• Users Online: 723
  • Home
  • Print this page
  • Email this page
Home Current issue Archives Ahead of print Search Subscribe Instructions Submit article About us Editorial board Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 40  |  Issue : 1  |  Page : 48-57

Insight and its clinical correlates in a sample of hospitalized psychotic patients


Department of Psychiatry, Faculty of Medicine, Minia University, Minia, Egypt

Correspondence Address:
Nashaat A.M Abdel-Fadeel
Department of Psychiatry, Faculty of Medicine, Minia University, Minia
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejpsy.ejpsy_36_18

Rights and Permissions

Background Insight is a complex phenomenon including many dimensions, such as insight about the illness, about need for treatment, and about consequences of having that illness. Assessment of insight in psychiatric patients is important as it is implicated in the course of illness, adherence to treatment, and prognosis. Objective The aim was to evaluate the level of insight in schizophrenia spectrum disorders and also in bipolar and major depressive disorders with psychotic features and to examine the relationship between level of insight and sociodemographic and illness-related characteristics, including severity of symptoms. Patients and methods A total of 85 patients diagnosed with schizophrenia spectrum disorders (group 1) and 44 patients diagnosed with bipolar disorder with psychotic features and major depressive disorder with psychotic features (group 2) who were admitted to Minia Psychiatry Hospital in a period of 6 months were included in the study. Diagnosis was done using Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-5 research version. Level of insight was assessed using Scale to assess Unawareness of Mental Disorder assessing awareness of mental disorder, awareness of the need for treatment and awareness of social consequences of mental disorder. Severity of symptoms and psychopathology was assessed using Positive and Negative Syndrome Scale and Clinical Global Impression Scale (CGI). Results Patients diagnosed with schizophrenia spectrum disorders (group 1) tended to have poorer insight than those with bipolar affective disorder (BAD) and major depressive disorder (MDD) with psychotic features (group 2) on admission and also on discharge. Levels of insight of both groups differed significantly on discharge when compared with their levels of insight on admission, but that difference was more profound in group 2. Stepwise multiple linear regression analysis predicting level on insight revealed that blunted affect, lack of judgment and insight, conceptual disorganization, and CGI severity of illness were the most implicated factors in determining insight on admission whereas CGI efficacy index, grandiosity, motor retardation, and passive/apathetic social withdrawal were factors determining insight on discharge. Conclusion Patients diagnosed with schizophrenia spectrum disorders have poorer insight than those diagnosed with BAD and MDD with psychotic features. Predictors of insight differ on admission than on discharge.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed334    
    Printed48    
    Emailed0    
    PDF Downloaded59    
    Comments [Add]    

Recommend this journal