期刊论文详细信息
Frontiers in Psychiatry
Autistic Symptoms in Schizophrenia: Impact on Internalized Stigma, Well-Being, Clinical and Functional Characteristics
Stefano Barlati1  Cesare Turrina1  Paolo Valsecchi1  Antonio Vita1  Gabriele Nibbio1  Valentina Regina1  Giacomo Deste2  Paola Corsini2  Jacopo Lisoni2  Paolo Cacciani2  Alessandra Mosca2  Donato Morena3  Vivian Accardo4 
[1] Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy;Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy;Department of Mental Health, Salerno, Italy;Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy;
关键词: schizophrenia;    self-stigma;    functioning;    stigma;    Autism Spectrum Disorder;    well-being;   
DOI  :  10.3389/fpsyt.2022.801651
来源: DOAJ
【 摘 要 】

Autism Spectrum Disorders (ASD) symptoms and internalized stigma (or self-stigma) can have a negative impact on cognitive and functional outcomes in people living with schizophrenia. Aim of the present study were to assess and compare internalized stigma, subjective well-being and other socio-demographic, clinical and functional characteristics in people diagnosed with schizophrenia with and without prominent autistic features. Ninety-four inpatients were assessed with measures of internalized stigma, subjective well-being, global clinical severity, schizophrenia symptoms severity, real-world functioning, medication side effects and attitude toward prescribed medications. Subjects with high levels of ASD symptoms were identified with the PANSS Autism Severity Score and compared to other participants. Predictors of prominent ASD features were also assessed. Thirteen patients showed prominent ASD symptoms. They were characterized by fewer years of education, worse real-world functioning and greater symptoms severity. No between-group differences were observed regarding subjective well-being and global internalized stigma severity; however, participants in the “autistic schizophrenia” group showed better stigma resistance. A worse clinical condition and fewer years of education emerged as predictors of autistic schizophrenia. Despite showing a more severe clinical presentation of the disorder and worse functional impairment, participants with prominent ASD symptoms do not present worse subjective well-being or more severe internalized stigma; on the contrary, they show better stigma resistance. ASD symptoms could therefore play a protective role in the internalization of stigma.

【 授权许可】

Unknown   

  文献评价指标  
  下载次数:0次 浏览次数:0次