Self-concept clarity in schizophrenia: links to functional impairment and hope for the future

Ragnhild Breilid Svendsen, Kristina Straumann Flesjø, Gry Kjærsdam Telléus, Ole Karkov Østergård, Kristine Kahr Nilsson

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background
Evidence suggests that individuals with a diagnosis of schizophrenia have lower self-concept clarity and that an unclear self-concept is related to symptom severity. The aim of this study was to investigate whether self-concept clarity is linked to functional impairments and hope for the future in individuals with schizophrenia.

Methods
A sample of 130 individuals diagnosed with schizophrenia completed the Self-Concept Clarity Scale (SCCS), the Work and Social Adjustment Scale (WSAS), and the Schizophrenia Hope Scale (SHS-9).

Results
Lower self-concept clarity was associated with more functional impairments and less hope for the future. These results remained significant when adjusting for sociodemographic and illness course variables.

Discussion
In individuals diagnosed with schizophrenia, self-concept clarity may play a role in daily functioning and hope for the future. The implications for interventions aimed at improving functional outcomes and recovery prospects are discussed.
Original languageEnglish
JournalPsychosis
Volume17
Issue number1
Pages (from-to)107-115
ISSN1752-2439
DOIs
Publication statusPublished - 2025

Keywords

  • Schizophrenia
  • functional impairment
  • hope
  • recovery
  • self-concept clarity

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