Evaluation of the association between insight and symptoms in a large sample of patients with schizophrenia

Hert, Marc De; Simon, Viktória; Vidović, Domagoj; Franić, Tomislav; Wampers, Martien; Winkel, Ruud van

doi:10.1016/j.eurpsy.2009.04.004

Cited by 36 publications

(28 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, poor insight might have influenced the QoL scores for some individuals. In this regard, the relatively low levels of symptoms in our present sample may be considered an advantage because lack of insight in schizophrenia is associated with severity of clinical symptoms (De Hert et al, 2009).…”

Section: Discussionmentioning

confidence: 98%

Quality of Life in Patients With Psychotic Disorders

Boyette

Korver-Nieberg²,

Meijer³

et al. 2014

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

The aims of this study were to assess the relative contribution of symptoms and specific psychosocial factors to different domains of quality of life (QoL) in patients with psychotic disorders. Positive, negative, and depressive symptoms; Five-Factor Model personality traits; and attachment dimensions were assessed in 110 patients with nonaffective psychotic disorders. Hierarchical and stepwise regression analyses were conducted. Psychosocial factors were able to predict all domains of QoL, when symptom severity was controlled for. Furthermore, the physical QoL domain was best predicted by attachment, personality, and sex (R = 43.1%); the psychological QoL domain, by personality and depressive symptoms (R = 60.5%); the social domain, by personality and positive symptoms (R = 30.3%); and the environmental domain, by personality and negative symptoms (R = 27.9%). Our findings highlight the role that specific individual characteristics play in different aspects of QoL in patients with psychotic disorders.

show abstract

Section: Discussionmentioning

confidence: 98%

Quality of Life in Patients With Psychotic Disorders

Boyette

Korver-Nieberg²,

Meijer³

et al. 2014

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

show abstract

“…Insight was found both to correlate [44,45,46,47,48,49,50,51,52] and not to correlate with cognition, as assessed through frontal lobe function tests [35,53,54,55,56,57]. …”

Section: Discussionmentioning

confidence: 99%

Insight and Awareness as Related to Psychopathology and Cognition

et al. 2012

View full text Add to dashboard Cite

Background: Insight affects adherence and treatment outcome and relates to cognitive impairment and psychopathology. We investigated the relationship of insight with cognition in patients with major depression, schizophrenia and bipolar disorder in acute psychiatric care, long-term inpatient, and outpatient settings. Methods: Eighty-one patients (women, 59.5%; age, 45.9 ± 13.5 years; 27 in each setting group; 33.3% with DSM-IV bipolar disorder, 39.5% with unipolar major depression, and 27.2% with schizophrenia) underwent the Wisconsin Card Sorting Test (WCST) to test flexibility, clinician-rated Scale to Assess Unawareness of Mental Disorder (SUMD), and self-rated Insight Scale (IS) to assess insight/awareness. Results: Poor performance on the WCST correlated with higher SUMD scores such as current psychiatric illness unawareness, impaired symptom attribution, unawareness of medication effect, or of social consequences, but not with IS scores. The latter correlated with days on continuous treatment. Patients receiving psycho-education showed greater symptom awareness compared to patients treated with drugs alone. Cognitive flexibility and diagnostic category did not correlate. Poor insight corresponded with severe mental illness, particularly acute psychosis. Conclusions: Treatment setting specificity reflects psychopathology and severity. Insight is inversely proportional to illness severity and cognitive flexibility, which is also affected by psychopathology. Limitations comprise group heterogeneity, cross-sectional design, and limited sample size.

show abstract

“…[21] The most researched symptom dimensions in schizophrenia are positive, negative and cognitive dimensions. Some of the previous studies have demonstrated relationship of insight with positive symptoms,[222324252627] negative symptoms,[22252627282930313233] and neurocognitive impairment[34] among patients with schizophrenia.…”

Section: Insight and Its Relationship With Symptom Dimensions In Schimentioning

confidence: 99%

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

Joseph

Narayanaswamy

Venkatasubramanian

2015

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

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.

show abstract

Evaluation of the association between insight and symptoms in a large sample of patients with schizophrenia

Cited by 36 publications

References 46 publications

Quality of Life in Patients With Psychotic Disorders

Quality of Life in Patients With Psychotic Disorders

Insight and Awareness as Related to Psychopathology and Cognition

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

Contact Info

Product

Resources

About