A Case Review of Poor Insight in Schizophrenia: How Much Do We Know?

Bastiaens, Jesse; Agarkar, Smita

doi:10.3928/00485713-20140502-02

Cited by 3 publications

(3 citation statements)

References 23 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Insight was also a significant predictor of adherence in patients with schizophrenia. Insight is a multidimensional concept that ranges from having awareness of the illness, of the need for treatment and of the social consequences associated with the schizophrenia (Bastiaens & Agarkar, 2014). Six articles (Baloush‐Kleinman et al, 2011; Beck et al, 2011; Eticha et al, 2015; Kassew et al, 2019; Vassileva et al, 2014; Yalamova, 2015) examined the impact insight had on treatment attitude and adherence to treatment in adults experiencing schizophrenia.…”

Section: Summarising and Reporting Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A scoping review: Treatment attitudes and adherence for adults with schizophrenia

Nyanyiwa

Peters

Murphy

2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aim and objectives This scoping review presents an exploration of literature on the relationship between treatment attitudes and adherence in adults experiencing schizophrenia. Background Strategies to address adherence and improve treatment outcomes are described in literature. However, adherence remains a challenge for people experiencing mental illness in practice. Transformational frameworks, evidence‐based practice and patient‐centred approaches have been established and implemented but non‐adherence incidence rates continue to rise among people with schizophrenia. Moreover, the relationship between treatment attitudes and adherence in adults diagnosed with schizophrenia remains unclear. Design A scoping review using the framework offered by Implementation Science, 5, 2010, 1. The PRISMA‐ScR checklist was used to ensure integrity of the review. Methods Four databases PsychINFO, Medline, Cochrane and CINAHL databases were searched for literature along with the reference lists of eligible sources. Original research, peer‐reviewed articles published between 2010 and 2020 in English language were included. Articles were included if study participants were adults with a diagnosis of schizophrenia or related psychosis. Methodological quality was evaluated using a quality assessment checklist, the Critical Appraisal Skills Programme tool. Results Ten articles were included in the study. Five main themes about treatment adherence emerged from the literature: (i) severity of symptoms, (ii) side effects, (iii) beliefs and attitudes, (iv) insight and (v) support and relationships. Conclusions This scoping review concluded that attitude influenced adherence to medication in people with schizophrenia. The five main themes reported directly influenced attitude, impacting on treatment adherence in people experiencing schizophrenia. This review makes recommendations for a person‐centred and recovery framework that aims to improve adherence. Relevance to clinical practice Nurses in all healthcare settings could use evidence‐based strategies to enhance treatment adherence in people with a range of physical and mental health conditions.

show abstract

Section: Summarising and Reporting Resultsmentioning

confidence: 99%

Section: Insightmentioning

confidence: 99%

A scoping review: Treatment attitudes and adherence for adults with schizophrenia

Nyanyiwa

Peters

Murphy

2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In addition, anywhere from 80% of individuals with schizophrenia lack insight into, or awareness of, their illness and symptoms (Joseph et al, 2015 ). In one case study, a patient was aware of his symptoms, but insisted that there had to be some physiological cause with them, some defect in his body, rather than a mental illness (Bastiaens and Agarkar, 2014 ). Several studies have outlined how, when uncertain about the source of a perceived event, individuals with schizophrenia will prefer to attribute it to an external source (Engh et al, 2010 ).…”

Section: Discussionmentioning

confidence: 99%

A Proposed Probabilistic Method for Distinguishing Between Delusions and Other Environmental Judgements, With Applications to Psychotherapy

2021

View full text Add to dashboard Cite

How can individuals with schizophrenia best be equipped to distinguish delusions from accurate judgements about their environment? This study presents an approach based on the principles of Bayesian probability and presents the results of a series of tests in which a simulated observer classifies randomly generated data characteristic of a simulated environment. The complexity of the data ranges from scalars to vectors of variable lengths, and the simulated observer makes its decisions based on either perfect or imperfect models of its environment. We find that when a low-dimensional observation is considered characteristic of both real observations and delusions, the prior probabilities of any observation being real or fake are of greater importance to the final decision than the attributes of the observation. However, when an observation is high-dimensional (complex), classification accuracy tends to improve toward 100% with increasing complexity of observations, as long as the patient's model of the world isn't drastically inaccurate. On the contrary, when the observer's model is sufficiently inaccurate, the accuracy rate decreases with increasing observational complexity. Overall, the results suggest applicability of the Bayesian model to the use of interventional therapy for those who suffer from psychosis.

show abstract

Effectiveness of mindfulness-based intervention in schizophrenia: A meta-analysis of randomized controlled trials

Qin,

Yu,

Cai

et al. 2024

Psychiatry Research

View full text Add to dashboard Cite

A Case Review of Poor Insight in Schizophrenia: How Much Do We Know?

Cited by 3 publications

References 23 publications

A scoping review: Treatment attitudes and adherence for adults with schizophrenia

A scoping review: Treatment attitudes and adherence for adults with schizophrenia

A Proposed Probabilistic Method for Distinguishing Between Delusions and Other Environmental Judgements, With Applications to Psychotherapy

Effectiveness of mindfulness-based intervention in schizophrenia: A meta-analysis of randomized controlled trials

Contact Info

Product

Resources

About