Insight in schizophrenia: a meta-analysis

Mintz, Alisa R; Dobson, Keith S; Romney, David M

doi:10.1016/s0920-9964(02)00316-x

Cited by 563Schizophrenia research and treatmentMental Health and PsychiatryPsychoanalysis and Psychopathology Research

Insight in schizophrenia: a meta-analysis

Open access

Mintz, Alisa R, Dobson, Keith S, Romney, David M·2003·Schizophrenia Research

DOI 10.1016/s0920-9964(02)00316-x

Open this paper in CoChat — free account

Abstract

There has been an increase in the study of insight in schizophrenia in the last 20 years. Insight is operationally defined according to five dimensions which include: the patient's awareness of mental disorder, awareness of the social consequences of disorder, awareness of the need for treatment, awareness of symptoms and attribution of symptoms to disorder. Despite the development of psychometrically sound measurement tools, the results from previous studies have been inconclusive regarding the nature of the relationship between insight and symptomatology. A meta-analysis of 40 published English-language studies was conducted to determine the magnitude and direction of the relationship, or effect size, between insight and symptom domains in schizophrenia and to determine moderator variables that were associated with the variations in effect sizes across studies. Results indicated that there was a small negative relationship between insight and global, positive and negative symptoms. There was also a small positive relationship between insight and depressive symptoms in schizophrenia. Acute patient status and mean age of onset of the disorder moderated the relationship between insight and symptom clusters. The possible reasons for the effect sizes being modest, the examination of the role of moderator variables and directions for future research are provided.

Integrity signals

Registry

Crossref · 10.1016/s0920-9964(02)00316-x

Cites

84 of 84 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Poor insight is linked to poorer clinical outcomes.
“Poor insight has also long been linked to poorer clinical outcomes 10,13,17,42 , with the joint possibilities that symptoms cause poor insight, and that poor insight causes less treatment adherence which may result in more symptoms.”
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 [42]

Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
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 · see citing works
The Brief Psychiatric Rating Scale.
Overall, J. E., & Gorham, D. R. (1962) · Psychological Reports · doi:10.2466/pr0.1962.10.3.799 · Cited by 11,090 · see citing works
Research Diagnostic Criteria
Spitzer, R. L. (1978) · Archives of General Psychiatry · doi:10.1001/archpsyc.1978.01770300115013 · Cited by 6,946 · see citing works
Meta-Analytic Procedures for Social Research
Rosenthal, R. (1991) · doi:10.4135/9781412984997 · Cited by 4,635 · see citing works
Meta-Analytic Procedures for Social Research.
Metcalfe, A., & Rosenthal, R. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348600 · Cited by 4,249 · see citing works
Meta-Analysis: Recent Developments in Quantitative Methods for Literature Reviews
Rosenthal, R., & DiMatteo, M. R. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.59 · Cited by 1,780 · see citing works
Stigmatisation of people with mental illnesses
Crisp, A. H., Gelder, M. G., Rix, S., Meltzer, H. I., & Rowlands, O. J. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.1.4 · Cited by 1,457 · see citing works
Empirical assessment of effect of publication bias on meta-analyses
Sutton, A. J. (2000) · BMJ · doi:10.1136/bmj.320.7249.1574 · Cited by 1,398 · see citing works
Meta-Analysis: Quantitative Methods for Research Synthesis
Rosenthal, R., & Wolf, F. M. (1987) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2071646 · Cited by 1,371 · see citing works
Meta-Analysis: Cumulating Research Findings across Studies
Feldman, J. M., Hunter, J. E., Schmidt, F. L., & Jackson, G. B. (1984) · Academy of Management Review · doi:10.2307/258247 · Cited by 1,199 · see citing works
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 · see citing works
Awareness of Illness in Schizophrenia and Schizoaffective and Mood Disorders
AMADOR, X. F. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950100074007 · Cited by 898 · see citing works
Meta-Analysis: Cumulating Research Findings across Studies
Hunter, J. E., Schmidt, F. L., & Jackson, G. B. (1986) · Educational Researcher · doi:10.2307/1175263 · Cited by 792 · see citing works
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 676 · see citing works
Research Diagnostic Criteria
Spitzer, R. L., Endicott, J., & Robins, E. (1978) · PsycTESTS Dataset · doi:10.1037/t04137-000 · Cited by 556 · see citing works
Insight in Schizophrenia. Its Relationship to Acute Psychopathology
McEvoy, J. P., Apperson, L. J., Appelbaum, P. S., Ortlip, P., Brecosky, J., Hammill, K., Geller, J. L., & Roth, L. H. (1989) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198901000-00007 · Cited by 528 · see citing works
The Assessment of Insight in Psychosis
David, A. S., Buchanan, A. W., Reed, A., & Almeida, O. P. (1992) · The British Journal of Psychiatry · doi:10.1192/bjp.161.5.599 · Cited by 358 · see citing works
Psychological Predictors of Insight and Compliance in Psychotic Patients
Kemp, R., & David, A. S. (1996) · The British Journal of Psychiatry · doi:10.1192/bjp.169.4.444 · Cited by 266 · see citing works
A comparative study of insight scales and their relationship to psychopathological and clinical variables
Sanz, M. A. G., CONSTABLE, G., Lopez-Ibor, I., KEMP, R., & David, A. S. (1998) · Psychological Medicine · doi:10.1017/s0033291797006296 · Cited by 264 · see citing works
Meta-Analysis: Quantitative Methods for Research Synthesis
Beltramini, R. F., & Wolf, F. M. (1987) · Journal of Marketing Research · doi:10.2307/3151396 · Cited by 244 · see citing works
Cognitive approach to depression and suicidal thinking in psychosis: 2. Testing the validity of a social ranking model
Iqbal, Z., Birchwood, M., Chadwick, P., & Trower, P. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.522 · Cited by 226 · see citing works
Clinical symptomatology and drug compliance in schizophrenic patients
Bartkó, G., Herczeg, I., & Zádor, G. (1988) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1988.tb05080.x · Cited by 196 · see citing works
Lack of Insight in Schizophrenia
Cuesta, M. J., & Peralta, V. (1994) · Schizophrenia Bulletin · doi:10.1093/schbul/20.2.359 · Cited by 195 · see citing works
Unawareness of illness and neuropsychological performance in chronic schizophrenia
Young, D. A., Davila, R., & Scher, H. (1993) · Schizophrenia Research · doi:10.1016/0920-9964(93)90046-l · Cited by 181 · see citing works
Insight and Psychotic Illness
David, A. S., van Os, J., Jones, P. B., Harvey, I., Foerster, A., & Fahy, T. A. (1995) · The British Journal of Psychiatry · doi:10.1192/bjp.167.5.621 · Cited by 181 · see citing works
Awareness of Illness in Schizophrenia and Outpatient Treatment Adherence
Cuffel, B. J., ALFORD, J., Fischer, E. P., & Owen, R. R. (1996) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199611000-00001 · Cited by 169 · see citing works
PSYCHOPATHOLOGIC DOMAINS AND INSIGHT IN SCHIZOPHRENIA
AMADOR, X. F., & Gorman, J. M. (1998) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70359-2 · Cited by 164 · see citing works
Acceptance of the mental illness label by psychotic patients: Effects on functioning.
Warner, R., Taylor, D. O., Powers, M., & Hyman, J. (1989) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1989.tb01675.x · Cited by 161 · see citing works
Early Insight and the Management of Schizophrenic Decompensation
Heinrichs, D. W., Cohen, B. P., & Carpenter, W. T. (1985) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198503000-00001 · Cited by 161 · see citing works
Insight, Symptoms, and Neurocognition in Schizophrenia and Schizoaffective Disorder
Smith, T. E., Hull, J. W., ISRAEL, L. M., & Willson, D. F. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033439 · Cited by 151 · see citing works
