Cited by 204Schizophrenia research and treatmentMental Health and PsychiatryBipolar Disorder and Treatment

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

The evolution of insight, paranoia and depression during early schizophrenia

DRAKE, R. J., PICKLES, A., BENTALL, R. P., KINDERMAN, P., HADDOCK, G., TARRIER, N., LEWIS, S. W.·2004·Psychological Medicine

DOI 10.1017/s0033291703008821

Open this paper in CoChat — free account

Abstract

BACKGROUND: How insight, paranoia and depression evolve in relation to each other during and after the first episode of schizophrenia is poorly understood but of clinical importance. METHOD: Serial assessments over 18 months were made using multiple instruments in a consecutive sample of 257 patients with first episode DSM-IV non-affective psychosis. Repeated measures of paranoia, insight, depression and self-esteem were analysed using structural equation modelling, to examine the direction of relationships over time after controlling for confounds. RESULTS: Depression was predicted directly by greater insight, particularly at baseline, and by greater paranoia at every stage of follow-up. Neither relationship was mediated by self-esteem, although there was a weak association of lower self-esteem with greater depression and better insight. Paranoia was not strongly associated with insight. Duration of untreated psychosis and substance use at baseline predicted depression at 18 months. CONCLUSIONS: In first-episode psychosis, good insight predicts depression. Subsequently, paranoia is the strongest predictor. Neither effect is mediated by low self-esteem. Effective treatment of positive symptoms is important in preventing and treating low mood in early schizophrenia.

Integrity signals

Registry

Crossref · 10.1017/s0033291703008821

Cites

15 of 15 references verified0 citation errors · 0 not checkable

Statistics

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

Claims the paper makes

This paper’s full text isn’t openly available, 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?

Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126
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
Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS).
HADDOCK, G., McCARRON, J., TARRIER, N., & FARAGHER, E. B. (1999) · Psychological Medicine · doi:10.1017/s0033291799008661 · Cited by 1,461
Self-citation
Neuroleptics and the Natural Course of Schizophrenia
Wyatt, R. J. (1991) · Schizophrenia Bulletin · doi:10.1093/schbul/17.2.325 · Cited by 787
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
The schizophrenic disorders: Long-term patient and family studies
BLEULER, M. (1978) · Medical Entomology and Zoology · Cited by 388
Empirical Assessment of the Factorial Structure of Clinical Symptoms in Schizophrenia
WHITE, L. E., Harvey, P. D., Opler, L. A., & Lindenmayer, J. (2010) · Psychopathology · doi:10.1159/000285058 · Cited by 362
Five-Factor Model of Schizophrenia Initial Validation
LINDENMAYER, J.-P., Bernstein-Hyman, R., & Grochowski, S. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199411000-00006 · Cited by 259
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
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

