Cited by 142Schizophrenia research and treatmentMental Health and PsychiatryMental Health Treatment and Access

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Is good insight associated with depression among patients with schizophrenia? Systematic review and meta-analysis

Belvederi Murri, Martino, Respino, Matteo, Innamorati, Marco, Cervetti, Alice, Calcagno, Pietro, Pompili, Maurizio, Lamis, Dorian A., Ghio, Lucio, Amore, Mario·2015·Schizophrenia Research

DOI 10.1016/j.schres.2015.01.003

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Abstract

Among patients with schizophrenia, better insight may be associated with depression, but the findings on this issue are mixed. We examined the association between insight and depression in schizophrenia by conducting a systematic review and meta-analysis. The meta-analysis was based on 59 correlational studies and showed that global clinical insight was associated weakly, but significantly with depression (effect size r=0.14), as were the insight into the mental disorder (r=0.14), insight into symptoms (r=0.14), and symptoms' attributions (r=0.17). Conversely, neither insight into the social consequences of the disorder nor into the need for treatment was associated with symptoms of depression. Better cognitive insight was significantly associated with higher levels of depression. The exploratory meta-regression showed that methodological factors (e.g. the instrument used to assess depression and the phase of the illness) can significantly influence the magnitude of the association between insight and depression. Moreover, results from longitudinal studies suggest that the relation between insight and depression might be stronger than what is observed at the cross-sectional level. Finally, internalized stigma, illness perception, recovery attitudes, ruminative style, and premorbid adjustment seem to be relevant moderators and/or mediators of the association between insight and depression. In conclusion, literature indicates that among patients with schizophrenia, better insight is associated with higher levels of depressive symptoms. Thus, interventions aimed at promoting patients' insight should take into account the clinical implications of these findings.

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The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378
Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965
The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non-clinical sample
Crawford, J. R., & Henry, J. D. (2003) · British Journal of Clinical Psychology · doi:10.1348/014466503321903544 · Cited by 1,756
A depression rating scale for schizophrenics
Addington, D. E., Addington, J., & Schıssel, B. (1990) · Schizophrenia Research · doi:10.1016/0920-9964(90)90005-r · Cited by 1,270
Assessment of insight in psychosis
AMADOR, X. F., Strauss, D. H., Yale, S. A., FLAUM, M. M., Endicott, J., & Gorman, J. M. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.873 · Cited by 1,100
A new instrument for measuring insight: the Beck Cognitive Insight Scale
Beck, A. T. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(03)00189-0 · Cited by 871
A self‐report Insight Scale for psychosis: reliability, validity and sensitivity to change
Birchwood, M. J., Smith, J., Drury, V., Healy, J., Macmillan, F., & Slade, M. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01487.x · Cited by 695
Toward Understanding the Insight Paradox: Internalized Stigma Moderates the Association Between Insight and Social Functioning, Hope, and Self-esteem Among People with Schizophrenia Spectrum Disorders
Lysaker, P. H., Roe, D., & Yanos, P. T. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbl016 · Cited by 688