Further Parameters of Insight and Neuropsychological Deficit in Schizophrenia and Other Chronic Mental Disease
Young, D. A., Zakzanis, K. K., BAILEY, C., Davila, R., Griese, J., Sartory, G., & Thom, A. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199801000-00007 · Cited by 144 · see citing works
The assessment of insight in clinical psychiatry: a new scale
Marková, I. S., & Berrios, G. E. (1992) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1992.tb03245.x · Cited by 143 · see citing works
Insight and Cognitive Impairment in Schizophrenia Performance on Repeated Administrations of the Wisconsin Card Sorting Test
Lysaker, P. H., & Bell, M. D. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199411000-00010 · Cited by 143 · see citing works
Lack of insight among outpatients with schizophrenia
Dickerson, F., Boronow, J. J., Ringel, N., & Parente, F. J. (1997) · Psychiatric Services · doi:10.1176/ps.48.2.195 · Cited by 143 · see citing works
Correlates of insight and insight change in schizophrenia
Carroll, A., Fattah, S., Clyde, Z., Coffey, I., Owens, D. G. C., & Johnstone, E. C. (1999) · Schizophrenia Research · doi:10.1016/s0920-9964(98)00142-x · Cited by 142 · see citing works
Unawareness of illness and its relationship with depression and self-deception in schizophrenia
Moore, O., Cassidy, E., Carr, A., & O’Callaghan, E. (1999) · European Psychiatry · doi:10.1016/s0924-9338(99)00172-8 · Cited by 128 · see citing works
Insight, neurocognitive function and symptom clusters in chronic schizophrenia
Collins, A. A., Remington, G. J., Coulter, K., & Birkett, K. (1997) · Schizophrenia Research · doi:10.1016/s0920-9964(97)00075-3 · Cited by 126 · see citing works
Does insight affect long-term inpatient treatment outcome in chronic schizophrenia?
Schwartz, R. C., Cohen, B. N., & Grubaugh, A. L. (1997) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(97)90061-4 · Cited by 122 · see citing works
Insight and psychosis
X. F. Amador, A. S. D. (1999) · Nordic Journal of Psychiatry · doi:10.1080/080394899427737 · Cited by 122 · see citing works
Insight in schizophrenia and its relationship to psychopathology
Kemp, R., & Lambert, T. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(95)00018-6 · Cited by 117 · see citing works
Insight in schizophrenia and mood disorders and its relation to psychopathology
Michalakeas, A., Skoutas, C., Charalambous, A., Peristeris, A., Marinos, V., Keramari, E., & Theologou, A. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01554.x · Cited by 116 · see citing works
Reappraising insight in psychosis
Cuesta, M. J., Peralta, V., & Zarzuela, A. (2000) · The British Journal of Psychiatry · doi:10.1192/bjp.177.3.233 · Cited by 111 · see citing works
Common Sense, Insight, and Neuropsychological Test Performance in Schizophrenia Patients
McEvoy, J. P., Hartman, M., Gottlieb, D. B., Godwin, S., Apperson, L. J., & Wilson, W. (1996) · Schizophrenia Bulletin · doi:10.1093/schbul/22.4.635 · Cited by 109 · see citing works
Gender Differences in Poor Outcome Patients With Lifelong Schizophrenia
Moriarty, P. J., Lieber, D. G., Bennett, A., WHITE, L. E., Parrella, M., Harvey, P. D., & Davis, K. L. (2001) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a006850 · Cited by 109 · see citing works
Risk Factors for the Deficit Syndrome of Schizophrenia
Kirkpatrick, B. W., Castle, D. J., Murray, R. M., & Carpenter, W. T. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033443 · Cited by 106 · see citing works
The Usefulness of the "Fail-Safe" Statistic in Meta-Analysis
Carson, K. P., Schriesheim, C. A., & Kinicki, A. J. (1990) · Educational and Psychological Measurement · doi:10.1177/0013164490502001 · Cited by 99 · see citing works
The social context of insight in schizophrenia
White, R., Bebbington, P., Pearson, J., Johnson, S., & Ellis, D. P. (2000) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050271 · Cited by 97 · see citing works
Correlates of Insight in Serious Mental Illness
Goldberg, R. W., Green-Paden, L. D., Lehman, A. F., & Gold, J. M. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200103000-00001 · Cited by 96 · see citing works
Does attitude toward psychosis relate to outcome?
McGlashan, T. H., & Carpenter, W. T. (1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.6.797 · Cited by 94 · see citing works
Insight and cognitive deficits in schizophrenia: evidence for a curvilinear relationship
Startup, M. (1996) · Psychological Medicine · doi:10.1017/s003329170003600x · Cited by 93 · see citing works
Subjective response to antipsychotics in schizophrenic patients: clinical implications and related factors
Cabeza, I. G., Amador, M. S., Arango, C., & de Chávez, M. G. (2000) · Schizophrenia Research · doi:10.1016/s0920-9964(99)00079-1 · Cited by 89 · see citing works
Characteristics of Patients with Schizophrenia Who Do Not Believe They Are Mentally Ill
Pyne, J. M., Bean, D. L., & Sullivan, G. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200103000-00002 · Cited by 88 · see citing works
Practical estimates of the effect of publication bias in meta- analysis
Duval, S., & Tweedie, R. L. (1998) · Australasian epidemiologist · Cited by 86 · see citing works
Insight in first-admission psychotic patients
Fennig, S., Everett, E. A., Bromet, E. J., Jandorf, L. H., Fennig, S., Tanenberg‐Karant, M., & Craig, T. (1996) · Schizophrenia Research · doi:10.1016/s0920-9964(96)00077-1 · Cited by 84 · see citing works
Work Rehabilitation and Improvements in Insight in Schizophrenia
Lysaker, P. H., & Bell, M. D. (1995) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199502000-00007 · Cited by 76 · see citing works
Insight in clinical psychiatry revisited
Marková, I. S., & Berrios, G. E. (1995) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(95)90118-3 · Cited by 75 · see citing works
