Insight into schizophrenia: A comparative study between pateints and family members

Sao Paulo Medical Journal

Volumn 122, Issue 6, 2004, Pages 246-251

  Duarte Gigante, Alexandre ^a,d   Castel, Saulo ^b,c  

^a UNIVERSIDADE DO OESTE PAULISTA UNOESTE   (Brazil)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF SÃO PAULO   (Brazil)

^d NONE   (Brazil)

Author keywords

Awareness; Family relations; Schizophrenia; Self concept; Social environment

Indexed keywords

ADULT; ARTICLE; AWARENESS; COMPARATIVE STUDY; CONFIDENCE INTERVAL; CONTROLLED STUDY; CORRELATION FUNCTION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE CLASSIFICATION; FAMILY; HUMAN; HUMAN RELATION; INTERVIEW; MAJOR CLINICAL STUDY; MENTAL HEALTH CARE; OUTPATIENT CARE; SCHIZOPHRENIA; SCORING SYSTEM; SELF CONCEPT; STATISTICAL ANALYSIS;

EID: 13244277604     PISSN: 15163180     EISSN: None     Source Type: Journal    
DOI: 10.1590/s1516-31802004000600004     Document Type: Article

References (53)

1. World Health Organization. Report of the International Pilot Study of Schizophrenia. Geneva: World Health Organization Press; 1973.
2. Wilson WH, Ban TA, Guy W. Flexible system criteria in chronic schizophrenia. Compr Psychiatry. 1986;27(3):259-65.
3. Carpenter WT, Strauss JS, Bartko JJ. Flexible system for the diagnosis of schizophrenia: report from the WHO International Pilot Study of Schizophrenia Science, 1973;182(118):1275-8.
4. Buchanan A. A two-year prospective study of treatment compliance in patients with schizophrenia. Psychol Med. 1992;22(3):787-97.
5. Cuffel BJ, Alford J, Fischer EP, Owen RR. Awareness of illness in schizophrenia and outpatient treatment adherence. J Nerv Ment Dis. 1996;184(11):653-9.
6. Amador XF, Strauss DH, Yale S, Flaum MM, Endicott J, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry. 1993;150(6):873-9.
7. Amador XF, Flaum M, Andreasen NC, et al. Awareness of illness in schizophrenia and schizoaffective and mood disorders. Arch Gen Psychiatry. 1994;51(10):826-36.
8. Lysaker PH, Bell MD, Bryson GJ, Kaplan E. Insight and interpersonal function in schizophrenia. J Nerv Ment Dis. 1998;186(7):432-6.
9. Heinrichs DW, Cohen BP, Carpenter WT. Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis. 1985;173(3):133-8.
10. Drake RJ, Haley CJ, Akhtar S, Lewis SW. Causes and consequences of duration of untreated psychosis in schizophrenia. Br J Psychiatry. 2000;177:511-5.
11. McEvoy JP, Freter S, Merritt M, Apperson LJ. Insight about psychosis among outpatients with schizophrenia. Hosp Community Psychiatry. 1993;44(9):883-4.
12. Cuesta MJ, Peralta V. Lack of insight in schizophrenia. Schizophr Bull. 1994;20(2):359-66.
13. David A, Buchanan A, Reed A, Almeida O. The assessment of insight in psychosis. Br J Psychiatry. 1992;161:599-602.
14. Mintz AR, Dobson KS, Romney DM. Insight in schizophrenia: a meta-analysis. Schizophr Res. 2003;61(1):75-88.
15. Moore O, Classidy E, Carr A, O'Callaghan E. Unawareness of illness and its relationship with depression and self-deception in schizophrenia. Eur Psychiatry. 1999;14(5):264-9.
16. Amador XF, Friedman JH, Kasapis C, Yale SA, Flaum M, Gorman JM. Suicidal behavior in schizophrenia and its relationship to awareness of illness. Am J Psychiatry. 1996;153(9):1185-8.
17. Kim CH, Jayathilake K, Meltzer HY. Hopelessness, neurocognitive function, and insight in schizophrenia, relationship to suicidal behavior. Schizophr Res. 2003;60(1);71-80.
18. Yen CF, Yeh ML, Chen CS, Chung HH. Predictive value of insight for suicide, violence, hospitalization, and social adjustment for outpatients with schizophrenia: a prospective study. Compr Psychiatry. 2002;43(6):443-7.
19. Kemp R, David A. Psychological predictors of insight and compliance in psychotic patients. Br J Psychiatry 1996;169(4):444-50.
20. Flashman LA, McAllister TW, Andreasen NC, Saykin AJ. Smaller brain size associated with unawareness of illness in patients with schizophrenia. Am J Psychiatry. 2000;157(7):1167-9.
21. Laroi F, Fannemel M, Ronnember U, et al. Unawareness of illness in chronic schizophrenia and its relationship to structural brain measures and neuropsychological tests. Psychiatry Res. 2000;100(1):49-58.
22. Startup M. Insight and cognitive deficits in schizophrenia: evidence for a curvilinear relationship. Psychol Med. 1996;26(6):1277-81.
23. Lysaker PH, Lancaster RS, Davis LW, Clements CA. Patterns of neurocognitive deficits and unawareness of illness in schizophrenia. J Nerv Ment Dis. 2003;191(1):38-44.
