Clinical predictors of discrepancy between self-ratings and examiner ratings for negative symptoms

Selten, J.P.; Wiersma, Durk; Bosch, RJ van den

doi:10.1016/s0010-440x(00)90047-6

Cited by 29 publications

(14 citation statements)

References 14 publications

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“…However, it may also reflect fundamental differences between the objective narrative clinicians have, and the subjective narratives that patients have about psychiatric symptoms. Indeed, although some data suggests that severely ill patients are unable to accurately report negative symptoms (Hamera et al, 1996; Selten et al, 2000), more recent studies have suggested that self-report measures may be both valid and useful in this patient population (Dollfus et al, 2016), especially in the assessment of treatment outcome and overall QoL (Fleischhacker et al, 2005; Lindstrom et al, 2001; Ohata et al, 2014). Thus, the present findings may add to a growing literature emphasizing the utility of self-reported symptoms in assessing patient-centered outcomes.…”

Section: Discussionmentioning

confidence: 99%

Dimensional symptom severity and global cognitive function predict subjective quality of life in patients with schizophrenia and healthy adults

DeRosse

Nitzburg

Blair

et al. 2018

Schizophrenia Research

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Over the last several decades Quality of Life (QoL) has become increasingly important as an indicator of treatment outcomes; particularly in schizophrenia spectrum disorders because of its close association with functional disability. Numerous studies seeking to elucidate the factors that contribute to QoL in this population have implicated both symptom severity and cognition in determining QoL but the findings have been mixed. The critical factors that appear to impede the lack of consensus in the extant literature examining determinants of QoL include the heterogeneity of the samples and measures examined as well as medication effects across different studies. Thus, the present study sought to address some of these issues by examining the relationship between subjective QoL and both symptom severity and cognitive function in a relatively homogeneous patient sample of patients and a community control sample assessed for dimensional symptom severity. Our results suggest that both global cognitive function and psychiatric symptoms have a significant impact on the subjective QoL of both people with schizophrenia spectrum disorders and psychiatrically healthy adults. Specifically, we found that a global index of cognition as well as self-reported avolitional and depressive symptoms were significantly predictive of QoL in both samples. These findings highlight the importance of addressing cognitive, depressive and avolitional symptoms in the treatment of patients with schizophrenia spectrum disorders and suggest that improvements in these domains may have a meaningful impact on their overall QoL.

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Section: Discussionmentioning

confidence: 99%

Dimensional symptom severity and global cognitive function predict subjective quality of life in patients with schizophrenia and healthy adults

DeRosse

Nitzburg

Blair

et al. 2018

Schizophrenia Research

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“…Three studies were excluded from the analysis because they measured insight according to the discrepancy between clinicians' or parents' ratings and patients' ratings of symptoms (Dixon, King, & Steiger, 1998;Seltan, Wiersma, & Bosch, 2000;Swanson et al, 1995). The reason for removing these studies was because this method of assessment was not reliable or valid, since the discrepancy rating did not significantly correlate with the insight scale (Selten et. al., 2000).…”

Section: Methodsmentioning

confidence: 99%

Insight in schizophrenia: a meta-analysis

Mintz

Dobson

Romney

2003

Schizophrenia Research

507

366

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There has been an increase in the study of insight in schizophrenia in the last 20 years. Insight is operationally defined according to five dimensions which include: the patient's awareness of mental disorder, awareness of the social consequences of disorder, awareness of the need for treatment, awareness of symptoms and attribution of symptoms to disorder. Despite the development of psychometrically sound measurement tools, the results from previous studies have been inconclusive regarding the nature of the relationship between insight and symptomatology. A meta-analysis of 40 published English-language studies was conducted to determine the magnitude and direction of the relationship, or effect size, between insight and symptom domains in schizophrenia and to determine moderator variables that were associated with the variations in effect sizes across studies. Results indicated that there was a small negative relationship between insight and global, positive and negative symptoms. There was also a small positive relationship between insight and depressive symptoms in schizophrenia. Acute patient status and mean age of onset of the disorder moderated the relationship between insight and symptom clusters. The possible reasons for the effect sizes being modest, the examination of the role of moderator variables and directions for future research are provided.

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“…Research findings on this issue are inconsistent. Some studies suggest that patients with psychotic disorders have a changed perception of reality, a lack of insight and difficulties accurately reporting negative symptoms (Reddy, ; Selten, Wiersma, & Van Den Bosch, ). Other research shows that patients with depression see their living conditions as worse than would be judged by an independent observer, and their mood often results from altered psychological perspectives rather than from the objective circumstances (Katschnig, Freeman, & Satorius, ; Kay, Roth, & Beamish, ).…”

Section: Discussionmentioning

confidence: 99%

The role of resources in the face of psychopathology

et al. 2019

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Objectives The current study compared resource realization and psychological distress in patients with different psychiatric diagnoses and healthy individuals and examined the moderating effect of intrapersonal resources (personal strengths) and interpersonal resources (relationships) on the association between incongruence (unsatisfactory realization of personal goals) and psychological distress. Method In total, 218 participants (45.87% female, mean age = 39.83 years) completed standardized questionnaires at one measurement point. Results Healthy individuals (n = 56) reported the most resources, followed by patients with psychotic (n = 53), substance use (n = 53), and depressive disorders (n = 56). While patients with psychotic disorders benefited from intra‐ and interpersonal resources, patients with depression only benefitted from intrapersonal resources. Patients with substance use disorders did not benefit from resources at all. Conclusions Depending on the diagnosis, patients evaluated their level of resources differently and benefitted in different ways. The results suggest that within psychotherapy, it might be useful to strengthen resources, especially for patients with depressive and substance use disorders.

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Clinical predictors of discrepancy between self-ratings and examiner ratings for negative symptoms

Cited by 29 publications

References 14 publications

Dimensional symptom severity and global cognitive function predict subjective quality of life in patients with schizophrenia and healthy adults

Dimensional symptom severity and global cognitive function predict subjective quality of life in patients with schizophrenia and healthy adults

Insight in schizophrenia: a meta-analysis

The role of resources in the face of psychopathology

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