PMID: 9536472Apr 16, 1998Paper

The relationship between insight, illness and treatment outcome in schizophrenia

The Psychiatric Quarterly
R C Schwartz

Abstract

Lack of awareness of mental disorder in schizophrenia has been increasingly identified by researchers during recent years due to a resurgence of interest in the subject. In addition, better measurement methods have led to more valid and detailed investigations on insight in schizophrenia. Poor insight has been reported as a common phenomenon which may have both nosological and prognostic value. Specifically, due to recent studies indicating that lack of insight in schizophrenia may lead to poor treatment outcome, research focused on this phenomenon could lead to increasingly effective and efficient treatment strategies. However, many past and present studies reporting a correlation between insight and outcome in schizophrenia demonstrate significant theoretical or methodological limitations which may limit the implications and generalization of findings. This article lists and critically analyzes historical and contemporary research focusing on insight, illness, and outcome in schizophrenia. The role of insight is outlined, as are current methods for assessing awareness of mental disorder in schizophrenia. Cumulative research in this area is then reviewed, in terms of hypotheses, methods, conclusions, and limitations. Finally, ...Continue Reading

Citations

Mar 30, 2002·The Journal of Nervous and Mental Disease·Paul H LysakerMorris D Bell
Aug 24, 2002·The Journal of Nervous and Mental Disease·Rosemarie McCabeMargaret M Anne Duane
Jun 26, 2008·The International Journal of Social Psychiatry·Constantin TranulisLaurence J Kirmayer
Dec 5, 2013·Schizophrenia Research and Treatment·John StrattonPaul Lysaker
Jan 25, 2003·The Journal of Nervous and Mental Disease·Paul H LysakerCatherine A Clements
Aug 12, 2006·European Archives of Psychiatry and Clinical Neuroscience·Stanley H MutsatsaThomas R E Barnes
Jul 12, 2007·Occupational Therapy International·Sunny Ho-Wan ChanIda Wai-Mei Chan
Dec 17, 2008·The Journal of Nervous and Mental Disease·David RoePaul H Lysaker
May 1, 2012·European Psychiatry : the Journal of the Association of European Psychiatrists·R SchennachM Riedel
Feb 14, 2004·The Australian and New Zealand Journal of Psychiatry·Andrew CarrollCarol Harvey
Jan 28, 2005·The Journal of Nervous and Mental Disease·Morris D Bell, Wayne Zito
Aug 17, 2011·Bipolar Disorders·Marieke J van der Werf-ElderingAndré Aleman
Jan 21, 2015·European Psychiatry : the Journal of the Association of European Psychiatrists·R JørgensenV Zoffmann
Jun 7, 2000·Psychological Reports·R C SchwartzS Petersen
Jun 18, 2005·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Nina Fiss, Ana Cristina Chaves
Mar 6, 2019·The Psychiatric Quarterly·Vincent Rozalski, Gerald M McKeegan
Dec 6, 2019·Frontiers in Psychiatry·Jeong-Youn KimYoung-Chul Chung
Oct 31, 2002·Psychiatry·Paul H LysakerDustin E Wright
Jul 25, 2014·International Journal of Geriatric Psychiatry·Philip GerretsenAriel Graff-Guerrero
Feb 24, 2001·The Journal of Nervous and Mental Disease·E Y ChenP P Kwong
May 23, 2008·Schizophrenia Bulletin·Robyn Langdon, Philip Ward
Jun 24, 1999·The Journal of Nervous and Mental Disease·R C Schwartz, S Petersen
Jun 18, 2021·Schizophrenia Research. Cognition·Joshua E MervisPiper Meyer-Kalos

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