Insight in Schizophrenia and Mania

Lack of insight may predict impaired decision making in manic patients

“…(19) previously reported a correlation between lack of insight and visual memory in 16 patients with mania, which was suggested to indicate frontal lobe dysfunction. Previous studies have also examined insight and neurocognitive performance in groups of manic (17, 20–24) and remitted (25–27) bipolar patients, although findings are inconsistent. Most recently, Varga et al.…”

Changes in insight among patients with bipolar I disorder: a 2‐year prospective study

“…A state‐dependent phenomenon is characterized by change along with symptom severity. Previous studies dealt with this issue by comparing levels of insight at admission for mania and at discharge (12, 16–18, 25). Our study extended those observations by beginning with a state of remission.…”

Predictors of nonadherence among individuals with bipolar disorder receiving treatment in a community mental health clinic

“…Insight was evaluated with the Insight and Treatment Attitudes Questionnaire (ITAQ), an 11-item rating scale to evaluate patient recognition of illness and need for treatment in psychiatric illness. The ITAQ has been widely utilized in both populations with schizophrenia and bipolar disorder [40,41,42,43]. Each ITAQ item is scored on a 0 to 2 scale (0 = no insight, 2 = good insight), and the scale has high inter-rater reliability (r=0.82, p<.001) [44].…”