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Psychological Inflexibility in People with Chronic Psychosis: The Mediating Role of Self-Stigma and Social Functioning

Author

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  • Ana González-Menéndez

    (Department of Psychology, University of Oviedo, 33003 Oviedo, Spain)

  • Tatiana Arboleya Faedo

    (ISPA-Health Research Institute of the Principality of Asturias, 33011 Oviedo, Spain)

  • David González-Pando

    (ISPA-Health Research Institute of the Principality of Asturias, 33011 Oviedo, Spain)

  • Nuria Ordoñez-Camblor

    (Faculty of Health Sciences, University of Burgos, 09001 Burgos, Spain)

  • Elena García-Vega

    (Department of Psychology, University of Oviedo, 33003 Oviedo, Spain)

  • Mercedes Paino

    (Department of Psychology, University of Oviedo, 33003 Oviedo, Spain)

Abstract

Psychosis is associated with self-stigmatization and loss of social functioning that increase the severity of the disorder. Psychological inflexibility (PI)—an individual’s tendency to suppress undesirable private events—plays a fundamental role in the emergence and worst prognosis of psychosis. The main objective of this study was to analyze whether self-stigma and social functioning mediate the association of PI with the severity of psychosis in adults with chronic schizophrenia. The study was carried out with a sample of 103 outpatients. The Acceptance and Action Questionnaire, the Internalized Stigma of Mental Illness Scale, and the Social Functioning Scale were used for clinical assessments. Data analyses were performed by using the PROCESS macro for SPSS. Results showed that the link between PI and the severity of psychosis is not direct, but is better explained by mediation of the self-stigma and social functioning of those assessed. PI also predicts worse social functioning without the need to take self-stigma into account. Moreover, self-stigma alone does not predict the severity of psychotic symptoms; this relationship has to be mediated by social functioning. These findings suggest that interventions designed to increase psychological flexibility, such as Acceptance and Commitment Therapy (ACT), may offer an alternative to attenuate the negative impact of self-stigma and to improve the social functioning.

Suggested Citation

  • Ana González-Menéndez & Tatiana Arboleya Faedo & David González-Pando & Nuria Ordoñez-Camblor & Elena García-Vega & Mercedes Paino, 2021. "Psychological Inflexibility in People with Chronic Psychosis: The Mediating Role of Self-Stigma and Social Functioning," IJERPH, MDPI, vol. 18(23), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12376-:d:687327
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    References listed on IDEAS

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    1. Tatiana Arboleya & Ana González-Menéndez & Helena Ordoñez & David G. Pando & Mercedes Paino, 2020. "Inflexibility processes as predictors of social functioning in chronic psychosis," Psychosis, Taylor & Francis Journals, vol. 12(3), pages 234-244, July.
    2. Lucy Mersh & Fergal Jones & Joseph Oliver, 2015. "Mindfulness, self-stigma and social functioning in first episode psychosis: A brief report," Psychosis, Taylor & Francis Journals, vol. 7(3), pages 261-264, July.
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    Cited by:

    1. Tatiana Arboleya-Faedo & Ana González-Menéndez & David González-Pando & Mercedes Paino & Fernando Alonso-Pérez, 2023. "Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study," IJERPH, MDPI, vol. 20(9), pages 1-15, April.

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