Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-20T04:38:11.571Z Has data issue: false hasContentIssue false
  • English
  • Français

Insight and Satisfaction with Life Among Adolescents with Mental Disorders: Assessing Associations with Self-Stigma and Parental Insight

Published online by Cambridge University Press:  15 April 2020

M. Gaziel ,
I. Hasson-Ohayon ,
M. Morag-Yaffe ,
L. Schapir ,
G. Zalsman  and
G. Shoval
M. Gaziel
Affiliation:
Department of Psychology, Bar-Ilan UniversityRamat GanIsrael
I. Hasson-Ohayon
Affiliation:
Department of Psychology, Bar-Ilan UniversityRamat GanIsrael
M. Morag-Yaffe
Affiliation:
Department of Psychology, Bar-Ilan UniversityRamat GanIsrael
L. Schapir
Affiliation:
Division of Child and Adolescents Psychiatry, Geha Mental Health CenterPetah TiqvaIsrael Sackler Faculty of Medicine, Tel Aviv UniversityTel AvivIsrael
G. Zalsman
Affiliation:
Division of Child and Adolescents Psychiatry, Geha Mental Health CenterPetah TiqvaIsrael Sackler Faculty of Medicine, Tel Aviv UniversityTel AvivIsrael Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia UniversityNew YorkUSA
G. Shoval*
Affiliation:
Division of Child and Adolescents Psychiatry, Geha Mental Health CenterPetah TiqvaIsrael Sackler Faculty of Medicine, Tel Aviv UniversityTel AvivIsrael
*
⁎Corresponding author. Adolescent Day Unit, Geha Mental Health Center, P.O. Box 102, Petah Tiqva 49 100, Israel. Tel.: +972 3 925 8440; fax: +972 3 925 8276. E-mail address:shovgal@tau.ac.il (G. Shoval).
Get access

Abstract

Objective:

The purpose of the current study was to assess the associations of illness perception-related variables with satisfaction with life (SwL) among adolescents with mental disorders.

Methods:

Insight into mental disorder (SAI-E), Internalized stigma of mental illness (ISMI) and Multidimensional Students’ Life Satisfaction Scale (MSLSS) were administrated to 30 adolescent patients. Adapted version for parents of the SAI-E was also administrated to 37 of their parents.

Results:

Significant positive correlations were found between insight into the illness, self-stigma and parental insight. Insight and self-stigma were significantly negatively related to the total score of SwL and few of its dimensions while parental insight was significantly associated only with the SwL dimensions of school and self. Regression models revealed main negative effects of insight and self-stigma on SwL and no interaction effect.

Conclusions:

The possible independent contribution of insight and self-stigma to SwL should be addressed in interventions designed for family and adolescents coping with mental illness. Special attention should be given to the possible negative implications that insight possesses. In lack of support of the moderation role of self-stigma, reported in studies among adults with mental illness, future studies should trace other variables in order to further understand the insight paradox among adolescents.

