Insight in psychotic disorder: relation with psychopathology and frontal lobe function
Abstract
BACKGROUND/AIMS: Through conceptualising poor insight in psychotic disorders as a form of anosognosia, frontal lobe dysfunction is often ascribed a vital role in its pathogenesis. The objective of this study was to compare the relation of insight in patients with psychotic illness to that of psychopathology and frontal lobe function. METHODS: Forty patients with psychotic disorder were selected from those attending the Department of Psychiatry in a tertiary care teaching hospital. The evaluation of insight was carried out using the Schedule for Assessment of Insight (SAI), that of frontal lobe function by the Frontal Assessment Battery (FAB) and psychopathology by the Brief Psychiatric Rating Scale (BPRS). The correlation coefficients were determined. RESULTS: A negative correlation between SAI and BPRS scores means that the BPRS score is opposite to SAI scores. When the SAI total score was compared with the FAB total score, the correlation coefficient demonstrated a positive correlation. Better insight predicted lesser psychopathology and also that poor insight would exist with greater psychopathology. Better insight predicted a higher functional status of frontal lobes and prefrontal cortex in particular. CONCLUSION: Insight deficits in schizophrenia and other psychotic illnesses are multidimensional. Integration of different aetiological factors like biological, psychopathological, environmental ones and others are necessary for a better understanding of insight in psychosis.
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Poor clinical insight is associated with heightened overall symptom severity.
“Literature supporting this includes studies correlating poor clinical insight with overall symptom severity [43][44][45] , positive symptoms 46,47 , negative symptoms 44,48,49 , disorganization symptoms 46,47,50-52 , and excitement symptoms 46,47,53 .”
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 [45]
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- Authors
- Kumar, A., Sharma, P., Das, S., Nath, K., Talukdar, U., & Bhagabati, D.
- Affiliations
- Silchar Medical College and Hospital (IN)
- Venue
- Psychopathology
- Publisher
- S. Karger AG
- Published
- 2013-05-22
- Volume
- 47
- Issue
- 1
- Pages
- 32-38
- ISSN
- 0254-4962 (ISSN-L)
- 1423-033X
- OpenAlex
- W2074141036
- Cited by
- 12
- References
- 23
- Citations by year
- 2023: 2 · 2022: 2 · 2020: 3 · 2018: 2 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychopathology (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, psychosis, anosognosia, frontal lobe function, prefrontal cortex, schizophrenia, Frontal Assessment Battery, Brief Psychiatric Rating Scale, insight deficits
- MeSH terms
- Adult, Female, Frontal Lobe, Humans, Male, Middle Aged, Brief Psychiatric Rating Scale, Psychopathology, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Prefrontal Cortex, Young Adult
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