Insight and illness in chronic schizophrenia
Schwartz, R. C. (1998) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(98)90031-1 · Cited by 71 · see citing works
Insight in Clinical Psychiatry
Marková, I. S., & Berríos, G. E. (1995) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199512000-00003 · Cited by 68 · see citing works
Insight in paranoid schizophrenia—Its relationship to psychopathology and premorbid adjustment
Dębowska, G., Grazwa, A., & Kucharska‐Pietura, K. (1998) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(98)90032-3 · Cited by 67 · see citing works
Insight and its related factors in chronic schizophrenic patients : a preliminary study
Takai, A., Uematsu, M., Ueki, H., Sone, K., & Kaiya, H. (1992) · The European Journal of Psychiatry · Cited by 67 · see citing works
Insight and clinical correlates in schizophrenia
Kim, Y., Sakamoto, K., Kamo, T., Sakamura, Y., & Miyaoka, H. (1997) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(97)90091-2 · Cited by 66 · see citing works
The relationship between symptoms and insight in schizophrenia: a longitudinal perspective
Smith, T. E., Hull, J. W., & dos Santos, L. S. (1998) · Schizophrenia Research · doi:10.1016/s0920-9964(98)00063-2 · Cited by 64 · see citing works
Effect of Patient and Family Insight on Compliance of Schizophrenic Patients
Smith, C. M., Barzman, D. H., & Pristach, C. A. (1997) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1997.tb04773.x · Cited by 63 · see citing works
Lack of insight: Its status within schizophrenic psychopathology
Peralta, V., & Cuesta, M. J. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)90620-3 · Cited by 61 · see citing works
Insight About Psychosis Among Outpatients With Schizophrenia
McEvoy, J. P., Freter, S. H., Merritt, M., & Apperson, L. J. (1993) · Psychiatric Services · doi:10.1176/ps.44.9.883 · Cited by 60 · see citing works
Use of psychopathology vignettes by patients with schizophrenia or schizoaffective disorder and by mental health professionals to judge patients' insight
McEvoy, J. P., Schooler, N. R., Friedman, E. R., et al. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.11.1649 · Cited by 58 · see citing works
Insight and schizophrenia
Buckley, P. F., Hasan, S., Friedman, L., & Cerny, C. A. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.16569 · Cited by 58 · see citing works
Insight in Schizophrenia and Mania
Swanson, C. L., Freudenreich, O., McEvoy, J. P., et al. (1995) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199512000-00004 · Cited by 47 · see citing works
Psychopathological Dimensions and Lack of Insight in Schizophrenia
Cuesta, M. J., Peralta, V., & Zarzuela, A. (1998) · Psychological Reports · doi:10.2466/pr0.1998.83.3.895 · Cited by 44 · see citing works
The relationship between insight and clinical factors for persons with schizophrenia
Baier, M., DeShay, E., Owens, K., et al. (2000) · Archives of Psychiatric Nursing · doi:10.1053/apnu.2000.19088 · Cited by 36 · see citing works
Personality as a Predictor of the Variability of Insight in Schizophrenia
Lysaker, P. H., Bell, M. D., BRYSON, G. J., & Kaplan, E. (1999) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199902000-00011 · Cited by 36 · see citing works
Clinical predictors of discrepancy between self-ratings and examiner ratings for negative symptoms
Selten, J.-P. C. J., Wiersma, D., & van den Bosch, R. J. (2000) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(00)90047-6 · Cited by 31 · see citing works
Symptomatology and Insight in Schizophrenia
Schwartz, R. C. (1998) · Psychological Reports · doi:10.2466/pr0.1998.82.1.227 · Cited by 26 · see citing works
Insight and Hospital Adjustment
Roback, H. B., & Abramowitz, S. I. (1979) · The Canadian Journal of Psychiatry · doi:10.1177/070674377902400307 · Cited by 25 · see citing works
The contribution of depression and denial towards understanding the unawareness of symptoms in schizophrenic out‐patients
Dixon, M. J., King, S., & Steiger, H. (1998) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1998.tb01369.x · Cited by 23 · see citing works
Awareness of illness and outcome in schizophrenia
Rossi, A., Arduini, L., Prosperini, P., Kalyvoka, A., Stratta, P., & Daneluzzo, E. (2000) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s004060070037 · Cited by 18 · see citing works
Critique of Recent Empirical Research on Insight and Symptomatology in Schizophrenia
Schwartz, R. C., Skaggs, J. L., & Petersen, S. (2000) · Psychological Reports · doi:10.2466/pr0.2000.86.2.471 · Cited by 16 · see citing works
The pain apperception test: Psychological correlates of pain perception
Petrovich, D. V. (1958) · Journal of Clinical Psychology · doi:10.1002/1097-4679(195810)14:4 · Cited by 15 · see citing works
Adjustment for Publication Bias and Quality Bias in Bayesian Meta-analysis
Tweedie, R. L., Smith, D. D., & Givens, G. H. (2000) · Chapman & Hall/CRC biostatistics series · doi:10.1201/9780203909935.ch12 · Cited by 13 · see citing works
Full length article
Nakaya, M., Komahashi, T., Ohmori, K., & Suwa, H. (1998) · Schizophrenia Research · doi:10.1016/s0920-9964(98)00095-4 · Cited by 9 · see citing works
Assessment of insight in psychotic disorders.
Fennig, S., Naisberg‐Fennig, S., & Tj, C. (1996) · PubMed · Cited by 8 · see citing works
Are insight measures related to other symptoms in first episode schizophrenia?
Drake, R., Haley, C., & Lewis, S. W. (1998) · Schizophrenia Research · doi:10.1016/s0920-9964(97)88373-9 · Cited by 4 · see citing works
Insight, attribution and symptoms in first episode schizophrenia
Drake, R., Kinderman, P., Bentall, R. P., et al. (2000) · Schizophrenia Research · doi:10.1016/s0920-9964(00)90412-2 · Cited by 1 · see citing works

