Insight in Schizophrenia: A Review

@article{Baier2010InsightIS,
  title={Insight in Schizophrenia: A Review},
  author={Marjorie Baier},
  journal={Current Psychiatry Reports},
  year={2010},
  volume={12},
  pages={356-361}
}
  • 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… 
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TLDR
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.
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REFLEX, a social-cognitive group treatment to improve insight in schizophrenia: study protocol of a multi-center RCT
TLDR
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.
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References

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