Hostname: page-component-77c89778f8-n9wrp Total loading time: 0 Render date: 2024-07-19T17:15:59.989Z Has data issue: false hasContentIssue false

EPA-0166 – Stigma, Insight and Social Functioning in Psychotic Disorders. a Sample to Begin the Investigation

Published online by Cambridge University Press:  15 April 2020

F. Caputo
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
S. Melillo
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
C. Elce
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
C. Mazza
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
C. Colletti
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
S. Orlando
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy
M. Casiello
Affiliation:
Neuroscience, Università degli Studi di Napoli - Federico II, Naples, Italy

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction:

The internalized stigma of mental illness leads to negative outcomes (low self-esteem, demoralization, lower compliance to the treatment, unemployment). Previous studies have shown that the prevalence in psychotic patients is about 64%; furthermore, patients with non-psychotic disorders exhibit high prevalence, as well.

Aim:

Our aim is to study internalized stigma, insight and social functioning in psychotic patients.

Objective:

Through the investigation of low insight patients, we sought to verify the insight paradox theory and the impact stigma has on social functioning. We also investigated ISMI subscales (alienation, discrimination, stigma resistance, stereotype endorsement, social withdrawal) and the correlation between those elements.

Methods:

Our sample included 19 psychotic patients: 11 with bipolar disorder; 3 with schizoaffective disorder; 5 with NOS psychosis. Patients were assessed with the following tests: SAI to evaluate insight; PANSS for clinical and psychopathological evaluation; GAF for social functioning; ISMI for the assessment of internalized stigma.

Results:

13 patients with mild or complete lack of insight reported low stigma, confirming the Insight Paradox theory. There is a positive correlation, measured with the Pearson correlation analysis, between insight and social functioning (R=0,752*) and between stigma and insight (R=0,024) while stigma and social functioning correlate negatively (R= -0,491*).

Conclusions:

Results showed that lower levels of insight are related to higher stigma resistance and higher stigma leads to poorer functioning in social contexts. Higher sample numbers are necessary for further investigations on the subject.

Type
EPW14 - Culture, Philosophy and Tele Mental Health
Copyright
Copyright © European Psychiatric Association 2014
Submit a response

Comments

No Comments have been published for this article.