Insight of patients and their parents into schizophrenia: Exploring agreement and the influence of parental factors
Open accessAbstract
Poor insight is found in up to 80% of schizophrenia patients and has been associated with multiple factors of which cognitive functioning, social and environmental factors. Few studies have explored associations between patient insight and that of their biological parents', and the influence of parental factors. Insight was assessed in 41 patients and their biological parents with Amador's Scale for the assessment of Unawareness of Mental Disorder (SUMD). Parents' knowledge about schizophrenia and critical attitudes were assessed with validated self-report questionnaires. Both groups underwent cognitive assessments for working memory and executive functioning. Insight in patients and their parents was not associated for any of the SUMD dimensions but a significant correlation was found between patient and parent awareness of treatment effect for patient-parent dyads with frequent daily contact. Low parental critical attitude was associated with higher patient awareness of symptoms and a high parental memory task score with high patient insight. Our study is the first to suggest a possible influence of parental factors such as critical attitudes and cognitive performance on patient insight.
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In parents of adults with schizophrenia, insight into the need for treatment was affected by the parent's neurocognitive function.
“Macgregor et al 158 found that the insight into the need for treatments by parents of adult people with schizophrenia was affected by how frequently the parents and patients interacted and by the neurocognitive function of the parent.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [158]
In parents of adults with schizophrenia, insight into the need for treatment was affected by how frequently the parents and patients interacted.
“Macgregor et al 158 found that the insight into the need for treatments by parents of adult people with schizophrenia was affected by how frequently the parents and patients interacted and by the neurocognitive function of the parent.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [158]
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References 49 · Cited by 10
- Authors
- Macgregor, A., Norton, J., Bortolon, C., Robichon, M., Rolland, C., Boulenger, J.-P., Raffard, S., & Capdevielle, D.
- Affiliations
- Université de Montpellier (FR)
- Inserm (FR)
- Université Paul-Valéry Montpellier (FR)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Corresponding author
- Macgregor, Alexandra
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 228
- Issue
- 3
- Pages
- 879-886
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2145922688
- Cited by
- 10
- References
- 49
- Citations by year
- 2023: 1 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- green
- hal.science
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- HAL Portal Artxiker (Hindustan Aeronautics Limited (India)) (submittedVersion, cc-by-nc-nd)
- 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 › Family Caregiving in Mental Illness
- Keywords
- schizophrenia, insight, awareness of mental disorder, working memory, executive function, symptom awareness, parent-child relationship
- MeSH terms
- Adult, Awareness, Cognition Disorders, Family Therapy, Female, Humans, Male, Middle Aged, Parent-Child Relations, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Expressed Emotion, Young Adult
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