Cognitive insight and causal attribution in the development of self-stigma among individuals with schizophrenia

Psychiatr Serv. 2006 Dec;57(12):1800-2. doi: 10.1176/ps.2006.57.12.1800.


Objective: Stigma has dampening effects on the overall rehabilitation of individuals given a diagnosis of schizophrenia. This study was an initial attempt to understand the relationship between cognitive insight and attribution in the development of self-stigma among this group of mental health consumers.

Methods: In a cross-sectional design, the investigators interviewed 162 mental health consumers with broad diagnoses of schizophrenia from 15 community-based psychiatric rehabilitation centers in Hong Kong. After controlling for the effects of demographic and illness-related factors, the authors used hierarchical multiple regression analysis to investigate the effects of cognitive insight and causal attribution on self-stigma.

Results: Better cognitive insight and attribution of personal responsibility to the cause of the illness were significantly associated with higher levels of self-stigma.

Conclusions: Given that awareness and interpretation of participants' illness were related to self-stigma, cognitive restructuring is needed to alleviate self-stigma among individuals with schizophrenia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Awareness / physiology*
  • China
  • Cognition / physiology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prejudice*
  • Schizophrenia / complications*
  • Schizophrenia / etiology
  • Schizophrenic Psychology*
  • Self Concept*