title: Negative future self as a mediator in the relationship between insight and depression in psychotic disorders.
abstract: Awareness of illness in psychotic disorders is associated with better clinical outcomes, but also poorer psychological well-being. This is known as "The Insight Paradox". Understanding of the paradox has focused on the role of self-stigma. This study examines possible future self as a mediator in the relationship between insight and depression in 102 individuals in an early intervention program for psychosis. Mediation analysis demonstrated that negative possible self was the sole significant independent mediator in a model which included self-stigma. Our study shows that awareness of mental illness and perception that it will negatively impact future self increases likelihood of depression.
authors.affiliation: Department of Psychiatry, Western University, London Health Sciences Centre-Victoria Hospital, 800 Commissioners Road East, London, Ontario N6A 5W9, Canada; Lawson Health Research Institute, 750 Base Line Road, London, Ontario N6C 2R5, Canada. Electronic address: arlene.macdougall@lhsc.on.ca.
authors.forename: Arlene G
authors.initials: AG
authors.lastname: MacDougall
authors.affiliation: Lawson Health Research Institute, 750 Base Line Road, London, Ontario N6C 2R5, Canada. Electronic address: matthew.vandermeer@lhsc.on.ca.
authors.forename: Matthew R J
authors.initials: MR
authors.lastname: Vandermeer
authors.affiliation: Department of Psychiatry, Western University, London Health Sciences Centre-Victoria Hospital, 800 Commissioners Road East, London, Ontario N6A 5W9, Canada; Lawson Health Research Institute, 750 Base Line Road, London, Ontario N6C 2R5, Canada; Department of Epidemiology and Biostatistics, Western University, Kresge Building, London, Ontario N6A 5C1, Canada. Electronic address: rnorman@uwo.ca.
authors.forename: Ross M G
authors.initials: RM
authors.lastname: Norman
mesh_terms: D000328:Adult; D000339:Affect / Q000502:physiology; D001364:Awareness; D003863:Depression / Q000209:etiology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017008:Negotiating; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000150:complications* / Q000523:psychology*; D012649:Self Concept; D057545:Social Stigma; D055815:Young Adult
keywords: Depression; Insight; Possible self; Psychosis