Show all 15 references

Sorted by citations

Suspicious minds: The psychology of persecutory delusions
Freeman, D. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.10.004 · Cited by 814
The five-factor model of the Positive and Negative Syndrome Scale II: A ten-fold cross-validation of a revised model
van der Gaag, M., Hoffman, T. O., REMIJSEN, M., Hijman, R., DEHAAN, L., VANMEIJEL, B., VANHARTEN, P., Valmaggia, L., DEHERT, M., & CUIJPERS, A. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.03.021 · Cited by 555
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
Emotion and psychosis: Links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations
Smith, B., Fowler, D. G., Freeman, D. H., Bebbington, P., Bashforth, H., Garety, P. A., Dunn, G., & Kuipers, E. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.06.018 · Cited by 443
Anxiety and depression in psychosis: a systematic review of associations with positive psychotic symptoms
Hartley, S., Barrowclough, C., & Haddock, G. (2013) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12080 · Cited by 234
Self-citation
Anxiety and depression symptoms in psychometrically identified schizotypy
Lewandowski, K. E., Neus Barrantes-vidal, A., Nelson‐Gray, R. O., Clancy, C. P., Kepley, H. O., & Kwapil, T. R. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2005.11.024 · Cited by 230
Early insight predicts depression and attempted suicide after 4 years in first‐episode schizophrenia and schizophreniform disorder
Crumlish, N., Whitty, P., Kamali, M., Clarke, M., Browne, S., McTigue, O., Lane, A., Kinsella, A., Larkin, C., & O’Callaghan, E. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00620.x · Cited by 197
The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application
Palmier‐Claus, J. E., Ainsworth, J. D., Machin, M., Barrowclough, C., Dunn, G., Barkus, E., Rogers, A. E., Wykes, T., Kapur, S., Buchan, I. E., et al. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-172 · Cited by 189
Self-citation
Negative Cognition, Depressed Mood, and Paranoia: A Longitudinal Pathway Analysis Using Structural Equation Modeling
Fowler, D., Hodgekins, J., Garety, P., Freeman, D., Kuipers, E., Dunn, G., Smith, B., & Bebbington, P. E. (2012) · Schizophrenia Bulletin · doi:10.1093/schbul/sbr019 · Cited by 184
Suicide risk in first episode psychosis: A selective review of the current literature
Pompili, M., Serafini, G., Innamorati, M., Lester, D., Shrivastava, A., Girardi, P., & Nordentoft, M. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.03.008 · Cited by 182
Cognitive functioning in delusions: A longitudinal analysis
PETERS, E. R., & Garety, P. A. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.03.008 · Cited by 176
The relevance of self-esteem and self-schemas to persecutory delusions: A systematic review
Kesting, M.-L., & Lincoln, T. M. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.03.002 · Cited by 182
Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study
Palmier‐Claus, J. E., Rogers, A. E., Ainsworth, J. D., Machin, M., Barrowclough, C., Laverty, L., Barkus, E., Kapur, S., Wykes, T., & Lewis, S. W. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-34 · Cited by 159
Self-citation
Self-stigma and its relationship with insight, demoralization, and clinical outcome among people with schizophrenia spectrum disorders
Cavelti, M., Kvrgic, S., Beck, E., Rüsch, N., & Vauth, R. (2011) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.08.001 · Cited by 159
Poor insight in schizophrenia: links between different forms of metacognition with awareness of symptoms, treatment need, and consequences of illness
Lysaker, P. H., Dimaggio, G., Buck, K. D., Callaway, S., Salvatore, G., Carcione, A., Nicolò, G., & Stanghellini, G. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.07.007 · Cited by 148
Awareness of Illness and Nonadherence to Antipsychotic Medications Among Persons With Schizophrenia
Olfson, M., Marcus, S. C., Wilk, J. E., & West, J. C. (2006) · Psychiatric Services · doi:10.1176/appi.ps.57.2.205 · Cited by 143
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
Classical latent variable models for medical research
Rabe‐Hesketh, S., & Skrondal, A. (2007) · Statistical Methods in Medical Research · doi:10.1177/0962280207081236 · Cited by 142
Disease, deficit or denial? Models of poor insight in psychosis
Cooke, M. A., PETERS, E. R., Kuipers, E., & Kumari, V. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00537.x · Cited by 137
Attribution bias in ultra-high risk for psychosis and first-episode schizophrenia
An, S. K., Kang, J. I., Park, J. Y., Kim, K. R., Lee, S. Y., & Lee, E. M. (2010) · Schizophrenia Research · doi:10.1016/j.schres.2010.01.025 · Cited by 135
Metacognition, Self-Reflection and Recovery In Schizophrenia
Lysaker, P. H., Vohs, J. L., Ballard, R., Fogley, R., Salvatore, G., Popolo, R., & Dimaggio, G. (2013) · Future Neurology · doi:10.2217/fnl.12.78 · Cited by 134
