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Insight in Schizophrenia. Its Relationship to Acute Psychopathology
Abstract
The relationship between insight and acute psychopathology was explored in a group of 52 acutely psychotic, schizophrenic patients. A measure of insight, reflecting patients' recognition of their illness and need for care, was validated against ratings from a semi-structured interview and against assessments of patients' compliance with medication. Contrary to expectations, degree of insight was not consistently related to the severity of acute psychopathology, as measured on two structured scales. Nor did changes in insight during hospitalization vary consistently with changes in acute psychopathology. These data suggest that very little of the deficiency in insight seen in schizophrenic patients is explainable on the basis of acute psychopathological features. The mechanism that accounts for impairment in insight in schizophrenia may be relatively resistant to treatment with neuroleptic medication.
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Cited by
Lacro, J. P., Dunn, L. B., Dolder, C. R., Leckband, S. G., & Jeste, D. V. (2002) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v63n1007 · Cited by 1,383
Grisso, T., & Appelbaum, P. S. (1995) · Law and Human Behavior · doi:10.1007/bf01499323 · Cited by 595
Self-citationInsight in schizophrenia: a meta-analysis
Mintz, A. R., Dobson, K. S., & Romney, D. M. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(02)00316-x · Cited by 563
Lincoln, T. M., Lullmann, E., & Rief, W. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm002 · Cited by 486
The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment.
Appelbaum, P. S., & Grisso, T. (1995) · Law and Human Behavior · doi:10.1007/bf01499321 · Cited by 424
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Metadata
- Authors
- McEVOY, J. P., APPERSON, L. J., APPELBAUM, P. S., ORTLIP, P., BRECOSKY, J., HAMMILL, K., GELLER, J. L., & ROTH, L.
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1989-01
- Volume
- 177
- Issue
- 1
- Pages
- 43-47
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2071691884
- Cited by
- 529
- References
- 0
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
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- McEVOY, J. P., APPERSON, L. J., APPELBAUM, P. S., ORTLIP, P., BRECOSKY, J., HAMMILL, K., GELLER, J. L., & ROTH, L. (1989). Insight in Schizophrenia. Its Relationship to Acute Psychopathology. The Journal of Nervous and Mental Disease. https://doi.org/10.1097/00005053-198901000-00007
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
