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.
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
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.
Exploratory study of the association between insight and Theory of Mind (ToM) in stable schizophrenia patients
Insight and ToM are two complex and distinct phenomena in schizophrenia that are mediated by psychosocial, clinical, and neurocognitive variables and may be a prerequisite for aware patients to attribute their symptoms to causes other than mental illness.
REFLEX, a social-cognitive group treatment to improve insight in schizophrenia: study protocol of a multi-center RCT
A model that explains which processes may possibly play a role in impaired insight was the starting point of the development of REFLEX: a brief psychosocial intervention to improve insight in schizophrenia.


  • 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.
Lack of awareness of illness in schizophrenia: conceptualizations, correlates and treatment approaches
A plan for further research is presented, along with an outline for the development of methodologies to assess awareness of illness as a narrative phenomenon, which calls on a range of neurocognitive and metacognitive capacities, and which must deal with the social stigma linked with mental illness.
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.
Insight into neurocognitive dysfunction in schizophrenia.
It was demonstrated that virtually all subjects had cognitive impairment, yet insight into their neuro cognitive symptoms was limited, which has potential implications for treatment programs seeking to improve cognitive functioning in schizophrenia.
Taking the perspective of the other contributes to awareness of illness in schizophrenia.
It is predicted that a general difficulty with adopting other mental perspectives, indexed by performance deficits on theory of mind (ToM) tasks, will impair insight in schizophrenia and support the view that insight relies upon a cognitive capacity to adopt the other perspective, which, if intact, contributes to the metacognitive capacity to reflect upon "one's own" mental health.