Metacognition in schizophrenia: The relationship of mastery to coping, insight, self‐esteem, social anxiety, and various facets of neurocognition
Lysaker, P. H., Erickson, M. A., Ringer, J. M., Buck, K. D., Semerari, A., Carcione, A., & Dimaggio, G. (2011) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2010.02003.x · Cited by 117
Insight, distress and coping styles in schizophrenia
Cooke, M. A., PETERS, E. R., Fannon, D. G., Anilkumar, A. P., Aasen, I., Kuipers, E., & Kumari, V. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2007.04.030 · Cited by 116
Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions
WATSON, P. W. B., Garety, P. A., Weinman, J. A., Dunn, G., Bebbington, P., Fowler, D. G., Freeman, D. H., & Kuipers, E. (2006) · Psychological Medicine · doi:10.1017/s0033291706007458 · Cited by 120
Examining a Cognitive Model of Persecutory Ideation in the Daily Life of People With Schizophrenia: A Computerized Experience Sampling Study
Ben‐Zeev, D., Ellington, K., Swendsen, J. D., & Granholm, E. L. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbq041 · Cited by 112
Trait and State Attributes of Insight in First Episodes of Early-Onset Schizophrenia and Other Psychoses: A 2-Year Longitudinal Study
Parellada, M., Boada, L., Fraguas, D., Reig, S., Castro‐Fornieles, J., Moreno, D. M., González-Pinto, A. M., Otero, S., Rapado‐Castro, M., Graell, M., et al. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbq109 · Cited by 111
Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.
Vorontsova, N., Garety, P., & Freeman, D. (2013) · Journal of Abnormal Psychology · doi:10.1037/a0034952 · Cited by 107
Externalizing and personalizing biases in persecutory delusions: The relationship with poor insight and theory-of-mind
Langdon, R. A., Corner, T., McLaren, J., Ward, P. B., & Coltheart, M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.03.012 · Cited by 107
Metacognitive Reflection and Insight Therapy for Early Psychosis: A preliminary study of a novel integrative psychotherapy
Vohs, J. L., Leonhardt, B. L., James, A. V., Francis, M., Breier, A. F., Mehdiyoun, N. F., Visco, A. C., & Lysaker, P. H. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2017.10.041 · Cited by 106
Developing psychological perspectives of suicidal behaviour and risk in people with a diagnosis of schizophrenia: We know they kill themselves but do we understand why?
Bolton, C. A., Gooding, P. A., Kapur, N., Barrowclough, C., & Tarrier, N. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.12.001 · Cited by 113
Self-citation
The dilemma of insight into illness in schizophrenia: self- and expert-rated insight and quality of life
Karow, A., Pajonk, F., Reimer, J., Hirdes, F., Osterwald, C., Naber, D., & Moritz, S. (2007) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-007-0768-5 · Cited by 105
Insight and quality of life in schizophrenia: recent findings and treatment implications
Karow, A., & Pajonk, F. G. (2006) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000245754.21621.c9 · Cited by 104
The association of insight with psychotic symptoms, depression, and cognition in early psychosis: A 3-year follow-up
Saeedi, H., Addington, J., & Addington, D. E. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.09.018 · Cited by 107
Outcome of first-episode schizophrenia in India: longitudinal study of effect of insight and psychopathology
Saravanan, B., Jacob, K., Johnson, S., Prince, M. J., Bhugra, D., & David, A. S. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.068577 · Cited by 98
Persecutory delusions and the conditioned avoidance paradigm: Towards an integration of the psychology and biology of paranoia
Moutoussis, M., Williams, J., Dayan, P., & Bentall, R. P. (2007) · Cognitive Neuropsychiatry · doi:10.1080/13546800701566686 · Cited by 91
Self-citation
Relationship between insight, cognitive function, social function and symptomatology in schizophrenia
Mutsatsa, S. H., Joyce, E. M., Hutton, S. B., & Barnes, T. R. E. (2006) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-006-0645-7 · Cited by 91
Suicide behaviour over 18 months in recent onset schizophrenic patients: The effects of CBT
Tarrier, N., Haddock, G., Lewis, S., Drake, R., & Gregg, L. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2005.12.846 · Cited by 88
Self-citation
Lack of awareness of illness in schizophrenia: conceptualizations, correlates and treatment approaches
Lysaker, P. H., Buck, K. D., Salvatore, G., Popolo, R., & Dimaggio, G. (2009) · Expert Review of Neurotherapeutics · doi:10.1586/ern.09.55 · Cited by 82
Depressive symptoms in first episode schizophrenia spectrum disorder
Cotton, S., Lambert, M., SCHIMMELMANN, B. G., Mackinnon, A. J., Gleeson, J., Berk, M., Hides, L. M., Chanen, A. M., McGorry, P. D., & Conus, P. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.08.018 · Cited by 82
Acute Risk of Suicide and Suicide Attempts Associated with Recent Diagnosis of Mental Disorders: A Population-Based, Propensity Score—Matched Analysis