Flagged first, then by citations

Sorted by citations

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 · see citing works
Correlates and Long-Term Consequences of Poor Insight in Patients With Schizophrenia. A Systematic Review
Lincoln, T. M., Lullmann, E., & Rief, W. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm002 · Cited by 486 · see citing works
HPA Axis in the Pathomechanism of depression and schizophrenia: new therapeutic strategies based on its participation
Mikulska, J., Juszczyk, G., Gawrońska-Grzywacz, M., & Herbet, M. (2021) · Brain Sciences · doi:10.3390/brainsci11101298 · Cited by 450 · see citing works
Disengagement from mental health services: A literature review
O’Brien, A., Fahmy, R., & Singh, S. P. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0476-0 · Cited by 283 · see citing works
Cross-sectional and Longitudinal Relationships Between Insight and Attitudes Toward Medication and Clinical Outcomes in Chronic Schizophrenia
Mohamed, S., Rosenheck, R., McEvoy, J., Swartz, M., Stroup, S., & Lieberman, J. A. (2009) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn067 · Cited by 258 · see citing works
Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments
Lysaker, P. H., Pattison, M. L., Leonhardt, B. L., Phelps, S., & Vohs, J. L. (2018) · World Psychiatry · doi:10.1002/wps.20508 · Cited by 247 · see citing works
Failures of metacognition and lack of insight in neuropsychiatric disorders.
David, A. S., Bedford, N., Wiffen, B., & Gilleen, J. (2012) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2012.0002 · Cited by 227 · see citing works
The cognitive neuroscience of lucid dreaming
Baird, B., Mota-Rolim, S. A., & Dresler, M. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.03.008 · Cited by 192 · see citing works
Is good insight associated with depression among patients with schizophrenia? Systematic review and meta-analysis
Belvederi Murri, M., Respino, M., Innamorati, M., Cervetti, A., Calcagno, P., Pompili, M., Lamis, D. A., Ghio, L., & Amore, M. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.01.003 · Cited by 142 · see citing works
Insight in schizophrenia: a review of etiological models and supporting research
Osatuke, K., Ciesla, J., Kasckow, J. W., Zisook, S., & Mohamed, S. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2007.08.001 · Cited by 99 · see citing works
Cognitive insight: a systematic review.
Van Camp, L. S. C., Sabbe, B. G. C., & Oldenburg, J. F. E. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.04.011 · Cited by 99 · see citing works
The “insight paradox” in schizophrenia: Magnitude, moderators and mediators of the association between insight and depression
Belvederi Murri, M., Amore, M., Calcagno, P., Respino, M., Marozzi, V., Masotti, M., Bugliani, M., Innamorati, M., Pompili, M., Galderisi, S., et al. (2016) · Schizophrenia Bulletin · doi:10.1093/schbul/sbw040 · Cited by 96 · see citing works
Meaning in life, insight and self-stigma among people with severe mental illness
Ehrlich-Ben Or, S., Hasson-Ohayon, I., Feingold, D., Vahab, K., Amiaz, R., Weiser, M., & Lysaker, P. H. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2012.07.011 · Cited by 81 · see citing works
Impaired insight into illness and cognitive insight in schizophrenia spectrum disorders: Resting state functional connectivity
Gerretsen, P., Menon, M., Mamo, D. C., Fervaha, G., Remington, G., Pollock, B. G., & Graff-Guerrero, A. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.10.015 · Cited by 73 · see citing works
An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments
Vohs, J. L., George, S., Leonhardt, B. L., & Lysaker, P. H. (2016) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2016.1199275 · Cited by 66 · see citing works
The relationship between cognitive insight and depression in psychosis and schizophrenia: A review and meta-analysis
Palmer, E. C., Gilleen, J., & David, A. S. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.05.032 · Cited by 66 · see citing works
Metacognitive training for schizophrenia: A multicentre randomised controlled trial
Briki, M., Monnin, J., Haffen, E., Sechter, D., Favrod, J., Netillard, C., Cheraitia, E., Marin, K., Govyadovskaya, S., Tio, G., et al. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.06.005 · Cited by 65 · see citing works
Is Living With Psychosis Demoralizing?: Insight, Self-stigma, and Clinical Outcome Among People With Schizophrenia Across 1 Year
Cavelti, M., Rüsch, N., & Vauth, R. (2014) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000160 · Cited by 60 · see citing works
Depression in schizophrenia: the influence of the different dimensions of insight
Misdrahi, D., Denard, S., Swendsen, J., Jaussent, I., & Courtet, P. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.01.039 · Cited by 60 · see citing works
The development of insight and its relationship with suicidality over one year follow-up in patients with first episode psychosis
Barrett, E. A., Mork, E., Færden, A., Nesvåg, R., Agartz, I., Andreassen, O. A., & Melle, I. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.01.004 · Cited by 60 · see citing works
Cognitive insight in inpatients with psychotic, bipolar, and major depressive disorders.
Colis, M. J., Steer, R. A., & Beck, A. T. (2006) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-005-9012-7 · Cited by 58 · see citing works
