Insight in first-admission psychotic patients

Author(s): Everett, E., Bromet, E. J., Jandorf, L., Fennig, S. R., TanenbergKarant, M., Craig, T. J.

Journal/Book: Schizophr Res. 1996; 22: PO Box 211, 1000 AE Amsterdam, Netherlands. Elsevier Science BV. 257-263.

Abstract: Background: The prevalence of insight was examined longitudinally in psychotic patients with schizophrenia (n = 86), bipolar disorder (n = 52), major depressive disorder (n = 35) and other psychoses (n = 16). Method: Before discharge and at 6-month follow-up, insight in first-admission patients from 10 facilities in Suffolk County, New York was rated as part of a modified Hamilton Depression Scale. Results: Initially, 80% of depressives but approximately half with other diagnoses manifested insight. At follow-up, most patients demonstrated insight except for the schizophrenic patients. After controlling for diagnosis, significant correlates of baseline insight were being married, hospitalized in a community or academic facility, intelligence and negative symptoms. At follow-up, after controlling for diagnosis and baseline insight, prior treatment was predictive. This finding held for schizophrenic patients separately. Conclusion: Lack of insight is more prevalent in schizophrenia and improves over time. The components of prior treatment leading to better insight should be explored.

Note: Article Bromet EJ, SUNY Stony Brook, Dept Psychiat & Behav Sci, Putnam Hall S Campus, Stony Brook,NY 11794 USA

Keyword(s): insight; psychosis; schizophrenia; affective disorder; first-admission; MOOD DISORDERS; SCHIZOPHRENIA; ILLNESS; PSYCHOPATHOLOGY; PERFORMANCE; AWARENESS

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