Poor insight and high level of self-stigma are often present among patients with schizophrenia and are related to poorer treatment adherence, poorer social function and rehabilitation, aggressive behavior, higher level of depression, social anxiety, lower quality of life and selfesteem. Reports on a relationship between insight and stigma are controversial. We examined the relationship of the level of insight and self-stigma in a sample of 149 patients with schizophrenia. Insight was measured with the Scale to assess Unawareness of Mental Disorder and self-stigma with the Internalized Stigma of Mental Illness. Results showed 88.6% of the patients to have high or moderate insight, with a mean value of 2.73. General insight showed the highest level (2.58) and insight in positive symptoms the lowest level (2.9). The self-stigma score in general was 2.13, with stereotype endorsement being lowest (1.98). According to study results, 77.1% of patients felt minimal or low self-stigma across all subscales, except for stigma resistance subscale. Statistically significant correlation was found between insight and four subscales of self-stigma, while no correlation was found for the stigma resistance subscale only. These results imply the need of individually tailored antistigma and insight promoting programs for patients with schizophrenia.

Manjkav uvid i visoka razina samostigme često su prisutni kod oboljelih od shizofrenije, a povezani su sa slabijom suradljivošću, slabijim socijalnim funkcioniranjem, agresivnim ponašanjem, otežanom rehabilitacijom, višom razinom depresivnosti i socijalne tjeskobe, nižom kvalitetom života i manjkom samopouzdanja. Dosadašnja istraživanja utvrdila su kontradiktoran odnos uvida u bolest i samostigme. U ovom istraživanju ispitivali smo razinu uvida, samostigme i njihovu povezanost u uzorku od 149 bolesnika sa shizofrenijom. Prema dobivenim rezultatima, 88,6% bolesnika imalo je visok ili umjeren uvid, sa srednjom vrijednošću od 2.73. Opći uvid pokazao je najvišu razinu, s rezultatom od 2.58, a uvid u pozitivne simptome je bio najniži, s rezultatom od 2.9. Ukupna samostigma bila je 2.13, a prihvaćanje stigme najniže, 1.98. Prema rezultatima, gotovo dvije trećine svih bolesnika osjećali su minimalnu ili nisku samostigmu prema svim podljestvicama, osim u podljestvici otpora stigmatizaciji. Nađena je statistički značajna korelacija između uvida i četiri podljestvice samostigme, a korelacija nije pronađena samo kod podljestvice otpora stigmatizaciji. Ovi rezultati potvrđuju hipotezu i impliciraju potrebu individualnog programa za smanjenje samostigme i promociju uvida za bolesnike sa shizofrenijom.