Well-informed but not aware: The P.A.C.T.® psychoeducation program for schizophrenia improves knowledge about, but not insight into, the illness

Dondé, Clément; Senn, Muriel; Eche, Julien; Kallel, Lassaad; Saoud, Mohamed

doi:10.1016/j.ajp.2019.09.034

Cited by 11 publications

(11 citation statements)

References 34 publications

(28 reference statements)

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“…Lower functionality level was related with poor adherence while onset age of schizophrenia and duration of the disorder did not show a significant association with medication adherence. Those findings of more severe clinical symptoms in the patients with poor medication adherence confirmed the results of previous studies [6,11]. As shown in previous studies, poor treatment adherence is a substantial variable on the clinical course of schizophrenia and causes relapses in many patients with schizophrenia [31].…”

Section: Discussionsupporting

confidence: 90%

“…Poor treatment adherence and low insight level often show a good clinical association in schizophrenia; however, poor medication adherence can be found in patients with good clinical insight [9,10]. Besides that, some patients with lower insight can be provided an adequate antipsychotic treatment [11]. Taken together, there are some differences between clinical associations of the medication adherence and insight.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Correlates of Treatment Adherence and Insight in Patients with Schizophrenia

Kokurcan¹,

Karadağ²,

Doğu³

et al. 2020

Archives of Clinical and Experimental Medicine

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The aim of this study was to assess clinical correlates of the treatment adherence and insight in patients with schizophrenia. Methods: That cross-sectional study included 229 outpatients with schizophrenia who were admitted to the Psychiatry Outpatient Clinic of Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital. All participants were administered a socio-demographic form, Morisky Medication Adherence Questionnaire, Schedule for Assessing the three components of insight, Brief Psychiatric Rating Scale, Positive and Negative Symptoms Rating Scale, Calgary Depression Scale for Schizophrenia, and Global Assessment of Functioning Scale. Collected data were analyzed with descriptive statistics, Pearson Correlation Analysis, and logistic regression analysis. Results: Poor treatment adherence was associated with male gender, lower insight level, more severe psychotic symptoms, and lower functionality level. The insight score was negatively correlated with the severity of psychotic symptoms, duration of the disorder, and mean antipsychotic dose; but positively correlated with advanced age of onset, and higher functionality level. The logistic regression analysis revealed that functionality level was more predictive on poor medication adherence. Conclusion: Poor treatment adherence and lower insight level were closely associated with more severe clinical symptoms and lower functionality level. It was noteworthy that adherence and insight levels both showed a high predictivity for wellbeing of the patients. Therefore, psychotherapeutic interventions should be implemented to increase treatment adherence and insight in schizophrenia even if the psychotic symptoms show resistance. Further research is needed to clarify clinical associations of the treatment adherence and insight level in patients with schizophrenia.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Clinical Correlates of Treatment Adherence and Insight in Patients with Schizophrenia

Kokurcan¹,

Karadağ²,

Doğu³

et al. 2020

Archives of Clinical and Experimental Medicine

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“…As college students in the information society, they should also learn and maintain the correct values, outlook on life, and attitude toward society and study. Second, the content of psychological education includes (Admiraal et al, 2017;Hidalgo-Mazzei et al, 2018;Dondé et al, 2019 ) student attention to the course, student engagement, sense of accomplishment of students, ability of students to use the knowledge, and the help to the students. In the process of investigation, attention of students to psychological education is investigated first, and then student engagement and the results after the participation are surveyed.…”

Section: Survey Designmentioning

confidence: 99%

Challenges of College Students’ Ideological and Political and Psychological Education in the Information Age

Dong

Liu

et al. 2021

Front. Psychol.

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The purpose of the study is to analyze the current situation of ideological and political education and psychological education of college students, and explore the challenges faced by these two kinds of education in the information age. First, different research methods, such as literature research, questionnaire survey, and interdisciplinary research, are used to investigate and study the current situation of ideological and political education and psychological education of college students. Second, the survey data are analyzed to reveal the challenges they have encountered. The results show that there are many problems in ideological and political education, which need to be improved and strengthened. The Internet has a strong attraction for college students, but the purpose of getting online of many college students is not clear. Although it plays an important role in improving teaching quality by helping college students establish correct attitudes toward their study, values, life, and society, ideological and political education lack strong pertinence and effectiveness due to the professionalism of the teachers. And the negative impact of network information on ideological and political education of college students is also obvious. About 11.4% of the respondents believe that network information affects their physical and mental health. About 8.4% of the respondents believe that harmful information on the network is easy to induce students to behave wrongly. About 41% believe that computer games distract them from learning, which indicates that the negative impact of network information on college students cannot be underestimated, and it is imperative to strengthen the ideological and political education of college students. The research provides a useful reference for the ideological and political and psychological education in the information environment and helps to solve the problem in the ideological and political education and psychological education of college students.

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“…In this line, cognitive-behavioural therapy for psychosis has been linked with improvements in clinical and cognitive insight [ 20 , 21 , 22 ]. Psychoeducation programs have also been developed, but it has been reported that while they can improve knowledge about the illness, this improvement did not always translate into improvement of insight [ 23 ]. More recently, new methods called metacognitive interventions were found to be effective in improving clinical and cognitive insight [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Improvement of Insight with Non-Invasive Brain Stimulation in Patients with Schizophrenia: A Systematic Review

Blay

Adam

Bation

et al. 2021

JCM

Self Cite

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Patients with schizophrenia are often unaware of their condition and the consequences of their illness. This lack of insight results in impaired functioning, treatment non-adherence and poor prognosis. Here, we aimed to investigate the effects of non-invasive brain stimulation (NIBS) on two forms of insight, clinical and cognitive, in patients with schizophrenia. We conducted a systematic review of the literature registered in the PROSPERO database (CRD42020220323) according to PRISMA guidelines. The literature search was conducted in Medline and Web of Science databases based on studies published up until October 2020 that included pre-NIBS and post-NIBS measurements of clinical and/or cognitive insight in adults with schizophrenia. A total of 14 studies were finally included, and their methodological quality was assessed by using the QualSyst tool. Despite the lack of well-conducted large randomized-controlled studies using insight as the primary outcome, the available findings provide preliminary evidence that NIBS can improve clinical insight in patients with schizophrenia, with a majority of studies using transcranial direct current stimulation with a left frontotemporal montage. Further studies should investigate the effect of NIBS on insight as a primary outcome and how these effects on insight could translate into clinical and functional benefits in patients with schizophrenia.

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Well-informed but not aware: The P.A.C.T.® psychoeducation program for schizophrenia improves knowledge about, but not insight into, the illness

Cited by 11 publications

References 34 publications

Clinical Correlates of Treatment Adherence and Insight in Patients with Schizophrenia

Clinical Correlates of Treatment Adherence and Insight in Patients with Schizophrenia

Challenges of College Students’ Ideological and Political and Psychological Education in the Information Age

Improvement of Insight with Non-Invasive Brain Stimulation in Patients with Schizophrenia: A Systematic Review

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