The impact of insight on social functioning in patients with schizophrenia
Abstract
Background: It is still unclear whether insight has a direct association with social functioning in schizophrenia, independent of its association with symptoms. Aim: This study aimed to investigate the relationship of insight and its dimensions with social functioning in schizophrenia. Methods: A total of 170 outpatients with schizophrenia were included in this study. All patients were evaluated with the Scale to Assess Unawareness of Mental Disorder (SUMD), Positive and Negative Syndrome Scale (PANSS) and Personal and Social Performance Scale (PSP). Patients with impaired insight and patients with unimpaired insight were compared for PSP score through independent samples t test. Pearson’s correlation analysis was used to determine the correlations between study variables. Multiple stepwise linear regression analysis was used in order to determine the variables that predict social performance. Results: The PSP score of patients with impaired insight was significantly lower than that of patients with unimpaired insight. There were significant correlations between insight dimensions and PSP score. PANSS negative scale score, awareness of achieved effects of medication and awareness of anhedonia/asociality were significant predictors of social performance. Conclusion: Insight has a significant impact on social functioning in schizophrenia, and some, but not all, insight dimensions have direct impact on social performance, independent of their association with symptoms.
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Better clinical insight is correlated with better personal and social skills and prosocial behavior.
“Consistent with this, better clinical insight was correlated with better personal and social skills 65 and prosocial behavior 66 .”
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 [65]
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References 39 · Cited by 44
- Authors
- Erol, A., Delibas, H., Bora, O., & Mete, L.
- Affiliations
- Clinic of Psychiatry, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
- Clinic of Psychiatry, Bozyaka Training and Research Hospital, Izmir, Turkey
- Clinic of Psychiatry, Gaziemir State Hospital, Izmir, Turkey
- Izmir Atatürk Eğitim ve Araştırma Hastanesi (TR)
- Venue
- International Journal of Social Psychiatry
- Publisher
- SAGE Publications
- Published
- 2014-09-01
- Volume
- 61
- Issue
- 4
- Pages
- 379-385
- ISSN
- 0020-7640 (ISSN-L)
- 1741-2854
- OpenAlex
- W2007050166
- Cited by
- 44
- References
- 39
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 2
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Social Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- 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, social functioning, social performance, Scale to Assess Unawareness of Mental Disorder, anhedonia, asociality, negative symptoms, outpatients
- MeSH terms
- Adult, Awareness, Female, Humans, Male, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Social Adjustment, Social Behavior
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