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Article: Elucidating the relationship between internalized stigma, cognitive insight, illness severity, and functioning in patients with schizophrenia using a path analysis approach

TitleElucidating the relationship between internalized stigma, cognitive insight, illness severity, and functioning in patients with schizophrenia using a path analysis approach
Authors
KeywordsInternalized stigma
cognitive insights
chizophrenia
path analysis
Issue Date2020
PublisherTaylor & Francis: STM, Behavioural Science and Public Health Titles. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/09638237.asp
Citation
Journal of Mental Health, 2020, Epub 2020-10-23 How to Cite?
AbstractBackground: There is a paucity of studies examining the interrelationship between internalized stigma, cognitive insight, illness severity, and functioning. Aims: This study examined the dynamics of the relationship between these factors using a path modelling approach. Methods: Two hundred and seven patients with schizophrenia spectrum disorders were recruited in this cross-sectional study. Patients were assessed on internalized stigma, cognitive insight (including its two domains, self-reflectiveness and self-certainty), illness severity and functioning. Path analysis was used to test the hypothesized model for the interrelationship between the variables. Results: A direct positive association was observed between self-certainty and internalized stigma. This was also observed via the paths running through illness severity and functioning. Self-reflectiveness was only associated with self-certainty in the model. The residual variance of internalized stigma in the path model was relatively high. Conclusion: Our findings highlight that self-certainty is associated with internalized stigma along with illness severity and functioning in individuals with schizophrenia. Therefore, interventions on reduction of internalized stigma may benefit from a multipronged approach targeting self-certainty, illness severity and functioning. The relatively high residual variance of internalized stigma in the model highlights the need for further research to provide better understanding on the mechanisms underlying internalized stigma.
Persistent Identifierhttp://hdl.handle.net/10722/290654
ISSN
2023 Impact Factor: 2.9
2023 SCImago Journal Rankings: 1.061
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSUM, MY-
dc.contributor.authorChan, SKW-
dc.contributor.authorTse, S-
dc.contributor.authorBola, JR-
dc.contributor.authorNg, RMK-
dc.contributor.authorHui, CLM-
dc.contributor.authorLee, EHM-
dc.contributor.authorChang, WC-
dc.contributor.authorChen, EYH-
dc.date.accessioned2020-11-02T05:45:15Z-
dc.date.available2020-11-02T05:45:15Z-
dc.date.issued2020-
dc.identifier.citationJournal of Mental Health, 2020, Epub 2020-10-23-
dc.identifier.issn0963-8237-
dc.identifier.urihttp://hdl.handle.net/10722/290654-
dc.description.abstractBackground: There is a paucity of studies examining the interrelationship between internalized stigma, cognitive insight, illness severity, and functioning. Aims: This study examined the dynamics of the relationship between these factors using a path modelling approach. Methods: Two hundred and seven patients with schizophrenia spectrum disorders were recruited in this cross-sectional study. Patients were assessed on internalized stigma, cognitive insight (including its two domains, self-reflectiveness and self-certainty), illness severity and functioning. Path analysis was used to test the hypothesized model for the interrelationship between the variables. Results: A direct positive association was observed between self-certainty and internalized stigma. This was also observed via the paths running through illness severity and functioning. Self-reflectiveness was only associated with self-certainty in the model. The residual variance of internalized stigma in the path model was relatively high. Conclusion: Our findings highlight that self-certainty is associated with internalized stigma along with illness severity and functioning in individuals with schizophrenia. Therefore, interventions on reduction of internalized stigma may benefit from a multipronged approach targeting self-certainty, illness severity and functioning. The relatively high residual variance of internalized stigma in the model highlights the need for further research to provide better understanding on the mechanisms underlying internalized stigma.-
dc.languageeng-
dc.publisherTaylor & Francis: STM, Behavioural Science and Public Health Titles. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/09638237.asp-
dc.relation.ispartofJournal of Mental Health-
dc.rightsThis is an electronic version of an article published in [include the complete citation information for the final version of the article as published in the print edition of the journal]. [JOURNAL TITLE] is available online at: http://www.informaworld.com/smpp/ with the open URL of your article.-
dc.subjectInternalized stigma-
dc.subjectcognitive insights-
dc.subjectchizophrenia-
dc.subjectpath analysis-
dc.titleElucidating the relationship between internalized stigma, cognitive insight, illness severity, and functioning in patients with schizophrenia using a path analysis approach-
dc.typeArticle-
dc.identifier.emailChan, SKW: kwsherry@hku.hk-
dc.identifier.emailTse, S: samsont@hku.hk-
dc.identifier.emailHui, CLM: christyh@hku.hk-
dc.identifier.emailLee, EHM: edwinlhm@hku.hk-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailChen, EYH: eyhchen@hku.hk-
dc.identifier.authorityChan, SKW=rp00539-
dc.identifier.authorityTse, S=rp00627-
dc.identifier.authorityHui, CLM=rp01993-
dc.identifier.authorityLee, EHM=rp01575-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityChen, EYH=rp00392-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1080/09638237.2020.1836553-
dc.identifier.pmid33095070-
dc.identifier.scopuseid_2-s2.0-85094105567-
dc.identifier.hkuros318514-
dc.identifier.volumeEpub 2020-10-23-
dc.identifier.spage1-
dc.identifier.epage10-
dc.identifier.isiWOS:000582141300001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0963-8237-

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