24. McGlashan TH, Levy ST, Carpenter WT. Integration and sealing over. Clinically distinct recovery styles from schizophrenia. Arch Gen Psychiatry. 1975;32(10):1269-72.
25. Dittmann J, Schuttler R. Disease consciousness and coping strategies of patients with schizophrenic psychosis. Acta Psychiatr Scand. 1990;82(4):318-22.
26. Fabrega H. On the significance of an anthropological approach to schizophrenia. Psychiatry. 1989;52(1):45-65.
27. Salokangas RK. Living situation, social network and outcome in schizophrenia: a five-year prospective follow-up study. Acta Psychiatr Scand. 1997;96(6):459-68.
28. Redko C. Cultura, esquizofrenia e experiência. In: Shirakawa I, Chaves AC, Mari JJ, editors. O desafio da esquizofrenia. São Paulo: Lemos Editorial; 1998. p. 221-42.
29. Kirmayer LJ, Corin E. Inside knowledge - cultural construction of insight in psychosis. In: Amador XF, David AS, editors. Insight and Psychosis. New York: Oxford University Press; 1998. p. 193-220.
30. Johnson S, Orrell M. Insight and psychosis: a social perspective. Psychol Med. 1995;25(3):515-20.
31. Kleinman A. The illness narratives-suffering, healing and the human condition. United States of America: Basic Books; 1988.
32. Kleinman A. Rethinking psychiatry - from cultural category to personal experience. New York: The Free Press; 1988.
33. Townsend JM. Cultural conceptions and mental illness. A controlled comparison of Germany and America. J Nerv Ment Dis. 1975;160(6):409-21.
34. Perkins RE, Moodley F. Perception of problems in psychiatry inpatients: denial, race and service usage. Soc Psychiatry Psychiatr Epidemiol. 1993;28(4):189-93.
35. White R, Bebbington P, Pearson J, Johnson S, Ellis D. The social context of insight in schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 2000;35(11):500-7.
36. Breier A, Strauss JS. The role of social relationships in the recovery from psychotic disorders. Am J Psychiatry. 1984;141(8):949-55.
37. Lai YM, Hong CP, Chee CY. Stigma of mental illness. Singapore Med J. 2001;42(3):111-4.
38. Angermeyer MC, Matschinger H. Relatives' beliefs about the causes of schizophrenia. Acta Psychiatr Scand. 1996;93(3):199-204.
39. Holzinger A, Kilian R, Lindenbach I, Petscheleit A, Angermeyer MC. Patients' and their relatives' causal explanations of schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 2003;38(3):155-62.
40. Angermeyer MC, Matschinger H. The effect of personal experience with mental illness on the attitude towards individuals suffering from mental disorders. Soc Psychiatry Psychiatr Epidemiol. 1996;31(6):321-6.
41. Mantonakis J, Markidis M, Kontaxakis V, Liakos A. A scale for detection of negative attitudes towards medication among relatives of schizophrenic patients. Acta Psychiatr Scand. 1985;71(2):186-9.
42. Smith CM, Batzman D, Pristach CA. Effect of patient and family insight on compliance of schizophrenic patients. J Clin Pharmacol. 1997;37(2):147-54.
43. David AS. Insight and psychosis. Br J Psychiatry. 1990;156:798-808.
44. Kim Y, Sakamoto K, Kamo T, Sakamura Y, Miyaoka H. Insight and clinical correlates in schizophrenia. Compr Psychiatry. 1997;38(2):117-23.
45. Fiss N. Tradução, adaptação e estudo da confiabilidade da versão brasileira da "Escala para avaliar a ausência de noção do transtorno mental" - SUMD. [thesis] São Paulo: Universidade Federal de São Paulo (Unifesp-EPM); 2001.
46. American Psychiatry Association. Diagnostic and Statistical Manual for Mental Disorders - DSM-IV. 4th ed. Washington: American Psychiatry Press; 1994.
47. Almeida OP, David A, Levy R, Howard R. "Insight" e os quadros paranóides de início tardio. [Insight and late paraphrenia). Rev ABP-APAL. 1995;17(3):87-92.
48. Macpherson R, Jerrom B, Hughes A. Relationship between insight, educational background and cognition in schizophrenia. Br J Psychiatry. 1996;168(6):718-22.
49. McEvoy JP, Apperson LJ, Appelbaum PS, et al. Insight in schizophrenia. Its relationship to acute psychopathology. J Nerv Ment Dis. 1989;177(1):43-7.
50. Peralta V, Cuesta M. Lack of insight: its status within schizophrenic psychopathology. Biol Psychiatry. 1994;36(8):559-61.
51. Johns LC, van Os J. The continuity of psychotic experiences in the general population. Clin Psychol Review. 2001;21(8):1125-41.
52. Harris JG, Adler LE, Young DA, et al. Neuropsychological dysfunction in parents of schizophrenics. Schizophr. Res. 1996;20(3):253-60.
53. Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51(1):8-19.