Insight in stable schizophrenia: Relations with psychopathology and cognition

Mingrone, Cinzia; Rocca, Paola; Castagna, Filomena; Montemagni, Cristiana; Sigaudo, Monica; Scalese, Mara; Rocca, Giuseppe; Bogetto, Filippo

doi:10.1016/j.comppsych.2012.12.014

Cited by 27 publications

(23 citation statements)

References 81 publications

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“…Clinical measures address the possibility that poor insight is a primary symptom of the illness of schizophrenia itself (Collins et al, 1997), intimately linked with other symptoms like delusions and hallucinations. Studies that have examined the relationship between insight and symptoms in schizophrenia have demonstrated significant negative correlations between insight and the severity of positive symptoms (Amador et al, 1993;Mintz et al, 2003) and/or negative symptoms (Carroll et al, 1999;Smith et al, 2000;Mintz et al, 2003;Mingrone et al, 2013). Some studies have also noted a negative relationship, more specifically, between symptoms of disorganization and insight (Dickerson et al, 1997;Baier et al, 2000;Smith et al, 2000).…”

Section: Introductionmentioning

confidence: 91%

Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning

Zhou

Rosenheck

Mohamed

et al. 2015

Schizophrenia Research

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Section: Introductionmentioning

confidence: 91%

Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning

Zhou

Rosenheck

Mohamed

et al. 2015

Schizophrenia Research

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“…Conceptually, greater severity of negative symptoms could result in difficulty in distinguishing own subjectivity with respect to the surrounding reality and to recognise a disorder as belonging to his/her own person. [62] In addition, patients with marked negative symptoms such as apathy and social withdrawal have significant difficulty in maintaining therapeutic relationship and in adhering to the prescribed treatment plan. This relationship might explain persistent abnormalities in insight even after symptomatic improvement in symptoms since “improvement” is mostly referred to regarding the positive dimension.…”

Section: Insight and Negative Symptomsmentioning

confidence: 99%

Insight in Schizophrenia: Relationship to Positive, Negative and Neurocognitive Dimensions

Joseph

Narayanaswamy

Venkatasubramanian

2015

Indian Journal of Psychological Medicine

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Impairment of insight is considered as the hallmark of schizophrenia. Substantial proportion of patients with schizophrenia has either poor or absent insight. Insight is a multidimensional and dynamic construct which appears to have intricate links with other symptom dimensions of the psychotic illness. A better appreciation of the association that insight shares with other symptom clusters in psychosis could help us in gaining knowledge about aetiology, prognosis and treatment-related facets of the disorder. This is likely to have critical implications in the understanding and therapeutics of schizophrenia.

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“…However, controversial results have been found in past studies investigating this model (5). In the literature, there are studies that reported relationship between poor insight and positive findings (10) and negative findings (11). However, some studies did not find such relationship (12,13).…”

mentioning

confidence: 68%

“…The relationship between the increase in positive symptoms and poorer insight is explained in various ways in the literature. The first explanation is: regarding the delusions, the most important part of the positive symptoms, it is considered that the same mechanism preventing the person to establish a causal relationship in the daily events, inhibits the establishment of cause-andeffect relationships for the events that are related to the disease as well, and therefore it should be expected that the patients could not have developed insight with regard to the disorder (11). The second possible explanation is that the insight in schizophrenia patients is impaired due to the reduced awareness of one's own mental processes.…”

Section: Discussionmentioning

confidence: 99%

Associations of psychiatric symptoms and neurocognition with clinical insight in schizophrenia

Zorlu¹,

Bilgiç²,

Şahin³

et al. 2017

Dusunen Adam

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Associations of psychiatric symptoms and neurocognition with clinical insight in schizophreniaObjective: It is important to understand the etiology of impaired insight in schiophrenia in order to develop effective interventions to improve disorder awareness, treatment adherence, and recovery outcomes. The current study aims to explore the relationship of clinical domains and neurocognitive functions with different dimensions of clinical insight among patients with schizophrenia.Methods: A total of 59 patients who met the diagnostic criteria for schizophrenia according to DSM-5 were recruited in the study. All patients were receiving outpatient treatment and were in fairly stable clinical conditions as defined by the absence of hospitalizations or changes in medication within the last three months. Patients were evaluated by Positive and Negative Symptoms Scale (PANSS), Scale to Assess Unawareness of Mental Disorder (SUMD), The Wisconsin Cart Sorting Test (WCST), Stroop-Test, Auditory Consonant Trigram Test (ACT) and Trail Making Test (TMT).Results: Mean age was 41.1±10.3 years. Of the total 59 patients, 71.2% (n=42) were male and 28.8% (n=17) were female. Mean age of onset for illness was 24.6±7.6 years, mean duration of illness was 16.5±9.4 years and mean number of hospitalizations was 2.6±2.8. According to our findings, PANSS positive and general scores were predictors for SUMD-total score, PANSS general score and duration of illness were predictors for SUMD-awareness of mental illness score, PANSS positive and general scores were predictors for SUMDawareness of the need for treatment score, PANSS general score and age of onset of schizophrenia were predictors for SUMD-awareness of the social consequences of disorder score. Sonuç: Klinik içgörü ile ilişkili olabilecek etkenlerin değerlendirildiği bu çalışmada, şizofreni hastalarında klinik içgörünün pozitif ve genel semptomlarla ilişkili olduğu ancak, negatif semptomlar ve nörokognitif bozulma ile ilişkili olmadığı saptanmıştır.

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Insight in stable schizophrenia: Relations with psychopathology and cognition

Cited by 27 publications

References 81 publications

Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning

Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning

Insight in Schizophrenia: Relationship to Positive, Negative and Neurocognitive Dimensions

Associations of psychiatric symptoms and neurocognition with clinical insight in schizophrenia

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