Are the cognitive deficits associated with impaired insight in schizophrenia specific to executive task performance?

Journal of Nervous and Mental Disease

Volumn 193, Issue 12, 2005, Pages 803-808

  Donohoe, Gary ^a,b   Corvin, Aiden ^a   Robertson, Ian H ^a  

^a TRINITY COLLEGE DUBLIN   (Ireland)

^b ST JAMES S HOSPITAL   (Ireland)

Author keywords

Cognition; Insight; Schizophrenia; Working memory

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; COGNITION; COGNITIVE DEFECT; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; HUMAN; MALE; MEMORY; SCHIZOPHRENIA; TASK PERFORMANCE; THEORETICAL STUDY; WORKING MEMORY;

ADULT; ATTENTION; AWARENESS; COGNITION DISORDERS; FEMALE; FRONTAL LOBE; HUMANS; MALE; MEMORY; NEUROPSYCHOLOGICAL TESTS; PSYCHIATRIC STATUS RATING SCALES; PSYCHOMOTOR PERFORMANCE; SCHIZOPHRENIA;

EID: 28844483356     PISSN: 00223018     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.nmd.0000190587.01950.72     Document Type: Article

References (42)

1. American Psychiatric Association (1992) Structured Clinical Assessment for the DSM-III-R. Washington (DC): American Psychiatric Association.
2. Arduini L, Kalyvoka A, Stratta P, Rinaldi O, Daneluzzo E, Rossi A (2003) Insight and neuropsychological function in patients with schizophrenia and bipolar disorder with psychotic features. Can J Psychiatry. 48:338-341.
3. Birchwood M, Smith J, Drury V, Healy J, Macmillan F, Slade M (1994) A self-report Insight Scale for psychosis: Reliability, validity and sensitivity to change. Acta Psychiatr Scand. 89:62-67.
4. Collins AA, Remington GJ, Coulter K, Birkett K (1997) Insight, neurocognitive function and symptom clusters in chronic schizophrenia. Schizophr Res. 27:37-44.
5. Cuesta MJ, Peralta V, Caro F, de Leon J (1995) Is poor insight in psychotic disorders associated with poor performance on the Wisconsin Card Sorting Test? Am J Psychiatry 152:1380-1382. Erratum in Am J Psychiatry.. 153:270.
6. David AS (1990) Insight and psychosis. Br J Psychiatry. 156:798-808.
7. David AS (1999) "To see ourselves others see us": Aubrey Lewis's insight. Br J Psychiatry. 175:210-216.
8. Dickerson FB, Boronow JJ, Ringel N, Parente F (1997) Lack of insight among outpatients with schizophrenia. Psychiatr Serv. 48:195-199.
9. Donohoe G, O'Donnell C, Owens N, O'Callaghan E (2004) Evidence that health attributions and symptom severity predict insight in schizophrenia. J Nerv Ment Dis. 192:635-637.
10. Donohoe G, Robertson IH (2003) Can specific deficits in executive functioning explain the negative symptoms of schizophrenia? A review. Neurocase. 9:97-108.
11. Drake RJ, Lewis SW (2003) Insight and neurocognition in schizophrenia. Schizophr Res. 62:165-173.
12. Fuster JM (1999) Synopsis of function and dysfunction of the frontal lobe. Acta Psychiatr Scand. 395:51-57.
13. Goldberg RW, Green-Paden LD, Lehman AF, Gold JM (2001) Correlates of insight in serious mental illness. J Nerv Ment Dis. 189:137-145.
14. Gron G (1998) Auditory and visual working memory performance in patients with frontal lobe damage and in schizophrenic patients with low scores on the Wisconsin Card Sorting Test. Psychiatry Res. 80:83-96.
15. Kim CH, Jayathilake K, Meltzer HY (2003) Hopelessness, neurocognitive function and insight in schizophrenia: Relationship to suicidal behavior. Schizophr Res. 60:71-80.
16. Laroi F, Fannemel M, Ronneberg U, Flekkoy K, Opjordsmoen S, Dullerud R, Haakonsen M (2000) Unawareness of illness in chronic schizophrenia and its relationship to structural brain measures and neuropsychological tests. Psychiatry Res. 100:49-58.
17. Laws K (2004) A meta analytic review of Wisconsin Card Sorting Studies in schizophrenia: General intellectual deficit in disguise? Cog Neuropsychiatry. 4:1-35.