Randall, J. R., Walld, R., Finlayson, G., Sareen, J., Martens, P. J., & Bolton, J. M. (2014) · The Canadian Journal of Psychiatry · doi:10.1177/070674371405901006 · Cited by 81
Suicidal behaviour in first-episode non-affective psychosis: Specific risk periods and stage-related factors
Ayesa‐Arriola, R., Alcaraz, E. G., Vicente-Hernández, B., Pérez‐Iglesias, R., López-Moríñigo, J.-D., Duta, R., David, A. S., Tabarés‐Seisdedos, R., & Crespo‐Facorro, B. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.09.008 · Cited by 80
Understanding individual differences in theory of mind via representation of minds, not mental states
Conway, J. R., Catmur, C., & Bird, G. (2019) · Psychonomic Bulletin & Review · doi:10.3758/s13423-018-1559-x · Cited by 85
Therapeutic alliance in schizophrenia: The role of recovery orientation, self-stigma, and insight
Kvrgic, S., Cavelti, M., Beck, E., Rüsch, N., & Vauth, R. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.10.009 · Cited by 73
Paranoid Delusions in Schizophrenia Spectrum Disorders and Depression: The Transdiagnostic Role of Expectations of Negative Events and Negative Self-esteem
Bentall, R. P., Rouse, G., Kinderman, P., Blackwood, N., Howard, R., Moore, R., Cummins, S., & Corcoran, R. (2008) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31817108db · Cited by 74
Self-citation
Association of positive, negative, and disorganized schizotypy dimensions with affective symptoms and experiences
Kemp, K. C., Gross, G. M., Neus Barrantes-vidal, A., & Kwapil, T. R. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.10.031 · Cited by 81
Being Deluded After Being Excluded? How Emotion Regulation Deficits in Paranoia-Prone Individuals Affect State Paranoia During Experimentally Induced Social Stress
Westermann, S., Kesting, M.-L., & Lincoln, T. M. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.07.005 · Cited by 73
The effects of aging on insight into illness in schizophrenia: a review
Gerretsen, P., Plitman, E., Rajji, T. K., & Graff‐Guerrero, A. (2014) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4154 · Cited by 68
Attributional style in psychosis—The role of affect and belief type
Jolley, S., Garety, P. A., Bebbington, P., Dunn, G., Freeman, D. H., Kuipers, E., Fowler, D. G., & Hemsley, D. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.12.002 · Cited by 68
Validity of subjective versus objective quality of life assessment in people with schizophrenia
Hayhurst, K. P., Massie, J. A., Dunn, G., Lewis, S. W., & Drake, R. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0365-x · Cited by 61
Self-citation
Childhood adversity and social functioning in psychosis: Exploring clinical and cognitive mediators
Palmier‐Claus, J. E., Berry, K., Darrell-Berry, H., Emsley, R., Parker, S., Drake, R., & Bucci, S. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.02.004 · Cited by 63
Self-citation
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
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
Call It a Monster for Lack of Anything Else
Roe, D., Hasson‐Ohayon, I., Kravetz, S., Yanos, P. T., & Lysaker, P. H. (2008) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31818ec6e7 · Cited by 60
Dissociating self-reported cognitive complaint from clinical insight in schizophrenia
Bayard, S., Capdevielle, D., Boulenger, J., & Raffard, S. (2009) · European Psychiatry · doi:10.1016/j.eurpsy.2008.12.010 · Cited by 62
Instability in self-esteem and paranoia in a general population sample
Thewissen, V., Myin‐Germeys, I., Bentall, R. P., de Graaf, R., Vollebergh, W., & van Os, J. (2006) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-006-0136-1 · Cited by 58
Self-citation
Insight and theory of mind in schizophrenia
Ng, R., Fish, S. C., & Granholm, E. L. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.11.010 · Cited by 65
The Role of Demoralization and Hopelessness in Suicide Risk in Schizophrenia: A Review of the Literature
Berardelli, I., Sarubbi, S., Rogante, E., Hawkins, M., Cocco, G., Erbuto, D., Lester, D., & Pompili, M. (2019) · Medicina · doi:10.3390/medicina55050200 · Cited by 59
The Role of Subjective Illness Beliefs and Attitude Toward Recovery Within the Relationship of Insight and Depressive Symptoms Among People With Schizophrenia Spectrum Disorders
Cavelti, M., Beck, E., Kvrgic, S., Kossowsky, J., & Vauth, R. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.20872 · Cited by 55
Pathways between stigma and suicidal ideation among people at risk of psychosis
Xu, Z., Müller, M., Heekeren, K., Theodoridou, A., Metzler, S., Dvorsky, D. N., Oexle, N., Walitza, S., Wulf Rössler, A., & Rüsch, N. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.01.048 · Cited by 65
Delusions in first-episode psychosis: Principal component analysis of twelve types of delusions and demographic and clinical correlates of resulting domains
Paolini, E., Moretti, P., & Compton, M. T. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.06.002 · Cited by 54
Psychiatric comorbidity in first episode schizophrenia: A 2 year, longitudinal outcome study☆
