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精神分裂症中内化耻辱感与自我报告的认知功能障碍及自知力之间的关系

The Relationship Between Internalized Stigma with Self-reported Cognitive Dysfunction and Insight in Schizophrenia.

作者信息

Bilgin Koçak Merve, Öztürk Atkaya Neşe

机构信息

Department of Psychiatry, Samsun Mental Health and Disease Hospital, Samsun, Türkiye.

Department of Private Fatsa Medi-tech Hospital, Ordu, Türkiye.

出版信息

Psychiatry Clin Psychopharmacol. 2024 Jun 1;34(2):119-126. doi: 10.5152/pcp.2024.23787. eCollection 2024 Jun.

DOI:10.5152/pcp.2024.23787
PMID:39165896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11332565/
Abstract

BACKGROUND

This study aimed to evaluate the relationship between internalized stigma with self-reported cognitive dysfunction and insight in individuals with schizophrenia.

METHODS

There were 69 patients diagnosed with schizophrenia in the study. Severity of illness, insight, self-reported cognitive impairment, and internalized stigma were assessed using the Positive and Negative Syndrome Scale, the Schedule for the Assessment of Insight (SAI), the Schizophrenia Cognition Rating Scale (SCoRS), and the Internalized Stigma of Mental Illness (ISMI) scale.

RESULTS

Schizophrenia Cognition Rating Scale-patient scores correlated positively and significantly with the ISMI subscales Alienation and Stereotype Endorsement. Schedule for the Assessment of Insight scores correlated positively and significantly with the ISMI subscales Alienation, Stereotype Endorsement, Discrimination Experience, and Social Withdrawal. There was no correlation between SCoRS-patient, SAI subscale, and total scores. In the regression analysis, SCoRS-patient score and SAI total scores explained 38.2% of the ISMI Alienation subscale, and 25.5% of the ISMI Stereotype Endorsement subscale.

CONCLUSION

Significant associations were found between internalized stigma with self-reported cognitive impairment and insight. Clinicians should be aware of higher degrees of internalized stigma in persons with schizophrenia who experience subjective cognitive deficits and have higher levels of insight.

摘要

背景

本研究旨在评估精神分裂症患者内化耻辱感与自我报告的认知功能障碍及自知力之间的关系。

方法

本研究纳入69例精神分裂症患者。采用阳性与阴性症状量表、自知力评定量表（SAI）、精神分裂症认知评定量表（SCoRS）及精神疾病内化耻辱感量表（ISMI）对疾病严重程度、自知力、自我报告的认知损害及内化耻辱感进行评估。

结果

精神分裂症认知评定量表-患者得分与ISMI分量表“疏离感”和“刻板印象认同”呈显著正相关。自知力评定量表得分与ISMI分量表“疏离感”“刻板印象认同”“歧视体验”及“社交退缩”呈显著正相关。SCoRS-患者得分、SAI分量表得分及总分之间无相关性。在回归分析中，SCoRS-患者得分和SAI总分可解释ISMI“疏离感”分量表38.2%的变异及ISMI“刻板印象认同”分量表25.5%的变异。

结论

内化耻辱感与自我报告的认知损害及自知力之间存在显著关联。临床医生应意识到，主观认知存在缺陷且自知力水平较高的精神分裂症患者内化耻辱感程度更高。

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本文引用的文献

1
Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.严重精神疾病中的自我污名：频率、相关性和后果的系统综述。
Schizophr Bull. 2021 Aug 21;47(5):1261-1287. doi: 10.1093/schbul/sbaa181.
2
Self-stigma in psychotic disorders: Clinical, cognitive, and functional correlates in a diverse sample.精神病性障碍中的自我污名：来自不同样本的临床、认知和功能相关性。
Schizophr Res. 2021 Feb;228:145-150. doi: 10.1016/j.schres.2020.12.003. Epub 2021 Jan 11.
3
Subjective cognitive complaints and its relation to objective cognitive performance, clinical profile, clinical insight, and social functioning in patients of schizophrenia: A cross-sectional study.精神分裂症患者的主观认知主诉及其与客观认知表现、临床特征、临床洞察力和社会功能的关系：一项横断面研究。
Indian J Psychiatry. 2020 Mar-Apr;62(2):178-185. doi: 10.4103/psychiatry.IndianJPsychiatry_639_19. Epub 2020 Mar 17.
4
Relationship of poor insight to neurocognition, social cognition, and psychiatric symptoms in schizophrenia: A meta-analysis.精神分裂症中洞察力差与神经认知、社会认知和精神症状的关系：一项荟萃分析。
Schizophr Res. 2020 Jun;220:164-171. doi: 10.1016/j.schres.2020.03.038. Epub 2020 Apr 22.
5
How internalised stigma reduces self-esteem in schizophrenia: the crucial role of off-line metacognition.内化耻辱感如何降低精神分裂症患者的自尊：离线元认知的关键作用。
Cogn Neuropsychiatry. 2020 Mar;25(2):154-161. doi: 10.1080/13546805.2020.1714570. Epub 2020 Jan 14.
6
Cognitive deficit in schizophrenia: an overview.精神分裂症认知缺陷：概述。
Psychiatr Danub. 2019 Jun;31(Suppl 2):139-142.
7
Self-perception of mental illness, and subjective and objective cognitive functioning in people with schizophrenia.精神分裂症患者对精神疾病的自我认知以及主观和客观认知功能
Neuropsychiatr Dis Treat. 2019 Apr 23;15:967-976. doi: 10.2147/NDT.S193239. eCollection 2019.
8
Internalized stigma and its impact on schizophrenia quality of life.内化污名及其对精神分裂症患者生活质量的影响。
Psychol Health Med. 2019 Sep;24(8):992-1004. doi: 10.1080/13548506.2019.1612076. Epub 2019 May 3.
9
The impact of internalized stigma on the well-being of people with Schizophrenia.内化污名对精神分裂症患者幸福感的影响。
Psychiatry Res. 2019 Jan;271:621-627. doi: 10.1016/j.psychres.2018.12.060. Epub 2018 Dec 10.
10
Association of neurocognitive deficits and insight in schizophrenia.精神分裂症患者的神经认知缺陷与洞察力的关联。
Asian J Psychiatr. 2018 Aug;36:112-117. doi: 10.1016/j.ajp.2018.07.001. Epub 2018 Jul 17.