Evidence That Health Attributions and Symptom Severity Predict Insight in Schizophrenia

Donohoe, Gary; Donnell, Colin O.; Owens, Nicholas; O’Callaghan, Eadbhard

doi:10.1097/01.nmd.0000138318.05729.db

Cited by 17 publications

(10 citation statements)

References 17 publications

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“…Nevertheless, both phenomena influence health behavior in patients, most notably cooperativeness with treatment or treatment attrition. There is general consent that insight into illness and into need of treatment is a multidimensional construct [27,33,34] . This is supported by our data.…”

Section: Discussionmentioning

confidence: 99%

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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%

“…Nevertheless, the question remains as to whether these two perceptions represent identical (or, at the very least, overlapping) phenomena, or whether they are different constructs altogether [26,27] .…”

Section: Introductionmentioning

confidence: 99%

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

Lindén

Godemann

2007

Psychopathology

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“…For example, patients with schizophrenia have a significant lack of insight about their personal situation and life perspectives (Amador and Gorman, 1998;Mintz et al, 2003;Sevy et al, 2004), which is closely linked to manifestation of defense mechanisms (Lysaker et al, 2003;Donohoe et al, 2004).…”

Section: Awareness Of Insight In Schizophreniamentioning

confidence: 99%

Consciousness, awareness of insight and neural mechanisms of schizophrenia

Touskova

Bob²

2015

Reviews in the Neurosciences

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AbstractAccording to recent research, disturbances of self-awareness and conscious experience have a critical role in the pathophysiology of schizophrenia, and in this context, schizophrenia is currently understood as a disorder characterized by distortions of acts of awareness, self-consciousness, and self-monitoring. Together, these studies suggest that the processes of disrupted awareness and conscious disintegration in schizophrenia might be related and represented by similar disruptions on the brain level, which, in principle, could be explained by various levels of disturbed connectivity and information disintegration that may negatively affect usual patterns of synchronous activity constituting adaptive integrative functions of consciousness. On the other hand, mental integration based on self-awareness and insight may significantly increase information integration and directly influence neural mechanisms underlying basic pathophysiological processes in schizophrenia.

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“…Health attribution has already been shown to account for a signifi cant amount of insight (Donohoe et al, 2004). According to the vulnerability-stress model (Nuechterlein and Dawson, 1984), relapse can be reduced by minimizing risk factors concomitant with strengthening protective factors.…”

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confidence: 99%

TRIP: a psycho‐educational programme in Hong Kong for people with schizophrenia

Chan

Lee

Chan

2007

Occupation Therapy Intl

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'TRIP' (Transforming Relapse and Instilling Prosperity) is a ward-based illness management programme that aims to decrease treatment non-compliance and relapse rate by improving the insight and health of acute psychiatric patients with schizophrenia. Eighty-one stable male acute psychiatric patients with schizophrenia were randomized to receive the TRIP programme (n = 44) or the comparison group of traditional ward occupational therapy (WOT) programme (n = 37). Participants' insights and health were assessed by the Unawareness of Mental Disorder Scale and the Hong Kong version of the Short Form-36 (SF-36) health survey, respectively. Each group was then followed up for a 12-month period. One-way analysis of covariance (ANCOVA) showed that participants in the TRIP programme had significantly better insight and health than a comparison group during post-study measurement. Participants in the TRIP programme had significantly fewer re-admissions in the 12-month follow-up period than those who attended the WOT programme. In summary the TRIP programme, as led by an occupational therapist, was effective in improving insight, awareness of health and in having a lower re-admission rate than a traditional occupational therapy programme.

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Evidence That Health Attributions and Symptom Severity Predict Insight in Schizophrenia

Cited by 17 publications

References 17 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

Consciousness, awareness of insight and neural mechanisms of schizophrenia

TRIP: a psycho‐educational programme in Hong Kong for people with schizophrenia

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