Insight, global functioning and psychopathology amongst in-patient clients with schizophrenia
Stefanopoulou, E., Lafuente, A. R., Saez Fonseca, J. A., & Huxley, A. (2009) · Psychiatric Quarterly · doi:10.1007/s11126-009-9103-9 · Cited by 51 · see citing works
Rumination, depressive symptoms and awareness of illness in schizophrenia.
Thomas, N., Ribaux, D., & Phillips, L. J. (2014) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000884 · Cited by 47 · see citing works
Insight in inpatients with schizophrenia: Relationship to symptoms and neuropsychological functioning
Zhou, Y., Rosenheck, R., Mohamed, S., Zhang, J., Chang, Q., Ou, Y., Sun, B., Ning, Y., & He, H. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2014.12.009 · Cited by 47 · see citing works
Metacognitive Capacity as a Predictor of Insight in First-Episode Psychosis
Vohs, J. L., Lysaker, P. H., Liffick, E., Francis, M. M., Leonhardt, B. L., James, A., Buck, K. D., Hamm, J. A., Minor, K. S., Mehdiyoun, N., et al. (2015) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000291 · Cited by 47 · see citing works
The impact of insight on social functioning in patients with schizophrenia
Erol, A., Delibas, H., Bora, O., & Mete, L. (2015) · International Journal of Social Psychiatry · doi:10.1177/0020764014548287 · Cited by 44 · see citing works
Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?
Giusti, L., Ussorio, D., Tosone, A., Di Venanzio, C., Bianchini, V., Necozione, S., Casacchia, M., & Roncone, R. (2015) · Community Mental Health Journal · doi:10.1007/s10597-014-9767-y · Cited by 44 · see citing works
Clinical insight in anorexia nervosa: Associated and predictive factors
Gorwood, P., Duriez, P., Lengvenyte, A., Guillaume, S., & Criquillion, S. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.112561 · Cited by 42 · see citing works
Quality of life in schizophrenia spectrum disorders: Associations with insight and psychopathology
Margariti, M., Ploumpidis, D., Economou, M., Christodoulou, G. N., & Papadimitriou, G. N. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.11.016 · Cited by 41 · see citing works
A deeper view of insight in schizophrenia: Insight dimensions, unawareness and misattribution of particular symptoms and its relation with psychopathological factors
Pousa, E., Ochoa, S., Cobo, J., Nieto, L., Usall, J., Gonzalez, B., Garcia-Ribera, C., Pérez Solà, V., Ruiz, A.-I., Baños, I., et al. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2017.02.016 · Cited by 37 · see citing works
Denial of illness in schizophrenia as a disturbance of self-reflection, self-perception and insight
Bedford, N. J., & David, A. S. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2013.07.006 · Cited by 36 · see citing works
Insight and suicidality in psychosis: A cross-sectional study
Massons, C., Lopez-Morinigo, J.-D., Pousa, E., Ruiz, A., Ochoa, S., Usall, J., Nieto, L., Cobo, J., David, A. S., & Dutta, R. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.02.059 · Cited by 36 · see citing works
Differential effects of antipsychotic drugs on insight in first episode schizophrenia: Data from the European First-Episode Schizophrenia Trial (EUFEST)
Pijnenborg, G. H. M., Timmerman, M. E., Derks, E. M., Fleischhacker, W. W., Kahn, R. S., & Aleman, A. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.02.012 · Cited by 35 · see citing works
Insight in paranoia: The role of experiential avoidance and internalized stigma
Valiente, C., Provencio, M., Espinosa, R., Duque, A., & Everts, F. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.03.010 · Cited by 34 · see citing works
Lack of insight 3years after first-episode psychosis: An unchangeable illness trait determined from first presentation?
Ayesa-Arriola, R., Moríñigo, J. D. L., David, A. S., Pérez-Iglesias, R., Rodríguez-Sánchez, J. M., & Crespo-Facorro, B. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.05.011 · Cited by 35 · see citing works
A parallel group randomised open blinded evaluation of A cceptance and Commitment Therapy for d epression a fter p sychosis: Pilot t rial outcomes (ADAPT)
Gumley, A., White, R., Briggs, A., Ford, I., Barry, S., Stewart, C., Beedie, S., McTaggart, J., Clarke, C., MacLeod, R., et al. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2016.11.026 · Cited by 34 · see citing works
Insight in schizophrenia–course and predictors during the acute treatment phase of patients suffering from a schizophrenia spectrum disorder
Schennach, R., Meyer, S., Seemüller, F., Jäger, M., Schmauss, M., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L. G., Gaebel, W., et al. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2012.01.001 · Cited by 32 · see citing works
Can insight be predicted in first-episode psychosis patients? A longitudinal and hierarchical analysis of predictors in a drug-naïve sample
Cuesta, M. J., Peralta, V., Campos, M. S., & Garcia-Jalon, E. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.04.032 · Cited by 33 · see citing works
Relationship between cognitive insight and subjective quality of life in outpatients with schizophrenia
Kim, J.-H., Lee, S., Han, A.-Y., Kim, K., & Lee, J. (2015) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s90143 · Cited by 30 · see citing works
The nature and evolution of insight in schizophrenia: A multi-informant longitudinal study of first-episode versus chronic patients
