Insight in Schizophrenia: A Review

  title={Insight in Schizophrenia: A Review},
  author={Marjorie Baier},
  journal={Current Psychiatry Reports},
  • M. Baier
  • Published 8 June 2010
  • Psychology, Medicine
  • Current Psychiatry Reports
About 30% to 50% of people with schizophrenia experience lack of insight, meaning they may not acknowledge their illness or the need for treatment. Researchers have developed valid tools for measuring insight. Accordingly, a great deal of descriptive and correlational research has been done on insight, treatment adherence, symptom severity, and other associated variables. Several possible etiologic models and treatment modalities for lack of insight have been proposed. Possible brain… 

Insight in Schizophrenia: Relationship to Positive, Negative and Neurocognitive Dimensions

A better appreciation of the association that insight shares with other symptom clusters in psychosis could help in gaining knowledge about aetiology, prognosis and treatment-related facets of the disorder.

Assessment of Impact of Insight on Medication Adherence in Schizophrenic Patients

Insight and adherence were found to be closely related, low insight was associated with poor adherence in patients with schizophrenia, and these results should be used to establish a strategy for improving the prognosis of chronic schizophrenia.

Influence of demographic profile and symptoms on insight among people with schizophrenia

The demographic factors and symptoms influence the insight among people with Schizophrenia and hence such factors must be considered while insight facilitation for increasing the adherence to the treatment.

The impact of insight on social functioning in patients with schizophrenia

Investigating the relationship of insight and its dimensions with social functioning in schizophrenia found some, but not all, insight dimensions have direct impact on social performance, independent of their association with symptoms.

Understanding medication nonadherence in a sample of Egyptian patients with schizophrenia in relation to illness severity and insight

It was found that more severely ill patients were less compliant with medication and insightful patients were significantly more compliant, which supported earlier findings in Western countries on the role of insight and illness severity in medication nonadherence among schizophrenic patients.

Subjective awareness of tardive dyskinesia and insight in schizophrenia

Changes in insight during treatment for psychotic disorders: A meta-analysis

Insight and Explanatory Models During Illness and Remission in Patients with Schizophrenia.

This study seeks to assess the ems and insight in patients with schizophrenia while psychotic as well as following remission of illness and study the associated factors.




  • B. Rickelman
  • Psychology, Medicine
    Issues in mental health nursing
  • 2004
With better understanding of the characteristics and treatment of diminished insight in individuals with schizophrenia, nurses can better assist clients to recover helpful insight that enables them to take an active role in managing their symptoms and problems.

Motivational interviewing to improve insight and treatment adherence in schizophrenia.

Motivational Interviewing can, with specific modifications for persons with schizophrenia, successfully increase their insight and compliance, because it allows them to explore their own goals and to take a more active role in treatment.

Insight in schizophrenia: a meta-analysis

Correlates and long-term consequences of poor insight in patients with schizophrenia. A systematic review.

A critical review of 88 studies on the assessment of insight and its impact on symptoms and functioning finds a positive cross-sectional and longitudinal relationship between insight and depression, but the underlying processes need further clarification.

The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia

Poor insight and dysfunctional health beliefs are separate clinical phenomena and making this distinction is important for guiding research and patient care.

Lack of insight in schizophrenia.

The study examined a sample of 40 DSM-III-R schizophrenia inpatients admitted because of a recrudescence of symptoms and found that lack of insight was associated with better performance on immediate verbal, immediate visual, and delayed visual memory tasks.

Insight in psychosis and neuropsychological function: A meta-analysis

Neuropsychological dysfunction, specifically impairment of set-shifting and error monitoring, contributes to poor insight in psychosis.