ArticleFrontiers in psychiatry2026
The cost of high cognitive insight: chain mediation of stigma and dysfunctional sleep beliefs and attitudes in chronotype among patients with schizophrenia.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Psychometric Properties of the MOLDES Questionnaire in a Clinical Sample of Patients With Psychotic Spectrum Disorders.Actas espanolas de psiquiatria · 2026Observational
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5 authors.
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Abstract
Objective: This study examines the chain mediation effect through which cognitive insight impacts chronotype (eveningness chronotype tendency) via stigma and dysfunctional sleep beliefs and attitudes in patients with schizophrenia. Methods: Community-followed patients were sampled cross-sectionally (N = 785). Assessment tools included the Beck Cognitive Insight Scale, Attitudes Towards Mental Health Scale, Dysfunctional Beliefs and Attitudes about Sleep Scale, and Reduced Morningness-Eveningness Questionnaire, with demographic and treatment variables controlled. PROCESS Model 6 and 5000 bootstrapped estimates were used to assess indirect effects (standardized Results: The correlation analysis indicated significant relationships among cognitive insight, chronotype, stigma, and dysfunctional sleep beliefs and attitudes (all Conclusion: Higher cognitive insight is potentially associated with increased stigma and enhanced dysfunctional sleep beliefs and attitudes, and these factors are collectively correlated with eveningness chronotype tendency. Given the genetic and correlational evidence that morningness chronotype is associated with better mental health and lower schizophrenia risk, future interventions could focus on enhancing cognitive insight while addressing stigma and reconstructing sleep cognition/rhythm-light management, which may lead to a tendency toward morningness chronotype.
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