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

Ragnhild Svendsen, Kristina Flesjo, Gry Kjaersdam Telléus, Ole Karkov Ostergaard and Kristine Kahr Nilsson

Psychosis, 2025, vol. 17, issue 1, 107-115

Abstract: BackgroundEvidence 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.MethodsA 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).ResultsLower 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.DiscussionIn 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.

Date: 2025
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DOI: 10.1080/17522439.2024.2425922

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