Schizophrenia research study hogwash

I dunno about you, but I have trouble figuring out what most psychiatric research studies are actually saying. The language is clinical gibberish. Here's a typical example that I found at the Mad in America blog. My own take on this, not what the study actually says, is that depression accompanying  high levels of insight correlate with people correctly interpreting the hopelessness conveyed by their diagnosis. (Note the study's definition of recovery. This is not recovery in my books. What it is is managing your illness.)

The conclusions drawn from this study are some of the reasons I don't believe in mental illness. I do believe that there are people who believe in mental illness, and they will do their best to convince you that you are hopeless. As long as someone else believes you are mentally ill, and you are in close proximity to that person, chances are you will remain mentally ill.

http://onlinelibrary.wiley.com/doi/10.1002/jclp.20872/abstract

The Role of Subjective Illness Beliefs and Attitude Toward Recovery Within the Relationship of Insight and Depressive Symptoms Among People With Schizophrenia Spectrum Disorders

Keywords:

• psychosis;
• awareness;
• demoralization;
• illness perception;
• recovery;
• hope

Objective

Low levels of insight are a risk factor for treatment nonadherence in schizophrenia, which can contribute to poor clinical outcome. On the other hand, high levels of insight have been associated with negative outcome, such as depression, hopelessness, and lowered quality of life. The present study investigates mechanisms underlying the association of insight and depressive symptoms and protective factors as potential therapeutic targets.

Methods

One hundred and forty-two outpatients with schizophrenia or schizoaffective disorder (35.2% women, mean age of 44.83 years) were studied using questionnaires and interviews to assess insight, depressive symptoms, recovery attitude, and illness appraisals with regard to course, functional impairments, and controllability. Psychotic and negative symptoms were assessed as control variables. The cross-sectional data were analyzed using structural equation models and multiple linear regression analyses with latent variables.

Results

Higher levels of insight and psychotic symptoms were associated with more depressive symptoms. The association of negative symptoms with depressive symptoms was not significant. The relationship between insight and depressive symptoms was mediated by the participants’ perception of their illness as being chronic and disabling, as well as suppressed by their expectation of symptom control due to treatment. Finally, the association of insight and depressive symptoms was less pronounced in the patients with a positive recovery attitude than in those without this protective factor.

Conclusions

To achieve recovery, which includes symptom reduction, functional improvement, and subjective well-being, it is necessary to prevent depressive symptoms as indicators of a demoralization process, which may arise as a consequence of growing insight. Possible treatment strategies focusing on changes of dysfunctional beliefs about the illness and the self and inducing a positive recovery attitude are discussed.