Insight in Schizophrenia: A Review

@article{Baier2010InsightIS,
  title={Insight in Schizophrenia: A Review},
  author={M. Baier},
  journal={Current Psychiatry Reports},
  year={2010},
  volume={12},
  pages={356-361}
}
  • M. Baier
  • Published 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… Expand
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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. Expand
Subjective awareness of tardive dyskinesia and insight in schizophrenia
TLDR
The two phenomena appear to be dissociated, and may be domain-specific. Expand
The paradoxical role of insight in mental illness: The experience of stigma and shame in schizophrenia, mood disorders, and anxiety disorders.
TLDR
Efforts to increase insight should be matter of importance in the wider spectrum of mental diagnoses, however, such efforts should be conducted with special care as further research is needed to understand the impact of insight on wellbeing. Expand
Insight and Explanatory Models During Illness and Remission in Patients with Schizophrenia.
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Exploratory study of the association between insight and Theory of Mind (ToM) in stable schizophrenia patients
TLDR
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. Expand
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References

SHOWING 1-10 OF 34 REFERENCES
ANOSOGNOSIA IN INDIVIDUALS WITH SCHIZOPHRENIA: TOWARD RECOVERY OF INSIGHT
  • B. Rickelman
  • Psychology, Medicine
  • Issues in mental health nursing
  • 2004
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. Expand
Lack of Insight in Schizophrenia
TLDR
The extent to which second-generation antipsychotic medications, including a recently released long-acting formulation, improve insight and/or enhance treatment adherence remains to be determined. Expand
Lack of awareness of illness in schizophrenia: conceptualizations, correlates and treatment approaches
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. Expand
Motivational interviewing to improve insight and treatment adherence in schizophrenia.
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. Expand
Insight in schizophrenia: a meta-analysis
TLDR
A meta-analysis of 40 published English-language studies was conducted to determine the magnitude and direction of the relationship, or effect size, between insight and symptom domains in schizophrenia and to determine moderator variables that were associated with the variations in effect sizes. Expand
Insight in schizophrenia: a review of etiological models and supporting research.
TLDR
The definition of insight is used specifically as an individual's recognition of their psychopathology, particularly of one's unconscious drives and motivations, which is similar to the phenomenon of anosognosia. Expand
Dissociating self-reported cognitive complaint from clinical insight in schizophrenia
TLDR
The partial overlap of insight into illness and cognitive complaint suggests that insight is modular in schizophrenia, and assessment of cognitive complaint and awareness of illness need to be assessed before engagement in rehabilitation program. Expand
Correlates and long-term consequences of poor insight in patients with schizophrenia. A systematic review.
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. Expand
The Differentiation between ‘Lack of Insight’ and ‘Dysfunctional Health Beliefs’ in Schizophrenia
TLDR
Poor insight and dysfunctional health beliefs are separate clinical phenomena and making this distinction is important for guiding research and patient care. Expand
Insight into severe mental illness, hope, and quality of life of persons with schizophrenia and schizoaffective disorders
TLDR
It is suggested that increasing the hope of persons with schizophrenia may directly and positively increase both their quality of life and the usefulness of their insight into their illness. Expand
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