Subjective recovery in severe mental illnesses: Associations with self-stigma and clinical insight
PAKISTAN JOURNAL OF MEDICAL SCIENCES, vol.42, no.11, pp.3048-3053, 2026 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 42 Issue: 11
- Publication Date: 2026
- Doi Number: 10.12669/pjms.42.11.13206
- Journal Name: PAKISTAN JOURNAL OF MEDICAL SCIENCES
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Page Numbers: pp.3048-3053
- Open Archive Collection: AVESIS Open Access Collection
- Trakya University Affiliated: Yes
Abstract
Objectives: This study examined how self-stigmatization and insight affect subjective recovery in individuals with severe mental illness. Methodology: This cross-sectional descriptive study included 131 patients with severe mental illness who were admitted to the Psychiatry outpatient clinic of a university hospital between April 2018 to May 2022. Data were collected using a demographic form, Subjective Recovery Assessment Scale, Clinical Global Impression-Severity, Self-Stigma Inventory for Patients, and Schedule for Assessment of Three Components of Insight. Results: Linear regression analysis revealed that income, self-stigma, and insight significantly predicted subjective recovery. Higher income and insight were linked to higher recovery, whereas self-stigma reduced it. Patients with schizophrenia reported higher recovery levels than those with bipolar disorder; despite more severe symptoms and lower insight. Female patients and those who did not attempt suicide also showed higher recovery rates. Conclusion: The findings highlight the multidimensional nature of subjective recovery and emphasize the need for person-centered, holistic interventions that address stigma, financial stability, and psychosocial empowerment alongside clinical care.