The association of lifetime insight and cognition in psychosis
Open accessAbstract
Poor insight has been related to poor course in psychosis. However, the role of cognition in insight remains unclear. The aim of this study was to examine the influence of cognition and lifetime psychopathological dimensions on insight in psychosis. We followed up 42 patients with psychotic disorders over 10years. Lifetime psychopathological dimensions and cognitive performance were assessed. Patients were divided into two groups by lifetime patterns of insight and compared with 42 healthy volunteers. Lower IQ and poorer social cognition were associated with higher risks of poorer lifetime insight of feeling ill and global insight respectively. Lifetime negative symptoms were associated with a higher risk of poorer lifetime insight into symptoms. Lifetime lack of insight is independent of cognitive impairment in specific domains, except for social cognition. Higher IQ may contribute to better lifetime awareness of illness, while better ability to manage emotions is involved in lifetime global insight.
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Poor clinical insight is associated with disorganization symptoms.
“Literature supporting this includes studies correlating poor clinical insight with overall symptom severity [43][44][45] , positive symptoms 46,47 , negative symptoms 44,48,49 , disorganization symptoms 46,47,50-52 , and excitement symptoms 46,47,53 .”
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 [51]
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References 49 · Cited by 15
Research works printed but not linked: 3
- Sánchez-Torres AM, Zarzuela A, Peralta V, Cuesta MJ. (2015). The association of lifetime insight and cognition in psychosis. Schizophr Res. 162(1-3):183-8. doi: 10.1016/j.schres.2014.12.019.
- Sánchez-Torres AM, Zarzuela A, Peralta V, Cuesta MJ. (2015). The association of lifetime insight and cognition in psychosis. Schizophr Res. 162(1-3):183-8. doi: 10.1016/j.schres.2014.12.019.
- Sánchez-Torres AM, Zarzuela A, Peralta V, Cuesta MJ. (2015). The association of lifetime insight and cognition in psychosis. Schizophr Res. 162(1-3):183-8. doi: 10.1016/j.schres.2014.12.019.
- Authors
- Sánchez-Torres, A. M., Zarzuela, A., Peralta, V., & Cuesta, M. J.
- Affiliations
- Universidad Nacional de Educación a Distancia (ES)
- Complejo Hospitalario de Navarra (ES)
- Corresponding author
- Cuesta, Manuel J.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 162
- Issue
- 1-3
- Pages
- 183-188
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W1973400562
- Cited by
- 15
- References
- 49
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2022: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Academica-e (Universidad Pública de Navarra) (submittedVersion, cc-by-nc-nd)
- Funders
- Gobierno de Navarra (87/2014)
- Instituto de Salud Carlos III (11/02831)
- European Regional Development Fund
- 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
- insight, psychosis
- MeSH terms
- Adult, Awareness, Cognition, Female, Follow-Up Studies, Humans, Intelligence, Male, Neuropsychological Tests, Psychiatric Status Rating Scales, Psychotic Disorders, Social Perception, Cohort Studies
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