Sim, K., Chua, T. H., CHAN, Y., Mahendran, R., & CHONG, S. (2006) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2006.06.008 · Cited by 54
Recovery and Wellness Amidst Schizophrenia: Definitions, Evidence, and the Implications for Clinical Practice
Lysaker, P. H., Roe, D., & Buck, K. D. (2010) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390309353943 · Cited by 53
The association between insight and depressive symptoms in schizophrenia: Undirected and Bayesian network analyses
Amore, M., Murri, M. B., Calcagno, P., Rocca, P., Rossi, A., Aguglia, E., Bellomo, A., Blasi, G., Carpiniello, B., Cuomo, A., et al. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.45 · Cited by 51
Understanding attributional biases, emotions and self‐esteem in poor me paranoia: Findings from an early psychosis sample
Fornells‐Ambrojo, M., & Garety, P. A. (2008) · British Journal of Clinical Psychology · doi:10.1348/014466508x377135 · Cited by 49
The role of insight in the process of recovery from schizophrenia: A review of three views
Lysaker, P. H., Yanos, P. T., & Roe, D. (2009) · Psychosis · doi:10.1080/17522430902948175 · Cited by 48
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
Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
Cassidy (2010) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s12663 · Cited by 47
Medication Access and Continuity: The Experiences of Dual-Eligible Psychiatric Patients During the First 4 Months of the Medicare Prescription Drug Benefit
West, J. C., Wilk, J. E., Muszynski, I. L., Rae, D. S., Rubio‐Stipec, M., Alter, C. L., Narrow, W. E., & Regier, D. A. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.5.789 · Cited by 47
Psychological processes and paranoia: implications for forensic behavioural science
Bentall, R. P., & Taylor, J. L. (2006) · Behavioral Sciences & the Law · doi:10.1002/bsl.718 · Cited by 49
Self-citation
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
Neurobiological Basis of Insight in Schizophrenia: A Systematic Review
Xavier, R. M., & Vorderstrasse, A. (2016) · Nursing Research · doi:10.1097/nnr.0000000000000159 · Cited by 43
Modeling Determinants of Medication Attitudes and Poor Adherence in Early Nonaffective Psychosis: Implications for Intervention
Drake, R. J., Nordentoft, M., Haddock, G., Arango, C., Fleischhacker, W. W., Glenthøj, B., Leboyer, M., Leucht, S., Leweke, M., McGuire, P., et al. (2015) · Schizophrenia Bulletin · doi:10.1093/schbul/sbv015 · Cited by 42
Self-citation
Evaluation of the association between insight and symptoms in a large sample of patients with schizophrenia
Hert, M. A. F. D., Simon, V., Vidovic, D., Franić, T., Wampers, M., Peuskens, J., & van Winkel, R. (2009) · European Psychiatry · doi:10.1016/j.eurpsy.2009.04.004 · Cited by 41
The negative and positive self: a longitudinal study examining self-esteem, paranoia and negative symptoms in individuals with first-episode psychosis
Palmier‐Claus, J. E., Dunn, G., Drake, R., & Lewis, S. W. (2011) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2010.00250.x · Cited by 40
Self-citation
The relationship between cognitive insight, clinical insight, and depression in patients with schizophrenia
Ekinci, O., Uğurlu, G. K., Albayrak, Y., Arslan, M., & Çayköylü, A. (2011) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.02.010 · Cited by 39
Insight into illness: Impact on diagnosis and outcome of nonaffective psychosis
Drake, R. (2008) · Current Psychiatry Reports · doi:10.1007/s11920-008-0035-0 · Cited by 39
Self-citation
Event-related potential correlates of depression, insight and negative symptoms in males with recent-onset psychosis
Sumich, A. L., Harris, A. W. F., Flynn, G., Whitford, T. J., Tunstall, N., Kumari, V., Brammer, M. J., Gordon, E., & Williams, L. M. (2006) · Clinical Neurophysiology · doi:10.1016/j.clinph.2006.04.017 · Cited by 38
Parents of adolescents with psychiatric disorders: insight into the disorder, self-stigma and parental stress
Hasson‐Ohayon, I., Tuval‐Mashiach, R., Morag-Yaffe, M., Gaziel, M., Schapir, L., Zalsman, G., & Shoval, G. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.03.003 · Cited by 37
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
When paranoia fails to enhance self-esteem: Explicit and implicit self-esteem and its discrepancy in patients with persecutory delusions compared to depressed and healthy controls
Kesting, M.-L., Mehl, S., Rief, W., Lindenmeyer, J., & Lincoln, T. M. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.08.036 · Cited by 43
Examination of Clinical and Cognitive Insight in Acute Schizophrenia Patients
Greenberger, C., & Serper, M. R. (2010) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181e4f35d · Cited by 34
Testing trait depression as a potential clinical domain in schizophrenia
Chiappelli, J., Kochunov, P., DeRiso, K., Thangavelu, K., Sampath, H., Muellerklein, F., Nugent, K. L., Postolache, T. T., Carpenter, W. T., & Hong, L. E. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.08.003 · Cited by 34
