Insight in paranoia: The role of experiential avoidance and internalized stigma.

Abstract:

:Evidence suggests that insight in psychosis has been related to treatment adherence, recovery and good prognosis, but also to depression, low self-esteem, and diminished quality of life. Thus, insight might not be advantageous under all circumstances. Internalized-stigma (i.e. self-acceptance of stigmatizing images of illness) and experiential avoidance (i.e. unwillingness to experience negative private events) have been proposed as moderating variables between insight, and psychological health variables and/or distress. We investigated the patterns of association of insight with satisfaction with life, self-esteem, depression, anxiety and psychotic psychopathology as moderated by self-stigmatizing beliefs and experiential avoidance, in a sample of 47 participants with persecutory beliefs and diagnosed with schizophrenia or other psychotic disorder. Moderation analyses confirm the importance of internalized-stigma and experiential avoidance. The presence of insight was associated with more depression when there were high levels of self-stigma. Whereas, the absence of insight was associated with a greater life satisfaction when there were high levels of experiential avoidance. To summarize, our results help understand the complex relationship between insight, psychological health variables and emotional distress, pointing to a differential pattern of moderation for negative and positive outcomes. We discuss the implications of these results for research and treatment of paranoia.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Valiente C,Provencio M,Espinosa R,Duque A,Everts F

doi

10.1016/j.schres.2015.03.010

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

214-20

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(15)00139-5

journal_volume

164

pub_type

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