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Cited by 51Schizophrenia research and treatmentMental Health and PsychiatryPsychoanalysis and Psychopathology Research

Insight, global functioning and psychopathology amongst in-patient clients with schizophrenia

Stefanopoulou, Evgenia, Lafuente, Antonio Romero, Saez Fonseca, J. Andres, Huxley, Adam·2009·Psychiatric Quarterly
DOI 10.1007/s11126-009-9103-9
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Abstract

To explore whether cognitive impairment and global functioning can predict the degree of insight into illness as well as whether insight is mediated by specific symptom dimensions of psychopathology in schizophrenia. A dimensional/cross sectional approach was used. A mixed group of clients (n = 36) were assessed as part of a routine clinical evaluation. The Wechsler Adult Intelligence Scale (WAIS) was used as a measure of intellectual performance, the Brief Symptom Inventory (BSI) was used as a measure of general psychopathology while the Global Assessment of Functioning (GAF) scale assessed clients' psychosocial functioning; insight was assessed with the Insight and Treatment Attitudes Questionnaire (ITAQ). The correlation matrix of all outcome variables was examined; confounding effects of illness duration were tested by partial correlation analyses. GAF correlated with insight (rho = 0.41, P = 0.01) and the interpersonal sensitivity dimension of BSI (rho = -0.38, P = 0.03. Insight correlated positively with the anxiety (rho = 0.38, P = 0.03) and psychoticism (rho = 0.36, P = 0.04) dimensions of BSI. Our results suggest that insight is part of the phenomenology in schizophrenia, not being determined by neurocognitive disturbances. Improved insight was associated with more frequent psychotic symptoms endorsement, higher levels of anxiety and less severe psychopathological symptoms and difficulties in psychosocial functioning; clients with more pronounced difficulties in their personal and social interactions exhibited worse psychosocial functioning and more severe psychopathological symptoms.

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  • Depression and anxiety are associated with better insight.

    “Although insight into mental illness and capacity to decide treatment are strongly associated, both depression and anxiety are also associated with better insight (Murri et al., 2016;Stefanopoulou et al., 2009), which has been referred to as the 'insight paradox'.”

    From Decision making capacity for treatment in psychiatric inpatients: a systematic review and meta-analysis (2024) · cites this paper as Stefanopoulou et al., 2009

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Authors
Stefanopoulou, E., Lafuente, A. R., Saez Fonseca, J. A., & Huxley, A.
Affiliations
University of East Anglia (GB)
Corresponding author
Huxley, Adam
ORCID
Venue
Psychiatric Quarterly
Publisher
Springer Science and Business Media LLC
Published
2009-06-13
Volume
80
Issue
3
Pages
155-165
ISSN
  • 0033-2720 (ISSN-L)
  • 1573-6709
DOI
10.1007/s11126-009-9103-9
OpenAlex
W1977874175
Cited by
51
References
60
Citations by year
2026: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 9 · 2012: 2
FWCI
1.86
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Psychiatric Quarterly (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
schizophrenia, insight into illness, global functioning, psychopathology, cognitive impairment, psychosocial functioning, interpersonal sensitivity, anxiety, psychoticism, psychotic symptoms, disease duration
MeSH terms
Adult, Attitude to Health, Cognition, Female, Humans, Interpersonal Relations, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Schizophrenia, Schizophrenic Psychology, Severity of Illness Index, Social Behavior, Cohort Studies

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