Guillaume Barbalat, Lisa Maréchal, Julien Plasse, Isabelle Chéreau-Boudet, Benjamin Gouache, Emilie Legros-Lafarge, Catherine Massoubre, Nathalie Guillard-Bouhet, Frédéric Haesebaert, Renaud F Cohen, Nicolas Franck
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Our network analysis also revealed a significant but positive connection between recognition of treatment needs and resilience.</p><p><strong>Conclusion/implications: </strong>While insight and quality of life are overall negatively associated, we found both negative and positive connections between insight and quality-of-life dimensions. The negative relationship between insight and quality of life may reflect the deleterious effects of diagnostic labeling on a patient's self-esteem. Yet, acknowledgment of treatment needs may have positive effects on quality of life and may promote recovery, perhaps because it emphasizes the need for support rather than labels and abnormalities. 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引用次数: 0
摘要
目的/目标：长期以来，精神分裂症患者的洞察力（即认识到自己患有需要治疗的疾病）一直与生活质量的下降有关。然而，洞察力和生活质量是包含多个方面的广泛概念。在此，我们采用心理网络方法研究了洞察力与生活质量之间的不同关联：我们从法国康复中心网络REHABase中提取了数据（2016年1月至2022年12月，N = 1,056）。我们的心理网络分析将洞察力和生活质量建模为一个由相互作用的维度组成的网络：三个洞察力维度（对疾病的认识、将症状重新归因于疾病、认识到治疗的必要性）和八个生活质量维度（自主性、身体和心理健康、与家人、朋友和恋爱伴侣的关系、复原力和自尊）：洞察力与生活质量呈负相关。我们的心理网络分析显示，对疾病的认识与自尊之间存在很强的负相关。这两个维度是整个网络中最强的节点。我们的网络分析还显示，对治疗需求的认识与复原力之间存在显著但积极的联系：虽然洞察力和生活质量总体上呈负相关，但我们发现洞察力和生活质量之间既有负相关也有正相关。洞察力和生活质量之间的负相关可能反映了诊断标签对患者自尊的有害影响。然而，承认治疗需求可能会对生活质量产生积极影响，并促进康复，这可能是因为它强调的是对支持的需求，而不是标签和异常。(PsycInfo Database Record (c) 2024 APA, 版权所有）。
Differential associations between insight and quality-of-life dimensions among individuals with schizophrenia.
Purpose/objective: In schizophrenia, insight, the recognition that one has a medical illness that requires treatment, has long been related to deteriorated quality of life. Yet, insight and quality of life are broad constructs that encompass several dimensions. Here, we investigated differential associations between insight and quality-of-life dimensions using a psychological network approach.
Research method/design: We extracted data from the French network of rehabilitation centers REHABase (January 2016 to December 2022, N = 1,056). Our psychological network analysis modeled insight and quality of life as a network of interacting dimensions: three insight dimensions (awareness of illness, reattribution of symptoms to the disease, and recognition of treatment need) and eight quality-of-life dimensions (autonomy, physical and psychosocial well-being, relationships with family, friends and romantic partners, resilience, and self-esteem).
Results: Insight was negatively associated with quality of life. Our psychological network analysis revealed a strong negative association between awareness of disease and self-esteem. Both dimensions were the strongest nodes in the overall network. Our network analysis also revealed a significant but positive connection between recognition of treatment needs and resilience.
Conclusion/implications: While insight and quality of life are overall negatively associated, we found both negative and positive connections between insight and quality-of-life dimensions. The negative relationship between insight and quality of life may reflect the deleterious effects of diagnostic labeling on a patient's self-esteem. Yet, acknowledgment of treatment needs may have positive effects on quality of life and may promote recovery, perhaps because it emphasizes the need for support rather than labels and abnormalities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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