Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

Yeon-Jeong Shin,1,2 Yo-Han Joo,1 Jong-Hoon Kim1–3 1Neuroscience Research Institute, 2Department of Health Sciences and Technology, Gachon Advanced Institute for Health Sciences & Technology, 3Department of Psychiatry, Gil Medical Center, Gachon University School of Medicine, Gacho...

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Autores principales:	Shin YJ, Joo YH, Kim JH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	subjective cognitive deficits internalized stigma quality of life schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/c4e23b50092d410aa91085530ef92369
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spelling	oai:doaj.org-article:c4e23b50092d410aa91085530ef923692021-12-02T02:42:51ZSelf-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia1178-2021https://doaj.org/article/c4e23b50092d410aa91085530ef923692016-06-01T00:00:00Zhttps://www.dovepress.com/self-perceived-cognitive-deficits-and-their-relationship-with-internal-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yeon-Jeong Shin,1,2 Yo-Han Joo,1 Jong-Hoon Kim1–3 1Neuroscience Research Institute, 2Department of Health Sciences and Technology, Gachon Advanced Institute for Health Sciences & Technology, 3Department of Psychiatry, Gil Medical Center, Gachon University School of Medicine, Gachon University, Incheon, Republic of Korea Background: We investigated self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia in order to shed light on the clinical correlates of subjective cognitive deficits in schizophrenia.Methods: Seventy outpatients with schizophrenia were evaluated. Patients’ self-perceived cognitive deficits, internalized stigma, and subjective quality of life were assessed using the Scale to Investigate Cognition in Schizophrenia (SSTICS), the Internalized Stigma of Mental Illness Scale (ISMI), and the Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4), respectively. Correlation and regression analyses controlling for the severity of symptoms of schizophrenia were performed, and a mediation analysis was conducted to examine the hypothesis that internalized stigma mediates the relationship between self-perceived cognitive deficits and subjective quality of life.Results: Pearson’s partial correlation analysis showed significant correlations among the SSTICS, ISMI, and SQLS-R4 scores (P<0.01). Multiple regression analysis showed that the SSTICS and ISMI scores significantly predicted the SQLS-R4 score (P<0.01). Mediation analysis revealed that the strength of the association between the SSTICS and SQLS-R4 scores decreased from β=0.74 (P<0.01) to β=0.56 (P<0.01), when the ISMI score was statistically controlled. The Sobel test revealed that this difference was significant (P<0.01), indicating that internalized stigma partially mediated the relationship between self-perceived cognitive deficits and quality of life.Conclusion: The present study indicates that self-perceived cognitive deficits are significantly associated with internalized stigma and quality of life. Furthermore, internalized stigma was identified as a partial mediator of the relationship between self-perceived cognitive deficits and quality of life. These findings suggest that clinicians should be aware that patients with schizophrenia experience significantly greater self-stigma when they suffer subjective cognitive deficits, and that this may further compromise their quality of life. Keywords: subjective cognitive deficits, internalized stigma, quality of life, schizophrenia Shin YJJoo YHKim JHDove Medical Pressarticlesubjective cognitive deficitsinternalized stigmaquality of lifeschizophreniaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1411-1417 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	subjective cognitive deficits internalized stigma quality of life schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	subjective cognitive deficits internalized stigma quality of life schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Shin YJ Joo YH Kim JH Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
description	Yeon-Jeong Shin,1,2 Yo-Han Joo,1 Jong-Hoon Kim1–3 1Neuroscience Research Institute, 2Department of Health Sciences and Technology, Gachon Advanced Institute for Health Sciences & Technology, 3Department of Psychiatry, Gil Medical Center, Gachon University School of Medicine, Gachon University, Incheon, Republic of Korea Background: We investigated self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia in order to shed light on the clinical correlates of subjective cognitive deficits in schizophrenia.Methods: Seventy outpatients with schizophrenia were evaluated. Patients’ self-perceived cognitive deficits, internalized stigma, and subjective quality of life were assessed using the Scale to Investigate Cognition in Schizophrenia (SSTICS), the Internalized Stigma of Mental Illness Scale (ISMI), and the Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4), respectively. Correlation and regression analyses controlling for the severity of symptoms of schizophrenia were performed, and a mediation analysis was conducted to examine the hypothesis that internalized stigma mediates the relationship between self-perceived cognitive deficits and subjective quality of life.Results: Pearson’s partial correlation analysis showed significant correlations among the SSTICS, ISMI, and SQLS-R4 scores (P<0.01). Multiple regression analysis showed that the SSTICS and ISMI scores significantly predicted the SQLS-R4 score (P<0.01). Mediation analysis revealed that the strength of the association between the SSTICS and SQLS-R4 scores decreased from β=0.74 (P<0.01) to β=0.56 (P<0.01), when the ISMI score was statistically controlled. The Sobel test revealed that this difference was significant (P<0.01), indicating that internalized stigma partially mediated the relationship between self-perceived cognitive deficits and quality of life.Conclusion: The present study indicates that self-perceived cognitive deficits are significantly associated with internalized stigma and quality of life. Furthermore, internalized stigma was identified as a partial mediator of the relationship between self-perceived cognitive deficits and quality of life. These findings suggest that clinicians should be aware that patients with schizophrenia experience significantly greater self-stigma when they suffer subjective cognitive deficits, and that this may further compromise their quality of life. Keywords: subjective cognitive deficits, internalized stigma, quality of life, schizophrenia
format	article
author	Shin YJ Joo YH Kim JH
author_facet	Shin YJ Joo YH Kim JH
author_sort	Shin YJ
title	Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
title_short	Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
title_full	Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
title_fullStr	Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
title_full_unstemmed	Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
title_sort	self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/c4e23b50092d410aa91085530ef92369
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Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

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