Insight and recovery in schizophrenic patients

Cannavò, D.; Minutolo, Giuseppe; Battaglia, Eliana; Aguglia, Eugenio

doi:10.3109/13651501.2016.1141960

Cited by 15 publications

(16 citation statements)

References 36 publications

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“…Cannavo et al 72 documented that improvement in psychosocial function was associated with significant improvements in clinical insight, while Klaas et al 73 found that good clinical insight had a positive effect upon social function, but that changes in social function did not influence insight in first-episode psychosis.…”

Section: Insight and Outcomementioning

confidence: 99%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage. This research also suggests that poor insight may arise in response to biological, experiential, neuropsychological, social-cognitive, metacognitive and socio-political factors. Studies of the effects of existing and developing treatments indicate that they may influence insight. In the context of earlier research and historical models, these findings support an integrative model of poor insight. This model suggests that insight requires the integration of information about changes in internal states, external circumstances, others' perspectives and life trajectory as well as the multifaceted consequences and causes of each of those changes. One implication is that treatments should, beyond providing education, seek to assist persons with schizophrenia to integrate the broad range of complex and potentially deeply painful experiences which are associated with mental illness into their own personally meaningful, coherent and adaptive picture.

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Section: Insight and Outcomementioning

confidence: 99%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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“…Only 12% of respondents met all the criteria for remission for 2 years or longer.In the study group, an improvement in the level of insight was also found, especially in patients treated with second generation antipsychotics (SGA). The recovery of insight was positively correlated with female sex, older age, SGA treatment, predisease social adaptation and low level of negative symptoms of schizophrenia at the beginning of the study [23].…”

Section: Recovery and Stigmamentioning

confidence: 91%

“…"Insight and recovery in schizophrenic patients" było zbadanie korelacji między wglądem i zdrowieniem u pacjentów ze schizofrenią według kryteriów zarówno objawowej jak i funkcjonalnej remisji. Odzyskiwanie wglądu było pozytywnie skorelowane z płcią żeńską, starszym wiekiem, leczeniem, wstępnie chorobową adaptacją społeczną i niskim poziomem negatywnych objawów schizofrenii na początku badania [23].…”

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Insight and recovery and the stigma of mental illness - analysis of the phenomenon of insight in schizophrenia and its correlations with the processes of stigma and self-stigma

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Dziwota

Pawęzka

et al. 2017

Current Problems of Psychiatry

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Does better insight associated with the process of recovery mean a stronger sense of mental illness stigma? This article presents the relationship between a multidimensional construct, which is the insight and the phenomena of stigma and self-stigma of patients diagnosed with schizophrenia. It is well known that the term insight contains: a sense of illness, the patient's attitude to its symptoms, explanation of the causes of the illness, attitude to the rationale of treatment and awareness of the risk of relapse. On the other hand, self-stigma occurs when the patient internalizes and refers to himself/herselfnegative and stigmatizing social attitudes, conditioned by the presence of conventionalbeliefs, strengthened by the media, and this weakens the process of recovery.How much does good insight strengthen the patient on the way to fuller social functioning, and how much does it imprint stigma of mental illness and weaken its positionin society? The authors of the paper are discussing the subject of insight and stigma from the patient's perspective, over the patient’s attitude towards the diagnosis of schizophrenia, the process of recovery and the aspect of hope - important in recovery. These study of construct insight shows that the relationship insight-recovery-stigma is a multi-dimensional plane, dependent on various factors, that needs constant deepening and complementing with further research.

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“…Yildiz's study found that at the end of 5 years, only 35.7% of patients achieved recovery criteria. When the international literature is examined, Lambert et al reported that only 26.6%, Haro et al reported that 25.4%, and Cannavò et al reported that 12% of patients with schizophrenia showed functional recovery at the end of 2 years. In addition, Boyer et al found that only 30% to 38% of patients with recovery showed really satisfactory functionality.…”

Section: Introductionmentioning

confidence: 99%

“…Study results showing low levels of functional recovery and QOL in patients with schizophrenia emphasize the importance of this issue . Patients with low levels of functioning are a significant burden to family, caregivers and to society, and the disease leads to high costs.…”

Section: Introductionmentioning

confidence: 99%

The relationship between functional recovery and quality of life in patients affected by schizophrenia and treated at a community mental health center in Turkey

Pınar

Sabancıoğulları

2020

Perspect Psychiatr Care

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Purpose: The study was conducted to determine the levels of functional recovery and quality of life (QOL) among a group of patients suffering from schizophrenia treated at a Community Mental Health Center (CMHC) and to evaluate the relationship between these two treatment outcomes.Design and Methods: This observational study was implemented among 132 patients affected by schizophrenia treated at a CMHC in Turkey. Findings: A statistically significant positive correlation was found between the general and subscale mean scores of the functional remission of general schizophrenia scale and the mean score of all domains of the World Health Organization QOL (r = 0.63-0.33; P < .001).Practice implications: QOL increases as the functional recovery levels increase.Nursing practices should be planned to improve functional recovery levels of patients.

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Insight and recovery in schizophrenic patients

Abstract: Only a small proportion of schizophrenic patients achieved recovery, therefore greater patient's insight could have prognostic validity in terms of treatment outcome. More sensitive instruments and a larger sample are necessary to confirm these results.

Cited by 15 publications

References 36 publications

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Insight and recovery and the stigma of mental illness - analysis of the phenomenon of insight in schizophrenia and its correlations with the processes of stigma and self-stigma

The relationship between functional recovery and quality of life in patients affected by schizophrenia and treated at a community mental health center in Turkey

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