Keywords

AdolescentsInsightSelf-stigmaSatisfaction with life
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 2 , February 2015 , pp. 329 - 333
Copyright
Copyright © Elsevier Masson SAS 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T.M., Verhulst, F.C., Baron, G.D., Akkerhuis, G.W.. Epidemiological comparisons of American and Dutch children: I. Behavioral/emotional problems and competencies reported by parents for ages 4 to 16. J Am Acad Child Adolesc Psychiatry 1987;26 :317–325.CrossRefGoogle ScholarPubMed
Amador, X.F., Strauss, D.H., Yale, S.A., Gorman, J.M.. Awareness of illness schizophrenia. Schizophr Bull 1991;17 :113–132.CrossRefGoogle Scholar
Angermeyer, M.C., Schulze, B., Dietrich, S.. Courtesy stigma. Soc Psychiatry Psychiatr Epidemiols 2003;38 :593–602.CrossRefGoogle ScholarPubMed
Atilola, O., Balhara, Y.P.S., Stevanovic, D., Avicenna, M., Kandemir, H.. Self-reported mental health problems among adolescents in developing countries: results from an international pilot sample. J Dev Behav Pediatr 2013;34 :129–137.CrossRefGoogle ScholarPubMed
Barese, E.B.Adolescent females identified as seriously emotionally disturbed: a qualitative study of their experiences and their perceptions. [Phd thesis]. Connecticut, USA: University of Connecticut; 2002. [(cited 2014 15 March). Available from: dissertation abstracts international section A: Humanities and Social Sciences, 64(1-A)].Google Scholar
Chopra, M.Psychological factors associated with treatment compliance and their relationship to outcome among individuals suffering from severe mental illness. Ramat-Gan, Israel: Bar-Ilan University; 2004. [Ph.D. Thesis].Google Scholar
Cohen, M., Mansoor, D., Langut, H., Lorber, A.Quality of life, depressed mood, and self-esteem in adolescents with heart disease. Psychosom Med 2007;69 :313–318.CrossRefGoogle ScholarPubMed
Corrigan, P.How clinical diagnosis might exacerbate the stigma of mental illness. Soc Work 2007;52 :31–39.CrossRefGoogle ScholarPubMed
Drauker, C.B.Processes of mental health service use by adolescents with depression. J Nurs Scholarsh 2005;37 :155–162.CrossRefGoogle Scholar
Ehrlich-Ben Or, S., Hasson-Ohayon, I., Feingold, D., Vahab, K., Amiaz, R., Weiser, M., et al.Meaning in life, insight and self-stigma among people with severe mental illness. Compr Psychiatry 2013;54 :195–200.CrossRefGoogle Scholar
Faragian, S., Kurs, R., Poyurovsky, M.Insight into obsessive-compulsive symptoms and awareness of illness in adolescent schizophrenia patients with and without OCD. Child Psychiatry Hum Dev 2008;39 :39–48.CrossRefGoogle ScholarPubMed
Farbstein, I., Mansbach-Kleinfeld, I., Levinson, D., Goodman, R., Levav, I., Vograft, I.et al. Prevalence and correlates of mental disorders in Israeli adolescents: results from a national mental health survey. J Child Psychol Psychiatry 2010;51 :630–639.CrossRefGoogle ScholarPubMed
Ferdinand, R.F., van der Ende, J., Verhulst, F.C.Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome. J Abnorm Psychol 2004;11 :198.CrossRefGoogle Scholar
Hasson-Ohayon, I., Kravetz, S., Roe, D.A.S., Weiser, M.Insight into psychosis and quality of life. Compr Psychiatry 2006;47 :265–269.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Kravetz, S., Meir, S., Rozencwaig, T.Insight into severe mental illness, hope, and quality of life of persons with schizophrenia and schizoaffective disorders. Psychiatry Res 2009;167 :231–236.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Levy, I., Kravetz, S., Vollanski-Narkis, Roe D.Insight into mental illness, self-stigma, and the family burden of parents of persons with a severe mental illness. Compr Psychiatry 2011;52 :75–80.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Ehrlich-Ben Or, S., Vahab, K., Amiaz, R., Weiser, M., Roe, D.Insight into mental illness and self-stigma: the mediating role of shame proneness. Psychiatry Res 2012;200 (2):802–806.CrossRefGoogle ScholarPubMed
Hasson-Ohayon, I., Mashiach-Eizenberg, M., Elhasid, N., Yanos, P.T., Lysaker, P.H., Roe, D.Between self-clarity and recovery in schizophrenia: reducing the self-stigma and finding meaning. Compr Psychiatry 2014;55 :675–680.CrossRefGoogle ScholarPubMed
Horsley, S.C.Discrepancies in parent-adolescent reports of psychopathology in adolescents with serious emotional disturbance. [Phd thesis]. Huntsville, Texas, USA: Sam Houston State University; 2010. [(cited 2014 16 March). Available from: 2009 [cited 2010 Mar 24]. Available from: ProQuest Dissertations & Theses].Google Scholar
Huebner, E.S.Preliminary development and validation of a multidimensional life satisfaction scale for children. Psychol Assess 1994;6 :149.CrossRefGoogle Scholar