Koren, D., Viksman, P., Giuliano, A. J., & Seidman, L. J. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.10.013 · Cited by 29 · see citing works
Insight change in psychosis: relationship with neurocognition, social cognition, clinical symptoms and phase of illness
Quee, P. J., van der Meer, L., Krabbendam, L., de Haan, L., Cahn, W., Wiersma, D., van Beveren, N., Pijnenborg, G. H. M., Mulder, C. L., Bruggeman, R., et al. (2014) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12138 · Cited by 29 · see citing works
Associations of symptoms, neurocognition, and metacognition with insight in schizophrenia spectrum disorders
Chan, K. K. S. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.09.009 · Cited by 27 · see citing works
Insight and suicidality in first‐episode psychosis: understanding the influence of suicidal history on insight dimensions at first presentation
López‐Moríñigo, J. D., Wiffen, B., O'Connor, J., Dutta, R., Di Forti, M., Murray, R. M., & David, A. S. (2014) · Early Intervention in Psychiatry · doi:10.1111/eip.12042 · Cited by 26 · see citing works
Insight and self‐stigma in patients with schizophrenia
Vidović, D. (2016) · Acta Clinica Croatica · doi:10.20471/acc.2016.55.01.4 · Cited by 25 · see citing works
Insight and white matter fractional anisotropy in first-episode schizophrenia
Asmal, L., du Plessis, S., Vink, M., Fouche, J.-P., Chiliza, B., & Emsley, R. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2016.11.005 · Cited by 24 · see citing works
Predictors of disability: A 5-year cohort study of first-episode schizophrenia
Johnson, S., Sathyaseelan, M., Charles, H., & Jacob, K. S. (2014) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2014.01.003 · Cited by 24 · see citing works
Effects of sub-clinical psychosis and cognitive insight on psychological well-being: A structural equation model
Weintraub, M. J., & Weisman de Mamani, A. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.039 · Cited by 24 · see citing works
The impact of second generation antipsychotics on insight in schizophrenia: results from 14 randomized, placebo controlled trials
Mattila, T., Koeter, M., Wohlfarth, T., Storosum, J., van den Brink, W., Derks, E., Leufkens, H., & Denys, D. (2017) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2016.10.004 · Cited by 18 · see citing works
Subjective well-being, drug attitude, and changes in symptomatology in chronic schizophrenia patients starting treatment with new-generation antipsychotic medication
Widschwendter, C. G., Kemmler, G., Rettenbacher, M. A., Yalcin-Siedentopf, N., & Hofer, A. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1791-y · Cited by 18 · see citing works
Effects of antipsychotic drugs on insight in schizophrenia
Bianchini, O., Porcelli, S., Nespeca, C., Cannavò, D., Trappoli, A., Aguglia, E., De Ronchi, D., & Serretti, A. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.03.022 · Cited by 16 · see citing works
Insight in Chinese schizophrenia patients: a 12-month follow-up: Insight and schizophrenia
WANG, Y., XIANG, Y.-T., WANG, C.-Y., CHIU, H. F. K., ZHAO, J.-P., CHEN, Q., CHAN, S. S. M., LEE, E. H. M., TANG, W.-K., & UNGVARI, G. S. (2011) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2010.01677.x · Cited by 16 · see citing works
Predictors of involuntary patients’ satisfaction with care: prospective study
Bainbridge, E., Hallahan, B., McGuinness, D., Gunning, P., Newell, J., Higgins, A., Murphy, K., & McDonald, C. (2018) · BJPsych Open · doi:10.1192/bjo.2018.65 · Cited by 14 · see citing works
Relationship of depression with cognitive insight and socio‐occupational outcome in patients with schizophrenia
Grover, S., Sahoo, S., Nehra, R., Chakrabarti, S., & Avasthi, A. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017691314 · Cited by 14 · see citing works
Effects of antipsychotics on insight in schizophrenia: results from independent samples of first-episode and acutely relapsed patients
Misiak, B., Frydecka, D., Beszłej, J. A., Moustafa, A. A., Tybura, P., Kucharska-Mazur, J., Samochowiec, A., Bieńkowski, P., & Samochowiec, J. (2016) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000120 · Cited by 14 · see citing works
Correlates of insight with symptomatology and executive function in patients with first-episode schizophrenia-spectrum disorder: A longitudinal perspective
Chan, S. K. W., Chan, K. K. S., Hui, C. L., Wong, G. H. Y., Chang, W. C., Lee, E. H. M., Tang, J. Y. M., & Chen, E. Y. H. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2013.11.028 · Cited by 12 · see citing works
Insight in psychotic disorder: relation with psychopathology and frontal lobe function
Kumar, A., Sharma, P., Das, S., Nath, K., Talukdar, U., & Bhagabati, D. (2014) · Psychopathology · doi:10.1159/000348486 · Cited by 12 · see citing works
Stress coercitif en unité de soins intensifs psychiatrique : quel lien avec l’insight ?
Lamothe, H., Lebain, P., Morello, R., & Brazo, P. (2019) · L Encéphale · doi:10.1016/j.encep.2019.05.010 · Cited by 3 · see citing works
A parallel group randomised open blinded evaluation of Acceptance and Commitment Therapy for Depression After Psychosis: A Pilot Trial Protocol (ADAPT)
Gumley, A., White, R., Briggs, A., Ford, I., Barry, S., Stewart, C., Beedie, S., Clarke, C., MacLeod, R., Lidstone, E., et al. (2016) · Psychosis · doi:10.1080/17522439.2015.1100669 · Cited by 2 · see citing works

