Insight in bipolar disorder: a comparison between mania, depression and euthymia using the Insight Scale for Affective Disorders

Silva, Rafael de Assis da; Mograbi, Daniel C.; Camelo, Evelyn V. M.; Bifano, Jaqueline; Wainstok, Mayra; Silveira, Luciana Angélica Silva; Cheniaux, Elie

doi:10.1590/2237-6089-2015-0014

Cited by 18 publications

(12 citation statements)

References 25 publications

(27 reference statements)

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“…But this result is inconsistent with the result of (Engh et al, 2007;Yen, Chen, Yeh, Ker, Yang, Yen, 2004) who stated in their study that male subjects had poorer insight than females and there were no significant differences in the mean scores of insight among the studied bipolar groups. But the present study was in line with the results of (Da Silva et al, 2015;Cassidy, 2010;Yen, Chen, ko, Yen, Huang, 2007) who reported in their results that there were significant differences between bipolar groups suggesting that depressed patients had better insight.…”

Section: Discussionsupporting

confidence: 93%

Insight, Self Esteem and Response Styles in Patients with Bipolar Disorder: its Relationship with Hallucinations and Delusions

Elsayad¹

2017

IOSR JNHS

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Section: Discussionsupporting

confidence: 93%

Insight, Self Esteem and Response Styles in Patients with Bipolar Disorder: its Relationship with Hallucinations and Delusions

Elsayad¹

2017

IOSR JNHS

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“…SA is more likely to occur during mixed states and depressive episodes in BD-I, and during depressive episodes in BD-II (Tondo et al ., 1999). Poorer insight and treatment adherence due to more frequent psychotic symptoms in BD-I (van der Werf-Eldering et al ., 2011; Depp et al ., 2014; Silva et al ., 2015) can lead to an increased risk of SA.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of suicide attempts in bipolar disorder: a systematic review and meta-analysis of observational studies

Dong

Zhang

et al. 2019

Epidemiol Psychiatr Sci

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Original Article *These authors contributed equally to the work.Cite this article: Dong M et al (2020). Prevalence of suicide attempts in bipolar disorder: a systematic review and meta-analysis of observational studies. Epidemiology and Psychiatric Sciences 29, e63, 1-9. https://doi. AbstractAims. Bipolar disorder (BD) is a severe psychiatric disorder associated with a high risk of suicide. This meta-analysis examined the prevalence of suicide attempts (SA) in patients with BD and its associated factors. Methods. A systematic literature search was conducted in the PubMed, PsycINFO, EMBASE and Web of Science databases from their inception to 11 June 2018. The prevalence of SA in BD was synthesised using the random-effects model. Results. The search identified 3451 articles of which 79 studies with 33 719 subjects met the study entry criteria. The lifetime prevalence of SA was 33.9% (95% CI 31.3-36.6%; I 2 = 96.4%). Subgroup and meta-regression analyses revealed that the lifetime prevalence of SA was positively associated with female gender, BD-I, BD Not Otherwise Specified and rapid cycling BD subtypes, income level and geographic region. Conclusion. This meta-analysis confirmed that SA is common in BD and identified a number of factors related to SA. Further efforts are necessary to facilitate the identification and prevention of SA in BD. Long-term use of mood stabilisers coupled with psycho-social interventions should be available to BD patients to reduce the risk of suicidal behaviour.

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“…Several studies do suggest that the level of insight in depression is significantly higher than in mania. 28,29 Specific affective temperaments might constitute vulnerability factors, as well as clinical picture and illness course modifiers. 25 Previous studies have shown that patients with depressive or anxious temperament may present mixed characteristics when in mania.…”

Section: Sample Characteristics and Associations Between Demographic mentioning

confidence: 99%

The relationship between insight and affective temperament in bipolar disorder: an exploratory study

Silva

Mograbi

Camelo

et al. 2018

Trends Psychiatry Psychother.

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Introduction In recent years, the association between temperament and clinical characteristics of mood disorders has been studied. Most bipolar patients show deficits in their awareness of signs and symptoms. The relationship between affective temperament and insight in bipolar patients has not been carried out in the literature so far. Objective To evaluate the relationship between affective temperament and insight in bipolar disorder. Method A group of 65 bipolar patients were followed during a year. Patients underwent a clinical assessment and were diagnosed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Insight was evaluated through the Insight Scale for Affective Disorders (ISAD), and affective temperament, through the TEMPS-Rio de Janeiro. The relationship between affective temperament and insight was explored with Spearman rho correlations between scores on each item of the ISAD and on the TEMPS-Rio de Janeiro subscales. Results In euthymic phases, bipolars with depressive temperament were associated with a higher level of insight about the consequences of the disorder; when in mania, patients showed better insight about having an affective disorder, presenting psychomotor alterations, and suffering from guilt or grandiosity. Similarly, bipolar patients with higher scores of anxious temperament, when in mania, had better insight on alterations in attention. Bipolar patients with higher scores of hyperthymic temperament, when in mania, showed the worst insight about thought disorder. Conclusion In addition to being determined by the phase of the disease and several varying symptoms, the level of insight in bipolar patients is also influenced by affective temperament.

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Insight in bipolar disorder: a comparison between mania, depression and euthymia using the Insight Scale for Affective Disorders

Abstract: Loss of insight during mania may have important implications for treatment compliance and adherence and needs to be taken into account in the clinical management of people with bipolar disorder.

Cited by 18 publications

References 25 publications

Insight, Self Esteem and Response Styles in Patients with Bipolar Disorder: its Relationship with Hallucinations and Delusions

Insight, Self Esteem and Response Styles in Patients with Bipolar Disorder: its Relationship with Hallucinations and Delusions

Prevalence of suicide attempts in bipolar disorder: a systematic review and meta-analysis of observational studies

The relationship between insight and affective temperament in bipolar disorder: an exploratory study

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