Cognitive‐Behavioural Interventions
Jolley, S., & Garety, P. A. (2011) · Wiley eBooks · doi:10.1002/9780470978672.ch7 · Cited by 32
Rate and risk factors of depressive symptoms in Chinese patients presenting with first-episode non-affective psychosis in Hong Kong
Chang, W. C., Cheung, R., Hui, C. L. M., Lin, J., Chan, S. K. W., Lee, E. H. M., & Chen, E. Y. H. (2015) · Schizophrenia Research · doi:10.1016/j.schres.2015.07.040 · Cited by 33
‘Jumping to Conclusions’ and Attributional Style in Persecutory Delusions
Merrin, J., Kinderman, P., & Bentall, R. P. (2007) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9097-7 · Cited by 31
Self-citation
Association of insight with sociodemographic and clinical factors, quality of life, and cognition in Chinese patients with schizophrenia
Xiang, Y., Wang, Y., Wang, C., Chiu, H. F. K., Chen, Q., Chan, S. S. M., Lai, K. Y. C., Lee, E. H. M., & Ungvari, G. S. (2011) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2011.04.001 · Cited by 30
The role of metacognitive beliefs in stress sensitisation, self-esteem variability, and the generation of paranoia
Palmier‐Claus, J. E., Dunn, G., Morrison, A. P., & Lewis, S. W. (2011) · Cognitive Neuropsychiatry · doi:10.1080/13546805.2011.561583 · Cited by 33
Self-citation
Depressive symptoms and their association with acute treatment outcome in first-episode schizophrenia patients: Comparing treatment with risperidone and haloperidol
Riedel, M. J., Mayr, A. J., Seemüller, F., Maier, W., Klingberg, S., Heuser, I., Klosterkötter, J., Gastpar, M., Schmitt, A., Sauer, H., et al. (2011) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2011.552633 · Cited by 28
Mood variability predicts the course of suicidal ideation in individuals with first and second episode psychosis
Palmier‐Claus, J. E., Shryane, N. M., Taylor, P. J., Lewis, S. W., & Drake, R. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.11.014 · Cited by 29
Self-citation
An exploration of the therapeutic alliance within a telephone‐based cognitive behaviour therapy for individuals with experience of psychosis
Mulligan, J., Haddock, G., Hartley, S., Davies, J., Sharp, T., KELLY, J. A., Neil, S. T., Taylor, C. D. J., Welford, M., Price, J., et al. (2014) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12018 · Cited by 30
Self-citation
Comparison of Self- and Clinician’s Ratings of Personal and Social Performance in Patients with Schizophrenia: The Role of Insight
Schaub, D., Brüne, M., Bierhoff, H., & Juckel, G. (2012) · Psychopathology · doi:10.1159/000330260 · Cited by 26
The role of illness engulfment in the association between insight and depressive symptomatology in schizophrenia
Konsztowicz, S., & Lepage, M. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.11.001 · Cited by 26
A prospective study of the trajectories of clinical insight, affective symptoms, and cognitive ability in bipolar disorder
Depp, C. A., Harmell, A. L., Savla, G. N., Mausbach, B. T., Jeste, D. V., & Palmer, B. W. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.09.020 · Cited by 25
The Relationships Among Insight, Social Support, and Depression in Psychosis
Kaiser, S. L., Snyder, J. A., Corcoran, R., & Drake, R. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000242975.96932.4c · Cited by 25
Self-citation
Depression during an acute episode of schizophrenia or schizophreniform disorder and its impact on treatment response
Jäger, M., Riedel, M. J., Schmauß, M., Pfeiffer, H., Laux, G., Naber, D., Gäebel, W., Huff, W., Schmidt, L., Heuser, I., et al. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.01.002 · Cited by 25
Recorded poor insight as a predictor of service use outcomes: cohort study of patients with first-episode psychosis in a large mental healthcare database
Ramu, N., Kolliakou, A., Sanyal, J., Patel, R., & Stewart, R. J. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-028929 · Cited by 24
Part D and Dually Eligible Patients With Mental Illness: Medication Access Problems and Use of Intensive Services
Huskamp, H. A., West, J. C., Rae, D. S., Rubio‐Stipec, M., Regier, D. A., & Frank, R. G. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.9.1169 · Cited by 23
Concomitant Psychotropic Medication Use During Treatment of Schizophrenia Patients: Longitudinal Results from the CATIE Study
Chakos, M., Patel, J., Rosenheck, R. A., Glick, I. D., Hamner, M. B., Miller, D. D., Tapp, A. M., & Miller, A. L. (2011) · Clinical Schizophrenia & Related Psychoses · doi:10.3371/csrp.5.3.2 · Cited by 22
Factor Analysis of the Scale of Prodromal Symptoms: Differentiating between Negative and Depression Symptoms
Klaassen, R. M. C., Velthorst, E., Nieman, D. H., de Haan, L., Becker, H. E., Dingemans, P. M. A. J., van de Fliert, J. R., van der Gaag, M., & LINSZEN, D. H. (2011) · Psychopathology · doi:10.1159/000325169 · Cited by 22
Insight and Recovery From Acute Psychotic Episodes
Startup, M., Jackson, M. C., & Startup, S. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000243081.97879.b9 · Cited by 22

