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Association between Autistic Traits and Recovery in Schizophrenia is Mediated by Self-stigma and Depression Hiroshi Komatsu 1 , Takashi Ono 1 , Yoshinori Maita 1 , Toru Fujita 1 , Yumiko Suzuki 1 , Souji Sugawara 1 , Yoshihisa Kakuto 1 1Miyagi Psychiatric Center, Natori, Japan Keyword: 自閉スペクトラム症傾向 , autistic traits , セルフスティグマ , self-stigma , 抑うつ症状 , depressive state , リカバリー , recovery , 統合失調症 , schizophrenia pp.455-464
Published Date 2020/4/15
DOI https://doi.org/10.11477/mf.1405206049
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 This study aimed to compare autistic traits, self-stigma, depressive state, and recovery among hospitalized patients on an acute psychiatric ward and outpatients with schizophrenia. We also investigated whether self-stigma and depressive state mediated relationship between autistic traits and recovery in schizophrenic patients.

 We used Autism-Spectrum Quotient(AQ), the Internalized Stigma of Mental Illness Scale(ISMI), Quick Inventory of Depressive Symptomatology(QIDS)and Recovery Assessment Scale(RAS)by evaluating respectively autistic traits, self-stigma, depressive state, and recovery in schizophrenia patients.

 There was no significant deference in scores of AQ, ISMI, QIDS, and RAS between hospitalized patients on an acute psychiatric ward and outpatients with schizophrenia. Bivariate correlation analysis showed significantly positive correlations between IMSI average scores and QIDS scores. RAS score was negatively correlated to scores of QIDS, AQ and IMSI. Structural equation modeling revealed association between ‘attention switching’ and ‘communication’ of AQ subscales and RAS was mediated by respectively self-stigma(ISMI)and depressive state(QIDS).

 The results of the present study demonstrate the importance of intervention to self-stigma and depressive symptoms to promote recovery in schizophrenic patients with autistic traits.


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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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