Cited by 37Schizophrenia research and treatmentMental Health and PsychiatryPsychoanalysis and Psychopathology Research

A deeper view of insight in schizophrenia: Insight dimensions, unawareness and misattribution of particular symptoms and its relation with psychopathological factors

Pousa, Esther, Ochoa, Susana, Cobo, Jesús, Nieto, Lourdes, Usall, Judith, Gonzalez, Beatriz, Garcia-Ribera, Carles, Pérez Solà, Victor +14 more·2017·Schizophrenia Research

Abstract

Objective 1. To describe insight in a large sample of schizophrenia subjects from a multidimensional point of view, including unawareness of general insight dimensions as well as unawareness and misattribution of particular symptoms. 2. To explore the relationship between unawareness and clinical and socio-demographic variables.Methods 248 schizophrenia patients were assessed with the Positive and Negative Syndrome Scale (PANSS, five factor model of Lindenmayer) and the full Scale of Unawareness of Mental Disorder (SUMD). Bivariate associations and multiple linear regression analyses were used to investigate the relationship between unawareness, symptoms and socio-demographic variables.Results Around 40% of the sample showed unawareness of mental disorder, of the need for medication and of the social consequences. Levels of unawareness and misattribution of particular symptoms varied considerably. General unawareness dimensions showed small significant correlations with positive, cognitive and excitement factors of psychopathology, whereas these symptom factors showed higher correlations with unawareness of particular symptoms. Similarly, regression models showed a small significant predictive value of positive symptoms in the three general unawareness dimensions while a moderate one in the prediction of particular symptoms. Misattribution showed no significant correlations with any symptom factors.Conclusions Results confirm that insight in schizophrenia is a multi-phased phenomenon and that unawareness into particular symptoms varies widely. The overlap between unawareness dimensions and psychopathology is small and seems to be restricted to positive and cognitive symptoms, supporting the accounts from cognitive neurosciences that suggest that besides basic cognition poor insight may be in part a failure of self-reflection or strategic metacognition.

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Crossref · 10.1016/j.schres.2017.02.016

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Authors
Pousa, E., Ochoa, S., Cobo, J., Nieto, L., Usall, J., Gonzalez, B., Garcia-Ribera, C., Pérez Solà, V., Ruiz, A.-I., Baños, I., Cobo, J., García-Ribera, C., González, B., Massons, C., Nieto, L., Monserrat, C., Ochoa, S., Pousa, E., Ruiz, A.-I., Ruiz, I., Sanchez-Cabezudo, D., & Usall, J.
Affiliations
  • Centro de Investigación Biomédica en Red de Salud Mental (ES)
  • Universitat Autònoma de Barcelona (ES)
  • Hospital Del Mar (ES)
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
2017-11
Volume
189
Pages
61-68
ISSN
0920-9964 (ISSN-L)
OpenAlex
W2589267879
Cited by
37
References
49
Citations by year
2025: 1 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 2
FWCI
3.82
Type
journal article
Language
en
Open access
closed
Locations
  • Schizophrenia Research (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
insight, schizophrenia
MeSH terms
Adult, Awareness, Female, Humans, Male, Middle Aged, Prospective Studies, Psychometrics, Psychopathology, Psychotic Disorders, Surveys and Questionnaires, Regression Analysis, Schizophrenia, Schizophrenic Psychology

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