M220. SELF-STIGMA, RESILIENCE, AND RECOVERY ATTITUDES AS PREDICTORS OF FUNCTIONING IN PEOPLE WITH SERIOUS MENTAL ILLNESSES

Abstract

SIRS 2020 Abstracts Poster Session II S219 insight (BCIS), attributional style (IPSAQ), and Hinting Task-Theory of Mind (ToM) were assessed. A T student analysis was done in order to compare JTC with the rest of the quantitative variables. Results: People who jump to conclusions in the salient task scored higher in self-certainty BCIS (p=0.028), in self attribution for negative events (p=0.036) and lower in attribution to other people of negative events (p=0.028). A tendency was found between the presence of JTC and ToM (p=0.051). In the task of 85-15 only a tendency was found between presence of JTC and higher scores in the personalizing bias (p=0.079). Moreover, in the task of 60:40 a tendency was found between presence of JTC and worse performance in the ToM test (p=0.051). Discussion: We found a relationship between jumping to conclusions and self-certainty and self-attributions for negative events; as well as, it is a tendency that higher jumping to conclusions is related with worst ToM. There are important clinic implications of this, because we know that jumping to conclusions and theory of mind is related with the formation and maintenance of delusions. Background: Patients with schizophrenia have difficulties in judging their own performance. Patients with no or little practical experience of demands from active performance in society tends to overestimate their ability. Research has also found that patients who overestimate their function also runs a risk to be perceived as better functioning than what they actually are when judged by caregivers. The aim with this study is to examine if patients who overestimate their ability will receive less community support compared to patients who have an accurate perception of their ability? Methods: The study population was 184 patients with schizophrenia spectrum disorder. They were tested with the Swedish version of the UCSD Performance-based Skills Assessment-Brief Version (UPSA-B). Before the test they were asked how they thought their functioning were in four different domains covered in the UPSA-B. After the test they were divided into four groups: "Good functioning with realistic perception", "Good functioning but underestimating their function", "Impaired function with realistic perception" and "Impaired function but overestimating their per-formance". The amount of received community support were investigated and related to patientsáctual performance and self-perception. Results: Analyzes showed that patients who had an impaired function and a realistic view of their ability had more support than those who were impaired but overestimated their ability. Also, patients with good functioning but underestimating their performance had more support than those who had a good ability and a realistic perception. Finally, there were no difference in community support to the patients in the two groups "Good function with realistic perception" and "Impaired function but overestimating their performance". Discussion: Our results indicate that patients with impaired functioning who overestimate their ability risk an insufficient community support. This in combination with earlier findings, that staff-members in psychiatric outpatient settings are likely to base their judgement on patients´reportpatients´report con-sequential leading to false positive conclusions, may have both short-and long-term implications. Not achieving symptomatic remission, as a consequence of inability to follow medical prescriptions, and sub-optimal social functioning with isolation are two possible implications. The findings once again raises the need for the testing of patients´functionpatients´function instead of only conducting interviews.