Reconsidering Self-Moderation
Seering, J. (2020) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3415178 · Cited by 153 · see citing works
How Does Intensity of Social Network Sites Use Moderate Cybervictimization? Understanding the Factors and Conditions Using an R-Based Tool for Probing Moderation Effects
Tan, J. C. (2015) · Journal of the Association for Information Systems
Expatriates’ interaction adjustment: the direct and moderator effects of culture of origin
Waxin, M. (2004) · International Journal of Intercultural Relations · doi:10.1016/j.ijintrel.2003.12.006 · Cited by 124 · see citing works
Moderator Variable: Methodology
Judd, C. M. (2015) · Elsevier eBooks · doi:10.1016/b978-0-08-097086-8.44038-9 · Cited by 15 · see citing works
The Role of Higher Education Integrated with Religious Moderation
Marfuah, S., & Nawawi, A. N. (2022) · Al Qalam · doi:10.32678/alqalam.v38i2.3665 · Cited by 1 · see citing works

Authors: Mintz, A. R., Dobson, K. S., & Romney, D. M.
Affiliations: University of Calgary (CA)
Corresponding author: Mintz, Alisa R
ORCID: Dobson, Keith S
Venue: Schizophrenia Research
Publisher: Elsevier BV
Published: 2003-05
Volume: 61
Issue: 1
Pages: 75-88
ISSN: 0920-9964 (ISSN-L)
DOI: 10.1016/s0920-9964(02)00316-x
OpenAlex: W2006552944
Cited by: 563
References: 84
Citations by year: 2026: 8 · 2025: 13 · 2024: 15 · 2023: 22 · 2022: 17 · 2021: 18 · 2020: 20 · 2019: 22 · 2018: 26 · 2017: 22 · 2016: 34 · 2015: 29 · 2014: 39 · 2013: 39 · 2012: 34
FWCI: 2.75
Type: journal article
Language: en
Open access: green
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Schizophrenia Research (publishedVersion)
PubMed (publishedVersion)
Libraries and Cultural Resources (University of Calgary) (submittedVersion)
Libraries and Cultural Resources (University of Calgary)
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, Attitude to Health, Awareness, Female, Humans, Male, Schizophrenia, Schizophrenic Psychology

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Insight in schizophrenia: a meta-analysis

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks