La conscience des troubles (insight) dans la schizophrénie : une revue critique

Raffard, Stéphane; Bayard, Sophie; Capdevielle, Delphine; Garcia, F.; Boulenger, J.-P.; Gély‐Nargeot, Marie‐Christine

doi:10.1016/j.encep.2007.10.012

Cited by 20 publications

(6 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study showed that schizophrenia was the only factor impacting upon lack of patient information, unlike a previous study of ours which had correlated male gender with poor patient information [ 33 ]. Provision of information to the patient with schizophrenia may be hampered not only by the patient’s psychopatology such as limited insight and sometimes bizarre behaviour studio [ 34 ], but also by the urgent status of consultation requests because of the patient’s agitation or distorted perception of, and contact with, reality [ 35 ]. The stigma arisen from referring area is to be confirmed.…”

Section: Discussionmentioning

confidence: 99%

Consultation-Liaison Psychiatry—from theory to clinical practice: an observational study in a general hospital

Giorgio¹,

Quartesan

Sciarma

et al. 2015

BMC Res Notes

View full text Add to dashboard Cite

BackgroundTo investigate significant association between various clinical and extra-clinical factors brought out the activities of Consultation-Liaison Service.MethodsData from all psychiatric consultations for patients admitted to the Perugia General Hospital and carried out over a 1-year period (from July the 1st 2009 to June the 30th 2010) were collected by a structured clinical report including: socio-demographic features, features of referrals, features of back-referrals. T-test, Mann–Whitney U-test, χ2-test and Fischer’s were statistically used.Results1098 consultations were performed. The consultations carried out the Emergency Unit were excluded from the study. The type and the reasons for the referrals were discussed such as the ICD-10 diagnosis and the liaison interventions too. Significant associations emerged between gender and: social status and occupation (p < 0.05 and p < 0.01 respectively). Clinical sector related with reason for referral (p < 0.01), type of consultation (p < 0.01), liaison investigations (p < 0.01) and long-term treatment plan after hospital discharge (p < 0.01). The ICD-10 psychiatric diagnosis (Schizophrenia, Affective Syndrome and Neurotic-StressSomatoform Syndrome) was associated with social status (p < 0.01), social condition (p < 0.01), consultation type (p < 0.01), advice (p < 0.01) and reason for consultation (p < 0.01).ConclusionsThe need for better physical and psychological investigation is confirmed in order to promote not only disease remission but overall wellbeing.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1375-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Consultation-Liaison Psychiatry—from theory to clinical practice: an observational study in a general hospital

Giorgio¹,

Quartesan

Sciarma

et al. 2015

BMC Res Notes

View full text Add to dashboard Cite

show abstract

“…They speculated whether the mechanisms underlying the production of positive symptoms and disturbed insight were independent and whether the latter was more resistant to the effective use of neuroleptic medication. Although coping, and defence mechanisms to the consequences and stigmatisation of the disease were hardly studied, the fact that poor insight does not appear related to the severity of symptomatology or to the emotional state of the patients argues against this hypothesis [1]. …”

Section: Discussionmentioning

confidence: 99%

“…Research in neuropsychology and cognitive psychology has provided consistent results concerning the link between deficit in executive functions, frontal lobe dysfunction and poor insight. Recent studies on bias in cognitive information treatment and social cognition theories currently open new prospects [1]. Several studies reveal a positive relationship between insight and executive function, which may be related to frontal lobe dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have proposed that insight is independent of psychopathology [7,8] while others have found a negative correlation between insight and the general measures of psychopathology [9]. Four current explanatory models of lack of insight are: resulting either from adaptation or defence mechanisms to environmental stressors, resulting from cognitive bias of data processing, resulting from neuropsychological functional deficits and resulting from metacognitive deficits [1]. …”

Section: Introductionmentioning

confidence: 99%

“…The links between insight deficits and responses to vocational rehabilitation efforts represent a major interest in research, including those related to medication compliance and clinical outcome. To conduct such studies, various evaluation tools have been developed, enabling the assessment of insight, of its time course and of its components in psychosis and schizophrenia spectrum disorders [1]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Insight in Psychotic Disorder: Relation with Psychopathology and Frontal Lobe Function

Kumar

Sharma²,

Das³

et al. 2013

Psychopathology

View full text Add to dashboard Cite

Background/Aims: Through conceptualising poor insight in psychotic disorders as a form of anosognosia, frontal lobe dysfunction is often ascribed a vital role in its pathogenesis. The objective of this study was to compare the relation of insight in patients with psychotic illness to that of psychopathology and frontal lobe function. Methods: Forty patients with psychotic disorder were selected from those attending the Department of Psychiatry in a tertiary care teaching hospital. The evaluation of insight was carried out using the Schedule for Assessment of Insight (SAI), that of frontal lobe function by the Frontal Assessment Battery (FAB) and psychopathology by the Brief Psychiatric Rating Scale (BPRS). The correlation coefficients were determined. Results: A negative correlation between SAI and BPRS scores means that the BPRS score is opposite to SAI scores. When the SAI total score was compared with the FAB total score, the correlation coefficient demonstrated a positive correlation. Better insight predicted lesser psychopathology and also that poor insight would exist with greater psychopathology. Better insight predicted a higher functional status of frontal lobes and prefrontal cortex in particular. Conclusion: Insight deficits in schizophrenia and other psychotic illnesses are multidimensional. Integration of different aetiological factors like biological, psychopathological, environmental ones and others are necessary for a better understanding of insight in psychosis.

show abstract

Psychological and Psychiatric Contraindications

Gross¹,

Elst²

2012

Principles of Metabolic Surgery

View full text Add to dashboard Cite

La conscience des troubles (insight) dans la schizophrénie : une revue critique

Cited by 20 publications

References 27 publications

Consultation-Liaison Psychiatry—from theory to clinical practice: an observational study in a general hospital

Consultation-Liaison Psychiatry—from theory to clinical practice: an observational study in a general hospital

Insight in Psychotic Disorder: Relation with Psychopathology and Frontal Lobe Function

Psychological and Psychiatric Contraindications

Contact Info

Product

Resources

About