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 Resjournal_title
Schizophrenia researchauthors
Valiente C,Provencio M,Espinosa R,Duque A,Everts Fdoi
10.1016/j.schres.2015.03.010subject
Has Abstractpub_date
2015-05-01 00:00:00pages
214-20issue
1-3eissn
0920-9964issn
1573-2509pii
S0920-9964(15)00139-5journal_volume
164pub_type
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journal_title:Schizophrenia research
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journal_title:Schizophrenia research
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journal_title:Schizophrenia research
pub_type: 杂志文章
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更新日期:2018-05-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-05-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2014.10.016
更新日期:2014-12-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
doi:10.1016/j.schres.2014.04.027
更新日期:2014-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.schres.2003.08.007
更新日期:2004-04-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-08-01 00:00:00
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
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更新日期:2020-01-31 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2017.04.025
更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/0920-9964(92)90028-4
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