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Insight in Patients with Schizophrenia: Relationships among Self-Esteem, Perception of People with Mental Illness, and Cognitive Insight Yoshimi Ohmori 1 , Chizuru Mori 1 1Graduate School of Comprehensive Human Sciences, University of Tsukuba Keyword: 統合失調症者 , 病識 , 精神障害者観 , schizophrenia , insight , self-stigma pp.25-34
Published Date 2012/9/20
  • Abstract
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Abstract

 Purpose: The aim of this study was to investigate the relationships among insight, perception of people with mental illness, self-esteem, and reality testing in patients with schizophrenia.

 Method: We examined the responses of 63 patients to the Schedule for Assessment of Insight-Japanese version (SAI-J), Insight Scale (IS), Rosenberg Self Esteem Scale, Japanese version of the Beck Cognitive Insight Scale (BCIS-J), and perception of people with mental illness.

 Results: We found significant relationships among insight (SAI-J and IS), perception of people with mental illness, and self-esteem when we divided the participants according to degree of awareness of mental illness. We also found a significant correlation between insight (SAI-J and IS) and self-reflectiveness as well as a good model for predictive factors of “awareness of illness” by multiply regression analysis. The predictive factors were negative symptoms, self-reflectiveness, self-certainty, self-esteem, and one of the factors of perception of people with mental illness.

 Discussion: The findings of this study suggest that insight, perception of people with mental illness, and self-esteem are complexly related and that self-reflectiveness is an important cognitive ability for insight in people with schizophrenia. Although further study is needed, these results suggest that improving self-esteem, perception of people with mental illness, and ability of realistic cognition is important for improving insight in patients with schizophrenia.


Copyright © 2012, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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