evaluate the association of stigma with insight, and have demonstrated the existence of a negative correlation between the level of insight into illness and the stigma of mental illness, 16,19,20 while others show no relationship between insight and stigma of mental illness 21…”