Perceived Stigma Toward Cognitive Impairment Among People With Schizophrenia.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-08-02 DOI:10.1176/appi.ps.20240106

Lauren Gonzales, Alice M Saperstein, Nev Jones, Matthew D Erlich, Alice Medalia

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Abstract

Objective: 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.

Methods: 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.

Results: 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.

Conclusions: CIAS-related stigma exists and warrants additional exploration with regard to implications for psychiatric service delivery.

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精神分裂症患者对认知障碍的成见。

目的：对精神分裂症谱系障碍的成见普遍存在，并对服务的获取和提供产生了负面影响。与精神分裂症相关的认知障碍（CIAS）很常见，但其与成见的关系尚不清楚。在这项研究中，作者考察了接受认知矫正治疗的 CIAS 患者是否报告经历过与 CIAS 相关的污名化，并试图在与 CIAS 相关的污名化和康复相关的结果之间建立联系：48名精神分裂症谱系诊断患者的数据来自一项评估认知矫正的大型研究。参与者完成了与 CIAS 相关的耻辱感、内化的精神疾病耻辱感、自我认知障碍、认知表现和受访者评价的生活质量的测量：与 CIAS 相关的耻辱感被普遍报告，并与内化耻辱感和自我认知障碍呈显著正相关。CIAS相关成见还与参与目标导向行为和日常活动的动机呈显著负相关：结论：与 CIAS 相关的成见是存在的，需要进一步探讨其对精神科服务提供的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.