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Insight's level in borderline personality disorder, questioning consciousness
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Psychopathology and Poor Clinical Insight in Psychotic Patients
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Personality traits in suicidal and homicidal subjects with schizophrenia
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Dimensions of insight in eating disorders: clinical and psychological predictors
Gawron, L., Garrido, I., Amaro-Carriba, M. A., Hernández-Molina, M., Carceller‐Sindreu, M., Carmona, C., Portella, M. J., & Pousa, E. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116566 · Cited by 5
Functioning, clinical severity, education and sex moderate the inverse relationship between insight and quality of life in patients with schizophrenia
Barbalat, G., Maréchal, L., Plasse, J., Chéreau, I., Gouache, B., Legros-Lafarge, É., Massoubre, C., Guillard-Bouhet, N., Haesebaert, F., & Nicolas Franck, B. (2023) · Schizophrenia Research · doi:10.1016/j.schres.2023.12.015 · Cited by 5
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Discrepancies between Self- and Clinical Staff Members’ Perception of Cognitive Functioning among Patients with Schizophrenia Undergoing Long-Term Hospitalization
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RETRACTED ARTICLE: The complex lived experience of schizophrenia diagnosis: a thematic analysis of online forum posts
Lyons, M. T., Gupta, V., Blaney, P. S., Ogenyi, A., Webster, E., & Brewer, G. (2024) · Current Psychology · doi:10.1007/s12144-024-06175-2 · Cited by 4
Retracted
Clinical and psychological correlates of insight dimensions in patients with early psychosis
Kam, T. K., Lui, T. T., Lau, F. C., Chan, S. K. W., Lee, E. H. M., Hui, C. L. M., Suen, Y. N., Lui, S. S. Y., Chen, E. Y. H., & Chang, W. C. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13191 · Cited by 4
Demoralization in Schizophrenia: A Pathway to Suicidal Ideation?
Lieberman, A. J., Parrish, E. M., Depp, C. A., Harvey, P. D., Pinkham, A. E., & Joiner, T. E. (2023) · Archives of Suicide Research · doi:10.1080/13811118.2023.2195454 · Cited by 4
Development and validation of the Schedule for the Assessment of Insight in Alcohol Dependence (SAI-AD): Dimensions and correlates of insight in alcohol use disorder
Konstantakopoulos, G., Trova, A., Tzavellas, E., Stefanatou, P., David, A. S., & Paparrigopoulos, T. J. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109917 · Cited by 4
The Relationship Between Internalized Stigma with Self-reported Cognitive Dysfunction and Insight in Schizophrenia
Koçak, M. B., & Atkaya, N. Ö. (2024) · Psychiatry and Clinical Psychopharmacology · doi:10.5152/pcp.2024.23787 · Cited by 4
Insights on insight
David, A. S. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2017.10.048 · Cited by 4
The Insight Paradox among Outpatients with Schizophrenia
Kim, T. Y., Kim, J. G., & Kim, C. K. (2019) · Korean Journal of Schizophrenia Research · doi:10.16946/kjsr.2019.22.2.56 · Cited by 4
The Influence of Duration of Disease on Clinical Characteristics in Schizophrenia Patients
Aykut, D. S. (2017) · Journal of Clinical Psychiatry · doi:10.5505/kpd.2017.50479 · Cited by 4
Trajectories of suicidal behavior and their clinical correlates in the early phases of schizophrenia spectrum disorders
Solberg, A., Berg, A. O., Barrett, E., Kristiansen, I., Mork, E., Qin, P., & Melle, I. S. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116409 · Cited by 3
Insight Paradox in Patients With Schizophrenia: A Concept Analysis
Mitsubayashi, R., & Sugaya, T. (2025) · International Journal of Mental Health Nursing · doi:10.1111/inm.70164 · Cited by 3
Levels of and changes in psychosis symptoms and clinical insight: Exploring the impact of differential antipsychotic mechanisms
Stabell, L. A., Johnsen, E., Kroken, R. A., Løberg, E., Kjelby, E., Joa, I., Reitan, S. K., Rettenbacher, M. A., Hugdahl, K., & Gjestad, R. (2026) · Psychiatry Research · doi:10.1016/j.psychres.2026.116948 · Cited by 3
Protocol for evaluation of iTEST, a novel blended intervention to enhance introspective accuracy in psychotic disorders
Berretta, S. A., Abaya, N. M., Parrish, E. M., McBride, L. E., Moore, R. C., Ackerman, R. A., Harvey, P. D., Pinkham, A. E., & Depp, C. A. (2025) · NPP—Digital Psychiatry and Neuroscience · doi:10.1038/s44277-024-00024-7 · Cited by 3
The role of demoralization in the relationship between insight and suicidality in schizophrenia
Eneman, M., Vanhee, L., Tang, E., Sabbe, B., Corveleyn, J. M. T., & Luyten, P. (2020) · Neurology Psychiatry and Brain Research · doi:10.1016/j.npbr.2020.08.002 · Cited by 3

Authors: Belvederi Murri, M., Respino, M., Innamorati, M., Cervetti, A., Calcagno, P., Pompili, M., Lamis, D. A., Ghio, L., & Amore, M.
Affiliations: University of Genoa (IT)
European University of Rome (IT)
Azienda Ospedaliera Sant'Andrea (IT)
Emory University (US)
ORCID: Belvederi Murri, Martino
Respino, Matteo
Innamorati, Marco
Calcagno, Pietro
Pompili, Maurizio
Lamis, Dorian A.
Amore, Mario
Venue: Schizophrenia Research
Publisher: Elsevier BV
Published: 2015-03
Volume: 162
Issue: 1-3
Pages: 234-247
ISSN: 0920-9964 (ISSN-L)
DOI: 10.1016/j.schres.2015.01.003
OpenAlex: W2096974104
Cited by: 142
References: 154
Citations by year: 2026: 9 · 2025: 13 · 2024: 10 · 2023: 16 · 2022: 18 · 2021: 12 · 2020: 12 · 2019: 15 · 2018: 10 · 2017: 12 · 2016: 13 · 2015: 2
FWCI: 1.70
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Schizophrenia Research (publishedVersion)
PubMed (publishedVersion)
CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: schizophrenia, insight
MeSH terms: Awareness, Depressive Disorder, Humans, Schizophrenia, Schizophrenic Psychology

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Is good insight associated with depression among patients with schizophrenia? Systematic review and meta-analysis

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