Abstract
Psychological well-being has been widely researched along the psychosis spectrum, and increased psychotic symptoms are generally associated with worse well-being. Additionally, the construct of insight has been extensively studied in schizophrenia. While having greater insight has many benefits for those with schizophrenia, a paradox exists in which greater insight is also associated with poorer psychological well-being. However, it is unclear whether the link between insight and poor well-being occurs only once serious psychopathology has been established, or whether this is a more universal process seen even at lower levels on the psychosis spectrum. We used a structural modeling approach in an ethnically diverse, non-clinical sample of 420 undergraduates to evaluate the association between sub-clinical psychosis, cognitive insight and psychological well-being. As hypothesized, results indicated that sub-clinical psychotic symptoms were negatively associated with psychological well-being. The insight paradox was also substantiated, as greater cognitive insight was associated with worse psychological well-being. However, cognitive insight did not moderate the association between symptoms and well-being. The link between sub-clinical psychotic symptoms and psychological well-being as well as the insight paradox appears to emerge even before reaching threshold for a psychotic disorder. Research and clinical implications are discussed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 149-155 |
| Number of pages | 7 |
| Journal | Psychiatry Research |
| Volume | 226 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 30 2015 |
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Keywords
- Cognitive insight
- Psychological well-being
- Sub-clinical psychosis
ASJC Scopus subject areas
- Psychiatry and Mental health
- Biological Psychiatry
- Medicine(all)
Cite this
Effects of sub-clinical psychosis and cognitive insight on psychological well-being : A structural equation model. / Weintraub, Marc J.; Weisman, Amy G.
In: Psychiatry Research, Vol. 226, No. 1, 30.03.2015, p. 149-155.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effects of sub-clinical psychosis and cognitive insight on psychological well-being
T2 - A structural equation model
AU - Weintraub, Marc J.
AU - Weisman, Amy G
PY - 2015/3/30
Y1 - 2015/3/30
N2 - Psychological well-being has been widely researched along the psychosis spectrum, and increased psychotic symptoms are generally associated with worse well-being. Additionally, the construct of insight has been extensively studied in schizophrenia. While having greater insight has many benefits for those with schizophrenia, a paradox exists in which greater insight is also associated with poorer psychological well-being. However, it is unclear whether the link between insight and poor well-being occurs only once serious psychopathology has been established, or whether this is a more universal process seen even at lower levels on the psychosis spectrum. We used a structural modeling approach in an ethnically diverse, non-clinical sample of 420 undergraduates to evaluate the association between sub-clinical psychosis, cognitive insight and psychological well-being. As hypothesized, results indicated that sub-clinical psychotic symptoms were negatively associated with psychological well-being. The insight paradox was also substantiated, as greater cognitive insight was associated with worse psychological well-being. However, cognitive insight did not moderate the association between symptoms and well-being. The link between sub-clinical psychotic symptoms and psychological well-being as well as the insight paradox appears to emerge even before reaching threshold for a psychotic disorder. Research and clinical implications are discussed.
AB - Psychological well-being has been widely researched along the psychosis spectrum, and increased psychotic symptoms are generally associated with worse well-being. Additionally, the construct of insight has been extensively studied in schizophrenia. While having greater insight has many benefits for those with schizophrenia, a paradox exists in which greater insight is also associated with poorer psychological well-being. However, it is unclear whether the link between insight and poor well-being occurs only once serious psychopathology has been established, or whether this is a more universal process seen even at lower levels on the psychosis spectrum. We used a structural modeling approach in an ethnically diverse, non-clinical sample of 420 undergraduates to evaluate the association between sub-clinical psychosis, cognitive insight and psychological well-being. As hypothesized, results indicated that sub-clinical psychotic symptoms were negatively associated with psychological well-being. The insight paradox was also substantiated, as greater cognitive insight was associated with worse psychological well-being. However, cognitive insight did not moderate the association between symptoms and well-being. The link between sub-clinical psychotic symptoms and psychological well-being as well as the insight paradox appears to emerge even before reaching threshold for a psychotic disorder. Research and clinical implications are discussed.
KW - Cognitive insight
KW - Psychological well-being
KW - Sub-clinical psychosis
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U2 - 10.1016/j.psychres.2014.12.039
DO - 10.1016/j.psychres.2014.12.039
M3 - Article
VL - 226
SP - 149
EP - 155
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
IS - 1
ER -