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Cognitive complaints in schizophrenia:relationship with clinical symptoms, stigma and insight

Published online by Cambridge University Press:  27 August 2024

S. Ajmi ,
M. Bouhamed ,
R. Ouali ,
S. Hentati ,
I. Feki ,
R. Sallemi  and
J. Masmoudi
S. Ajmi*
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
M. Bouhamed
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
R. Ouali
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
S. Hentati
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
I. Feki
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
R. Sallemi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
J. Masmoudi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

In addition to the classic clinical symptoms, patients with schizophrenia suffer from cognitive difficulties, self-stigma and poor insight.

Objectives

This study aims to evaluate the impact of stigma, symptom severity, and insight on subjective cognitive complaints in patients with schizophrenia.

Methods

This is a cross-sectional, descriptive and analytical study carried out on 72 stabilized patients followed at the post-cure psychiatry consultation ‘A’ at the CHU Hédi Chaker in Sfax diagnosed with schizophrenia according to the DSM 5 criteria.

We used the schedule for the Assessment of Insight–Expanded Version(SAI-E) to assess clinical insight, The Internalized Stigma of Mental Illness (ISMI) scale for the assessment of internalized stigma, the Subjective Scale to Investigate Cognition in Schizophrenia (SSTICS) scale to determine subjective cognitive complaints and the Positive and Negtive Syndroms Scale (PANSS) to assess positive and negatives symptoms.

Results

The average age of the patients was 46.83 ± 11.6 years, with a sex ratio (M/F) of 2. In our study, 48.5% of the patients were single, 52.8years,% were smokers and 23 6% consumed alcohol. The level of education did not exceed the primary level for 44.4% of the patients. The average age of disease onset was 24.56 ± 5, 82. Our participants had an average score of 25 on the SSTICS total score and 20.1 on the SAI-E. The median ISMI total score and PANSS total score were 2.45 and 46respectively

The predominant negative symptoms(p=0.003), stigma(p=0.009), and insight (p<10-3)were significant factors associated with increased cognitive complaints.

Conclusions

In schizophrenia, the combination of cognitive difficulties, self-stigma with a low insight makes the management of these patients more difficult.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S757
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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