Insight into schizophrenia: a comparative study between patients and family members

Gigante, Alexandre Duarte; Castel, Saulo

doi:10.1590/s1516-31802004000600004

Cited by 18 publications

(16 citation statements)

References 47 publications

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“…In this respect, Cuesta et al [28] were able to show that there is a long-term correlation between the level of disorganization and insight into illness in schizophrenic patients. Insofar lack of insight can be understood as a primary Bleulerian symptom of schizophrenia [40][41][42][43][44][45] . On the other hand, all individuals hold certain beliefs concerning the causes of their illness and their own ability to control health matters.…”

Section: Discussionmentioning

confidence: 99%

The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia

Lindén

Godemann

2007

Psychopathology

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Background: ‘Lack of insight’ into one’s own illness is a frequent symptom in schizophrenic disorders. ‘Health beliefs’ are psychological explanations of one’s own health status and are held by all individuals. The question is how they relate to each other. Methods: Lack of insight (according to the definition of the AMDP System) and health beliefs (measured with the Illness Concept Scale) were assessed in 364 schizophrenic outpatients who participated in a study on neuroleptic long-term treatment. Results: ‘Insight into illness’ and ‘health beliefs’ are independent of each other. Insight is related to the current psychopathological status as measured by the Brief Psychiatric Rating Scale, whereas health beliefs are related to personal life experiences. Lack of insight and dysfunctional health beliefs are both associated with patient noncompliance. Conclusion: Poor insight and dysfunctional health beliefs are separate clinical phenomena. Making this distinction is important for guiding research and patient care.

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Section: Discussionmentioning

confidence: 99%

The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia

Lindén

Godemann

2007

Psychopathology

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“…The SAI was translated into Portuguese, 10 however, its psychometric properties within our context have not been studied thus far. The SAI-E was chosen to be adaptedaccording to the method proposed by Flaherty et al…”

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confidence: 99%

Inter-rater reliability and factor analysis of the Brazilian version of the Schedule for the Assessment of Insight: Expanded Version (SAI-E)

Dantas

Banzato

2007

Rev. Bras. Psiquiatr.

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A b s t r a c t Objectives: The Schedule for the Assessment of Insight -Expanded Version consists of 11 items that encompass: awareness of having a mental illness, ability to rename psychotic phenomena as abnormal, and compliance with treatment. The objective of the study was to evaluate the inter-rater reliability and to study the factorial structure of the Brazilian version of the instrument. Method: The Brazilian version of the Schedule for the Assessment of Insight -Expanded Version was used for the assessment of insight of 109 psychotic inpatients, 60 of whom had the interview tape-recorded in order to be scored by an independent evaluator. Intraclass correlation coefficient (ICC) was adopted as the inter-rater reliability coefficient. In the factor analysis, principal components analysis and Varimax rotation were adopted. Results: Inter-rater reliability coefficients from good to excellent were found for the individual items of the Schedule for the Assessment of Insight -Expanded Version with ICC values ranging from 0.54 to 0.82. Regarding the total score, inter-rater reliability was excellent, with ICC = 0.90. A factorial structure similar to the one obtained by the original version of the Schedule for the Assessment of InsightExpanded Version was found, with 3 factors accounting for 71.72% of variance. Conclusion: In the Brazilian context, the Schedule for the Assessment of Insight -Expanded Version presented good inter-rater reliability and factorial structure compatible to the insight dimensions that are intended to be evaluated.

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“…The multiple dimensions of insight is variously affected by disease/socio-cultural factors (Gigante & Castel, 2004). Research in all over the world pointing that the symptoms, help seeking, course of schizophrenia these are influenced along with the other psychiatric disorders and their cultural explanations.…”

Section: Socio-cultural Believes In Understanding Insightmentioning

confidence: 99%

Insight: A genuine factor forimprovementin person with psychosis

Joseph¹,

Muralidhar²

2014

IOSRJHSS

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Insight into schizophrenia: a comparative study between patients and family members

Abstract: Different dimensions of insight are not equally influenced by disease and sociocultural factors. The recognition of illness is more strongly influenced by sociocultural factors than the ability to relabel psychotic phenomena as abnormal.

Cited by 18 publications

References 47 publications

The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia

The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia

Inter-rater reliability and factor analysis of the Brazilian version of the Schedule for the Assessment of Insight: Expanded Version (SAI-E)

Insight: A genuine factor forimprovementin person with psychosis

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