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Stigma, insight and social anxiety in first episode patients with psychosis

Published online by Cambridge University Press:  13 August 2021

M. Efthimiou ,
P. Petrikis ,
E. Toki ,
V. Siafaka ,
P. Fakitsa ,
A. Karampas ,
G. Georgiou  and
T. Hyphantis
M. Efthimiou
Affiliation:
Department Of Speech And Language Therapy, UNIVERSITY OF IOANNINA-SCHOOL OF HEALTH SCIENCES, IOANNINA, Greece
P. Petrikis
Affiliation:
Department Of Psychiatry, UNIVERSITY OF IOANNINA-FACULTY OF MEDICINE, IOANNINA, Greece
E. Toki
Affiliation:
Department Of Speech And Language Therapy, UNIVERSITY OF IOANNINA-SCHOOL OF HEALTH SCIENCES, IOANNINA, Greece
V. Siafaka
Affiliation:
Department Of Speech And Language Therapy, UNIVERSITY OF IOANNINA-SCHOOL OF HEALTH SCIENCES, IOANNINA, Greece
P. Fakitsa
Affiliation:
Department Of Speech And Language Therapy, UNIVERSITY OF IOANNINA-SCHOOL OF HEALTH SCIENCES, IOANNINA, Greece
A. Karampas*
Affiliation:
Department Of Psychiatry, UNIVERSITY OF IOANNINA-FACULTY OF MEDICINE, IOANNINA, Greece
G. Georgiou
Affiliation:
Department Of Psychiatry, UNIVERSITY OF IOANNINA-FACULTY OF MEDICINE, IOANNINA, Greece
T. Hyphantis
Affiliation:
Department Of Psychiatry, UNIVERSITY OF IOANNINA-FACULTY OF MEDICINE, IOANNINA, Greece
*
*Corresponding author.

Abstract

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Introduction

People with schizophrenia are considered to be within the most stigmatized social groups. Accurate and efficient detection of stigma and its correlates is essential in patients with psychosis.

Objectives

The purpose of this study was to assess illness insight, stigma, social anxiety and quality of life in patients with a first episode of psychosis and their possible correlations

Methods

The sample of this study consisted of 90 patients with a first episode of psychosis that fulfilled inclusion and exclusion criteria. Tools used for the purpose of this study were Schedule for the assessment of insight-Expanded version, Internalized Stigma for Mental Illness Scale, World Health Organization Quality of Life Assessment - Greek version, Liebowitz Social Anxiety Scale - Greek version. Data were collected and analyzed with SPSS v26.

Results

The study group had good insight (SAI-E score: 20.33±4.449), medium to high stigma values (ISMI score 50.93±7.854), a good enough quality of life (WHOQOL-BREF score: 86.08±10.010) and low levels of social anxiety (LSAS-Gr Fear score: 3.26±8.653; Anxiety score: 2,93±7,596). The results of this study show significant at the 0.01 level 2-tailed correlations as such: (i) a positive and significant relationship between ISMI and LSAS-Gr, (ii) a negative and significant relationship between ISMI and WHOQOL-BREF, and (iii) a negative and moderate relationship between WHOQOL-BREF and LSAS-Gr.

Conclusions

We report medium to high stigma levels, good insight and a good enough quality of life in a sample of first-episode patients with psychosis.

Disclosure

No significant relationships.

Keywords

Stigmainsightsocial anxietyFirst episode psychosis
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S809 - S810
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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