关键词: cognitive impairment associated with schizophrenia mental illness stigma schizophrenia spectrum disorders serious mental illness severe mental illness stigma/discrimination

来  源:   DOI:10.1176/appi.ps.20240106

Abstract:
UNASSIGNED: Stigma toward schizophrenia spectrum disorders is pervasive and negatively influences service access and delivery. Cognitive impairment associated with schizophrenia (CIAS) is common, but its association with stigma is unknown. In this study, the authors examined whether individuals with CIAS receiving cognitive remediation treatment report experiencing CIAS-related stigma and sought to establish associations between CIAS-related stigma and recovery-relevant outcomes.
UNASSIGNED: Data from 48 individuals with schizophrenia spectrum diagnoses were drawn from a larger study evaluating cognitive remediation. Participants completed measures of CIAS-related stigma, internalized mental illness stigma, self-perceived cognitive impairment, cognitive performance, and interviewer-rated quality of life.
UNASSIGNED: CIAS-related stigma was commonly reported and significantly positively associated with internalized stigma and self-perceived cognitive impairment. CIAS-related stigma was also significantly negatively associated with motivation to engage in goal-directed behavior and daily activities.
UNASSIGNED: CIAS-related stigma exists and warrants additional exploration with regard to implications for psychiatric service delivery.
摘要:
对精神分裂症谱系障碍的污名普遍存在,并对服务的获取和交付产生负面影响。与精神分裂症相关的认知障碍(CIAS)很常见,但它与污名的关联是未知的。在这项研究中,作者研究了接受认知矫正治疗的CIAS患者是否报告了CIAS相关的病耻感,并试图在CIAS相关的病耻感和康复相关结局之间建立关联.
来自48名精神分裂症谱系诊断个体的数据来自一项评估认知修复的更大研究。参与者完成了CIAS相关污名的测量,内化的精神疾病耻辱,自我感知认知障碍,认知表现,和面试官评定的生活质量。
CIAS相关的污名被普遍报道,并且与内在化的污名和自我感知的认知障碍显著正相关。CIAS相关的污名也与从事目标导向行为和日常活动的动机显着负相关。
与CIAS相关的污名存在,并需要对精神病服务提供的影响进行进一步的探索。
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