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Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders

PURPOSE: Self-stigma negatively influences self-esteem, quality of life, self-efficacy, treatment adherence, and recovery in psychiatric patients. By revealing personality traits that influence self-stigma, we can gain useful knowledge for the management of self-stigma. A previous meta-analysis indi...

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Autores principales: Komatsu, Hiroshi, Ono, Takashi, Maita, Yoshinori, Ishida, Yusuke, Kikuchi, Tatsuo, Maki, Takahiro, Hase, Satoshi, Sakurai, Hisakazu, Oba, Akiko, Teshirogi, Osamu, Suzuki, Akira, Mori, Yasuko, Shoji, Chikako, Fujita, Akira, Takahashi, Sachiko, Ebina, Takayuki, Ozaki, Shinya, Honma, Ryuta, Tomita, Hiroaki, Kakuto, Yoshihisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605940/
https://www.ncbi.nlm.nih.gov/pubmed/33154642
http://dx.doi.org/10.2147/NDT.S280485
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author Komatsu, Hiroshi
Ono, Takashi
Maita, Yoshinori
Ishida, Yusuke
Kikuchi, Tatsuo
Maki, Takahiro
Hase, Satoshi
Sakurai, Hisakazu
Oba, Akiko
Teshirogi, Osamu
Suzuki, Akira
Mori, Yasuko
Shoji, Chikako
Fujita, Akira
Takahashi, Sachiko
Ebina, Takayuki
Ozaki, Shinya
Honma, Ryuta
Tomita, Hiroaki
Kakuto, Yoshihisa
author_facet Komatsu, Hiroshi
Ono, Takashi
Maita, Yoshinori
Ishida, Yusuke
Kikuchi, Tatsuo
Maki, Takahiro
Hase, Satoshi
Sakurai, Hisakazu
Oba, Akiko
Teshirogi, Osamu
Suzuki, Akira
Mori, Yasuko
Shoji, Chikako
Fujita, Akira
Takahashi, Sachiko
Ebina, Takayuki
Ozaki, Shinya
Honma, Ryuta
Tomita, Hiroaki
Kakuto, Yoshihisa
author_sort Komatsu, Hiroshi
collection PubMed
description PURPOSE: Self-stigma negatively influences self-esteem, quality of life, self-efficacy, treatment adherence, and recovery in psychiatric patients. By revealing personality traits that influence self-stigma, we can gain useful knowledge for the management of self-stigma. A previous meta-analysis indicated that patients with schizophrenia have higher scores on the Autism-Spectrum Quotient (AQ) than healthy controls. However, the relationship between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders remains unclear. Therefore, the present study aimed to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. PATIENTS AND METHODS: We recruited 127 patients with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, and delusional disorder). We assessed participants’ self-stigma and autistic symptoms using the Internalized Stigma for Mental Illness (ISMI) scale and the Autism-Spectrum Quotient (AQ), respectively. The differences in the scores of ISMI and AQ according to patient characteristics were investigated. Multiple regression analysis controlling for age and gender was performed to determine the relationship between the total scores on the AQ and IMSI scale. RESULTS: Female patients showed a higher level of self-stigma than males. Unmarried patients showed a significantly higher score on the AQ than married patients. Multiple regression analysis adjusted for age and gender indicated that the total score on AQ might be a predictor of the overall rating on ISMI in patients with schizophrenia spectrum disorders. CONCLUSION: This study is the first to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Our results highlight the importance of considering autistic symptoms in the assessment and management of self-stigma in patients with schizophrenia spectrum disorders.
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spelling pubmed-76059402020-11-04 Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders Komatsu, Hiroshi Ono, Takashi Maita, Yoshinori Ishida, Yusuke Kikuchi, Tatsuo Maki, Takahiro Hase, Satoshi Sakurai, Hisakazu Oba, Akiko Teshirogi, Osamu Suzuki, Akira Mori, Yasuko Shoji, Chikako Fujita, Akira Takahashi, Sachiko Ebina, Takayuki Ozaki, Shinya Honma, Ryuta Tomita, Hiroaki Kakuto, Yoshihisa Neuropsychiatr Dis Treat Original Research PURPOSE: Self-stigma negatively influences self-esteem, quality of life, self-efficacy, treatment adherence, and recovery in psychiatric patients. By revealing personality traits that influence self-stigma, we can gain useful knowledge for the management of self-stigma. A previous meta-analysis indicated that patients with schizophrenia have higher scores on the Autism-Spectrum Quotient (AQ) than healthy controls. However, the relationship between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders remains unclear. Therefore, the present study aimed to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. PATIENTS AND METHODS: We recruited 127 patients with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, and delusional disorder). We assessed participants’ self-stigma and autistic symptoms using the Internalized Stigma for Mental Illness (ISMI) scale and the Autism-Spectrum Quotient (AQ), respectively. The differences in the scores of ISMI and AQ according to patient characteristics were investigated. Multiple regression analysis controlling for age and gender was performed to determine the relationship between the total scores on the AQ and IMSI scale. RESULTS: Female patients showed a higher level of self-stigma than males. Unmarried patients showed a significantly higher score on the AQ than married patients. Multiple regression analysis adjusted for age and gender indicated that the total score on AQ might be a predictor of the overall rating on ISMI in patients with schizophrenia spectrum disorders. CONCLUSION: This study is the first to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Our results highlight the importance of considering autistic symptoms in the assessment and management of self-stigma in patients with schizophrenia spectrum disorders. Dove 2020-10-29 /pmc/articles/PMC7605940/ /pubmed/33154642 http://dx.doi.org/10.2147/NDT.S280485 Text en © 2020 Komatsu et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Komatsu, Hiroshi
Ono, Takashi
Maita, Yoshinori
Ishida, Yusuke
Kikuchi, Tatsuo
Maki, Takahiro
Hase, Satoshi
Sakurai, Hisakazu
Oba, Akiko
Teshirogi, Osamu
Suzuki, Akira
Mori, Yasuko
Shoji, Chikako
Fujita, Akira
Takahashi, Sachiko
Ebina, Takayuki
Ozaki, Shinya
Honma, Ryuta
Tomita, Hiroaki
Kakuto, Yoshihisa
Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title_full Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title_fullStr Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title_full_unstemmed Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title_short Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders
title_sort association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605940/
https://www.ncbi.nlm.nih.gov/pubmed/33154642
http://dx.doi.org/10.2147/NDT.S280485
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