Kemp, R., David, A.Insight and compliance. In: Blackwell, B. editor. Compliance and treatment alliance in serious mental illness. Amsterdam: Harwood Academic; 1997. 61–86.Google Scholar
Leavey, J.E.Youth experiences of living with mental health problems: emergence, loss, adaptation and recovery. Can J Commun Ment Health 2005;24 :109–126.CrossRefGoogle ScholarPubMed
Lewis, L.Mourning, insight reduction of suicide risk in schizophrenia. Bull Menninger Clin 2004;68 :231–244.CrossRefGoogle Scholar
Lincoln, T.M., Lüllmann, E., Rief, W.Correlates and long-term consequences of poor insight in patients with schizophrenia. A systematic review. Schizophr Bull 2007;33 (6):1324–1342.CrossRefGoogle ScholarPubMed
Lysaker, P.H., Bell, M.D., Bryson, G., Kaplan, E.Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 1998;186 :432–436.CrossRefGoogle Scholar
Lysaker, P.H., Roe, D., Yanos, P.T.Toward understanding the insight paradox: internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophr Bull 2007;33 :192–199.CrossRefGoogle ScholarPubMed
Mashiach-Eizenberg, M., Hasson-Ohayon, I., Yanos, P.T., Lysaker, P.H., Roe, D.Internalized stigma and quality of life among persons with severe mental illness: the mediating roles of self-esteem and hope. Psychiatry Res 2013;208 :15–20.CrossRefGoogle ScholarPubMed
Morrissey-Kane, E., Prinz, R.J.Engagement in child and adolescent treatment: the role of parental cognitions and attributions. Clin Child Fam Psychol Rev 1999;2 :183–198.CrossRefGoogle ScholarPubMed
Moses, T.Self-labeling and its effects among adolescents diagnosed with mental disorders. Soc Sci Med 2009;68 :570–578.CrossRefGoogle ScholarPubMed
Moses, T.Stigma and self-concept among adolescents receiving mental health treatment. Am J Orthopsychiatry 2009;79 :261.CrossRefGoogle ScholarPubMed
Moses, T.Adolescent mental health consumers’ self-stigma: associations with parents’ and adolescents’ illness perceptions and parental stigma. J Community Psychol 2010;38 :781–798.CrossRefGoogle Scholar
Moses, T.Stigma apprehension among adolescents discharged from brief psychiatric hospitalization. J Nerv Ment Dis 2011;199 :778–789.CrossRefGoogle ScholarPubMed
Mowbray, C.T., Megivern, D., Strauss, S.College students’ narratives of high school experiences: coping with serious emotional disturbance. In: Marsh, T.D., Fristad, M.A. editor. Handbook of serious emotional disturbance in children and adolescents. Hoboken, NJ, US: John Wiley & Sons Inc; 2002. 14–29.Google Scholar
Proctor, C.L., Linley, P.A., Maltby, J.Youth life satisfaction: a review of the literature. J Happiness Stud 2009;10 :583–630.CrossRefGoogle Scholar
Ritsher, J.B., Otilingam, P.G., Grajales, M.Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 2003;121 :31–49.CrossRefGoogle ScholarPubMed
Sanz, M., Constable, G., Lopez-Ibor, I., Kemp, R., David, A.S.A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychol Med 1998;28 :437–446.CrossRefGoogle ScholarPubMed
Schiff, M., Nebe, S., Gilman, R.Life satisfaction among Israeli youth in residential treatment care. Br J Soc Work 2006;36 :1325–1343.CrossRefGoogle Scholar
Schwartz-Stav, O., Apter, A., Zalsman, G.Depression, suicidal behavior and insight in adolescents with schizophrenia. Eur Child Adolesc Psychiatry 2006;15 :352–359.CrossRefGoogle ScholarPubMed
Staring, A.B.P., Van der Gaag, M., Van den Berge, M., Duivenvoorden, H.J., Mulder, C.L.Stigma moderates the associations of insight with depressed mood, low self-esteem, and low quality of life in patients with schizophrenia spectrum disorders. Schizophr Res 2009;115 (2):363–369.CrossRefGoogle ScholarPubMed
Storch, E.A., Milsom, V.A., Merlo, L.J., Larson, M., Geffken, G.R., Jacob, M.L., et al.Insight in pediatric obsessive-compulsive disorder: associations with clinical presentation. Psychiatry Res 2008;160 :212–220.CrossRefGoogle ScholarPubMed
Suldo, S.M., Huebner, E.S.Does life satisfaction moderate the effects of stressful life events on psychopathological behavior during adolescence?. School Psychol Quart 2004;19 :93.CrossRefGoogle Scholar
Tranulis, C., Corin, E., Kirmayer, L.J.Insight and psychosis: comparing the perspectives of patient, entourage and clinician. Int J Soc Psychiatry 2008;54 :225–241.CrossRefGoogle ScholarPubMed
Wisdom, J.P., Clarke, G.N., Green, C.A.What teens want: barriers to seeking care for depression. Adm Policy Ment Health 2006;33 :133–145.CrossRefGoogle ScholarPubMed
Yanos, P.T., Roe, D., Lysaker, P.H.Narrative enhancement and cognitive therapy: a new group-based treatment for internalized stigma among persons with severe mental illness. Int J Group Psychother 2011;61 :577–595.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.