Attachment Style and Insight in Schizophrenia: a Cross-Sectional Study

França, Gustavo; Laranjeira, Erika; Silva, Fábio; Monteiro, L.; Moreira, Ana Maria Maniero; Carvalho, Serafim

doi:10.1007/s11126-019-09675-8

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…Anxiety can be caused by a number of factors, but a long standing series of studies in psychiatry have shown a connection between attachment styles developed early in life and different types of anxiety patterns observed in adulthood ( Bowlby and King, 2004 ). Poor insight has been specifically related to insecure attachment styles in patients with schizophrenia ( Franca et al, 2019 ). Korver-Nieberg et al (2015) also noted that avoidant and anxiety attachment histories are frequently associated with psychotic behaviors, including severe (psychotic appearing) denial.…”

Section: Resultsmentioning

confidence: 99%

Maladaptive Denial of Severe Pain and Acute Orthopedic Injuries in a Patient With a Schizoaffective Disorder

et al. 2020

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Persistent denial of severe and acute pain following orthopedic injuries has not been previously reported. We present a case of a 24-year-old woman with a history of schizoaffective disorder who suffered severe pain secondary to acute orthopedic injuries who insisted, "I am fine! There is nothing wrong with me." Her maladaptive denial resulted in an initial refusal of necessary medical/surgical care, but she eventually accepted the necessary treatments despite her persistent belief she did not need such care. Her verbalizations and behaviors were characterized by active avoidance and angry reactions when a consulting psychiatrist spoke to her regarding her clinical condition. A modified version of the Conscious Avoidance subscale of the Denial of Illness Questionnaire was useful in measuring the severity level of her denial. This case report suggests that the behavioral features of psychological denial appear different from those associated impaired self-awareness secondary to an underlying brain disorder.

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Section: Resultsmentioning

confidence: 99%

Maladaptive Denial of Severe Pain and Acute Orthopedic Injuries in a Patient With a Schizoaffective Disorder

et al. 2020

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“…Hasson-Ohayon et al (2020) reported that insight using a self-rating scale was related to personality traits such as neuroticism and agreeableness, compared with using clinician ratings, and noted the possibility that insight may be influenced by the desire to follow expert opinions. Moreover, a recent study indicated that high separation anxiety, that is, strong fear of being abandoned or unloved, was associated with better insight as assessed by the IS (França et al, 2020). When combined with our results, insight, especially that assessed with non–face-to-face scales such as the IS, might partially reflect agreeableness or the desire to be accepted by the clinician.…”

Section: Discussionmentioning

confidence: 99%

Insight Into Illness and Psychological Defense Attitudes in People With Chronic Schizophrenia Using Markova's Insight Scale

et al. 2021

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Insight into illness is a multidimensional phenomenon, and various assessments are available. We focused on Markova's Insight Scale (IS) and investigated the relationship between insight, psychological defenses, and neurocognition in 38 patients with schizophrenia. Results showed that insight was significantly correlated with an immature defense style. Moreover, IS was significantly predicted by immature defense style after adjusting for clinical variables. Although insight is often assumed to be multidetermined with potential contributions from factors such as cognitive function and psychological defensive mechanisms, our results indicated that better insight assessed with the IS is more likely to reflect immature defenses. This may also be reflected in our result that a higher insight score correlated with earlier onset of illness. The insight score may reflect the immature psychological defensive attitudes of schizophrenia and may lead such patients to wish to comply with the views of clinicians.

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“…Las diferencias entre grupos fueron también significativas cuando los controles no tenían trastorno psicótico, pero sí algunas semejanzas importantes con el grupo de pacientes: personas con otras enfermedades mentales (en França et al, 2020); o personas que sufren estigma por enfermedad crónica no mental (en Ringer, Buchanan, Olesek & Lysaker, 2014).…”

Section: Apego Inseguro Y Psicosisunclassified

“…El estilo de apego surge como factor independiente de riesgo del desarrollo de trastorno/síntomas psicóticos, incluso controlados síntomas afectivos (Berry, et al, 2018;James, 2020); distorsiones cognitivas (Blair, et al, 2018;Gawęda, 2018;James, 2020;Pos et al, 2014); autoestima (Sitko, et al 2016); abuso emocional (van Dam, et al 2014;Goodall et al 2015); u otros trastornos mentales (França et al, 2020).…”

Section: Apego Inseguro Como Factor Etiológico De Riesgo O Mediadorunclassified

Apego y psicosis: una revisión sistemática para un modelo bio-psico-social

Ansón Balmaseda

2023

CeIR

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Attachment Style and Insight in Schizophrenia: a Cross-Sectional Study

Cited by 8 publications

References 42 publications

Maladaptive Denial of Severe Pain and Acute Orthopedic Injuries in a Patient With a Schizoaffective Disorder

Maladaptive Denial of Severe Pain and Acute Orthopedic Injuries in a Patient With a Schizoaffective Disorder

Insight Into Illness and Psychological Defense Attitudes in People With Chronic Schizophrenia Using Markova's Insight Scale

Apego y psicosis: una revisión sistemática para un modelo bio-psico-social

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