Insight and clinical correlates in schizophrenia

Kim, Yoshiharu; Sakamoto, Kaoru; Kamo, Toshiko; Sakamura, Yuu; Miyaoka, Hiroaki

doi:10.1016/s0010-440x(97)90091-2

Cited by 58 publications

(29 citation statements)

References 31 publications

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“…Finally, our study was cross-sectional. As Kim et al7 noted, subjective experience in the past and its changes are important in relation to insight. However, very few longitudinal studies have been conducted,28 and the relationship between subjective experience and each level of insight has hardly been examined.…”

Section: Discussionmentioning

confidence: 99%

“…The study found that patients with insight had significantly more awareness of subjective experiences compared with their counterparts. Kim et al7 studied 63 patients with schizophrenia (20 in the acute phase and 43 in the chronic phase) to examine the relationship between insight and subjective experience. Insight was evaluated using the Schedule for Assessment of Insight,3 whereas subjective experience was examined using an original scale.…”

Section: Introductionmentioning

confidence: 99%

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The relationship between insight and subjective experience in schizophrenia

Kako¹,

Ito²,

Hashimoto³

et al. 2014

NDT

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ObjectivesTo examine the relationship between level of insight and various subjective experiences for patients with schizophrenia.Materials and methodsSeventy-four patients with schizophrenia who were discharged from our hospital were evaluated. The level of insight into their illness and various subjective experiences were evaluated at discharge. We used the Scale to Assess Unawareness of Mental Disorder (SUMD) for evaluation of insight. In addition, five different rating scales were used to evaluate subjective experiences: Subjective Experience of Deficits in Schizophrenia (SEDS), Subjective Well-being under Neuroleptic drug treatment Short form (SWNS), Schizophrenia Quality of Life Scale (SQLS), Beck Depression Inventory (BDI), and the Drug Attitude Inventory (DAI)-30.ResultsThe SWNS and the scores for awareness of mental disorder and awareness of the social consequences of mental disorder on SUMD showed a weak positive correlation. The DAI-30 showed a significant negative correlation with most general items on SUMD and a negative correlation between the subscale scores for the awareness and attribution of past symptoms. SEDS, SWNS, SQLS, and the BDI significantly correlated with the subscale scores for awareness of current symptoms on SUMD, and weakly correlated with the subscale scores for attribution of current negative symptoms.ConclusionAwareness of subjective distress was related to awareness of having a mental disorder. Feeling subjective distress was related to awareness of current symptoms, as well as to the ability to attribute current negative symptoms to a mental disorder. Positive attitudes toward medication correlated with better general insight into the illness.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The relationship between insight and subjective experience in schizophrenia

Kako¹,

Ito²,

Hashimoto³

et al. 2014

NDT

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show abstract

“…It is likely that, if assessed closer to the time of offending, they would have had more active positive symptoms. Given the clear association between positive symptoms and poor insight [12], it is also likely that their insight would have been correspondingly poorer. If measured closer to the time of offending therefore, it is possible that level of insight would more closely correlate with history of violence.…”

Section: Insight In Forensic Patientsmentioning

confidence: 99%

“…Lower levels of insight in schizophrenia have been associated with poorer long-term outcome [2][3][4], worse executive function deficits [5][6][7][8][9] and more persistent positive symptoms [10][11][12][13]. Psychotic patients with poor awareness of having a mental illness also show poor compliance with both pharmacological [2,[14][15][16][17] and psychosocial [18] treatments.…”

mentioning

confidence: 99%

Insight and Hopelessness in Forensic Patients with Schizophrenia

Carroll

Pantelis

Harvey

2004

Aust N Z J Psychiatry

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“…Some studies have found a significant relationship between insight and psychopathological severity (De Hert et al, 2009;Sevy et al, 2004;Smith et al, 2000), even in first-episode psychosis (Keshavan et al, 2004;Parellada et al, 2011, Saravanan et al, 2010, whereas others did not find such associations (Drake, 2008;Kim et al, 1997;Pini et al, 2001).…”

mentioning

confidence: 96%

Relationships Between Psychopathological Variables and Insight in Psychosis Risk Syndrome and First-Episode and Multiepisode Schizophrenia

Comparelli¹,

Savoja²,

Carolis³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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Insight may vary across psychosis risk syndrome (PRS), first-episode schizophrenia (FES), or multiepisode schizophrenia (MES). We aimed to compare insight domains (awareness, relabeling, and compliance) in PRS, FES, and MES groups and to correlate scores with psychopathological measures. Insight was assessed in 48 (14 PRS, 16 FES, and 18 MES) patients using the Schedule for the Assessment of Insight-Expanded Version. We conducted psychopathological assessment through the Brief Psychiatric Rating Scale (BPRS). In the whole group, the BPRS psychosis factor correlated with all insight domains. In the MES group, the more severe the anxiety/depression, the higher the insight score in the symptom relabeling domain. Insight did not differ significantly between the PRS, FES, and MES groups. Our results suggest that, across different phases of the illness, lack of insight behaves like a trait and is modulated by positive symptom severity. Anxiety and depression may be associated with increased insight in patients with chronic schizophrenia.

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Insight and clinical correlates in schizophrenia

Cited by 58 publications

References 31 publications

The relationship between insight and subjective experience in schizophrenia

The relationship between insight and subjective experience in schizophrenia

Insight and Hopelessness in Forensic Patients with Schizophrenia

Relationships Between Psychopathological Variables and Insight in Psychosis Risk Syndrome and First-Episode and Multiepisode Schizophrenia

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