Authors: DRAKE, R. J., PICKLES, A., BENTALL, R. P., KINDERMAN, P., HADDOCK, G., TARRIER, N., & LEWIS, S. W.
Affiliations: University of Manchester (GB)
University of Liverpool (GB)
ORCID: DRAKE, R. J.
PICKLES, A.
BENTALL, R. P.
KINDERMAN, P.
HADDOCK, G.
LEWIS, S. W.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2004-01-28
Volume: 34
Issue: 2
Pages: 285-292
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291703008821
OpenAlex: W2056061093
Cited by: 204
References: 15
Citations by year: 2025: 1 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 4 · 2019: 7 · 2018: 8 · 2017: 5 · 2016: 7 · 2015: 10 · 2014: 18 · 2013: 12 · 2012: 19
FWCI: 8.57
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (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 › Bipolar Disorder and Treatment
Keywords: schizophrenia, first-episode psychosis, insight, paranoia, depression, self-esteem, duration of untreated psychosis, substance use, depressive mood
MeSH terms: Adult, Awareness, Depression, Female, Humans, Male, Paranoid Disorders, Predictive Value of Tests, Surveys and Questionnaires, Schizophrenia, Self Concept, Severity of Illness Index, Comorbidity, Incidence, Diagnostic and Statistical Manual of Mental Disorders

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

The evolution of insight, paranoia and depression during early schizophrenia

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks