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Brief Report
Published Online: 2 August 2024

Perceived Stigma Toward Cognitive Impairment Among People With Schizophrenia

Lauren Gonzales, Ph.D. [email protected], Alice M. Saperstein, Ph.D., Nev Jones, Ph.D., Matthew D. Erlich, M.D., and Alice Medalia, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Preprint
https://doi.org/10.1176/appi.ps.20240106
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Abstract

Objective:

Stigma toward schizophrenia spectrum disorders is pervasive and negatively influences service access and delivery. Cognitive impairment associated with schizophrenia (CIAS) is common, but its association with stigma is unknown. In this study, the authors examined whether individuals with CIAS receiving cognitive remediation treatment report experiencing CIAS-related stigma and sought to establish associations between CIAS-related stigma and recovery-relevant outcomes.

Methods:

Data from 48 individuals with schizophrenia spectrum diagnoses were drawn from a larger study evaluating cognitive remediation. Participants completed measures of CIAS-related stigma, internalized mental illness stigma, self-perceived cognitive impairment, cognitive performance, and interviewer-rated quality of life.

Results:

CIAS-related stigma was commonly reported and significantly positively associated with internalized stigma and self-perceived cognitive impairment. CIAS-related stigma was also significantly negatively associated with motivation to engage in goal-directed behavior and daily activities.

Conclusions:

CIAS-related stigma exists and warrants additional exploration with regard to implications for psychiatric service delivery.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Preprint

History

Received: 4 March 2024
Revision received: 2 May 2024
Revision received: 31 May 2024
Accepted: 6 June 2024
Published online: 2 August 2024

Keywords

  1. serious mental illness
  2. severe mental illness
  3. cognitive impairment associated with schizophrenia
  4. mental illness stigma
  5. schizophrenia spectrum disorders
  6. stigma/discrimination

Authors

Details

Lauren Gonzales, Ph.D. [email protected]
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
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Alice M. Saperstein, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
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Nev Jones, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
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Matthew D. Erlich, M.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
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Alice Medalia, Ph.D.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, and New York State Office of Mental Health, Albany (Gonzales, Saperstein, Erlich, Medalia); School of Social Work, University of Pittsburgh, Pittsburgh (Jones).
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Notes

Send correspondence to Dr. Gonzales ([email protected]).

Competing Interests

Drs. Saperstein and Medalia report receiving royalties from Oxford University Press. Dr. Medalia reports consulting for, serving on an advisory board of, and receiving travel compensation from Boehringer Ingelheim; consulting for Click Therapeutics; serving as a speaker for Medscape; and serving as a speaker for and receiving travel compensation from Sumitomo. The other authors report no financial relationships with commercial interests.

Funding Information

Funding for this research was provided by NIMH (grant R01MH123561 to Dr. Medalia).The views in this report represent the opinions of the authors and not necessarily those of the authors’ institutions.

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