18. Lysaker P, Bell M (1994) Insight and cognitive impairment in schizophrenia: Performance on repeated administrations of the Wisconsin Card Sorting Test. J Nerv Ment Dis. 182:656-660.
19. Lysaker PH, Bell MD, Bryson G, Kaplan E (1998) Neurocognitive function and insight in schizophrenia: Support for an association with impairments in executive function but not with impairments in global function. Acta Psychiatr Scand. 97:297-301.
20. Lysaker PH, Lancaster RS, Davis LW, Clements CA (2003) Patterns of neurocognitive deficits and unawareness of illness in schizophrenia. J Nerv Ment Dis. 191:38-44.
21. Manly T, Robertson IH (1997) Sustained attention and the frontal lobes. In P Rabbitt (Ed) Methodology of Frontal and Executive Function (pp 135-154). East Sussex: Psychology Press.
22. Marks KA, Fastenau PS, Lysaker PH, Bond GR (2000) Self-Appraisal of Illness Questionnaire (SAIQ): Relationship to researcher-rated insight and neuropsychological function in schizophrenia. Schizophr Res. 45:203-211.
23. McEvoy JP, Hartman M, Gottlieb D, Godwin S, Apperson LJ, Wilson W (1996) Common sense, insight and neuropsychological test performance in schizophrenia patients. Schizophr Bull. 22:635-641.
24. Mohamed S, Fleming S, Penn DL, Spaulding W (1999) Insight in schizophrenia: its relationship to measures of executive functions. J Nerv Ment Dis. 187:525-531.
25. Mintz AR, Dobson KS, Romney DM (2003) Insight in schizophrenia: A meta-analysis. Schizophr Res. 61:75-88.
26. Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager TD (2000) The unity and diversity of executive functions and their contributions to complex "frontal lobe" tasks: A latent variable analysis. Cognit Psychol. 41:49-100.
27. Nelson HE (1992) National Adult Reading Test-Revised (NART-R). Windsor: NFER.
28. Passingham R (1998) Attention to Action in the Prefrontal Cortex: Executive and Cognitive Functions. Edited by Robbins TW, Roberts AC, Weiskratz L. Oxford: Oxford University Press.
29. Robbins T (1998) Dissociating executive functions of the prefrontal cortex. In AC Roberts, T Robbins, L Weiskratz (Eds), The Prefrontal Cortex: Executive and Cognitive Functions (pp 117-130). Oxford: Oxford University Press.
30. Robertson IH, Manly T, Andrade J, Baddeley BT, Yiend J (1997) "Oops!": Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia. 35:747-758.
31. Robertson IH, Ward T, Ridgeway V, Nimmo-Smith I (1994) The Test of Everyday Attention. Suffolk: Thames Valley Test Company.
32. Robertson IH, Ward T, Ridgeway V, Nimmo-Smith I (1996) The structure of normal human attention: The Test of Everyday Attention. J Int Neuropsychol Soc. 2:525-534.
33. Rossell SL, Coakes J, Shapleske J, Woodruff PW, David AS (2003) Insight: Its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychol Med. 33:111-119.
34. Sanz M, Constable G, Lopez-Ibor I, Kemp R, David AS (1998) A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychol Med. 28:437-446.
35. Shallice T, Burgess P (1998) The domain of supervisory processes and the temporal organisation of behaviour. In TW Robbins, AC Roberts, L Wesikratz (Eds), The Prefrontal Cortex: Executive and Cognitive Functions (pp 122-135). Oxford: Oxford University Press.
36. Smith TE, Hull JW, Israel LM, Willson DF (2000) Insight, symptoms and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull. 26:193-200.
37. Stuss DT, Benson DF (1986) The Frontal Lobes. New York: Raven Press.
38. Voruganti LN, Heslegrave RJ, Awad AG (1997) Neurocognitive correlates of positive and negative syndromes in schizophrenia. Can J Psychiatry. 42:1066-1071.
39. Young DA, Davila R, Scher H (1993) Unawareness of illness and neuropsychological performance in chronic schizophrenia. Schizophr Res. 10: 117-124.
40. Young DA, Zakzanis KK, Bailey C, Davila R, Griese J, Sartory G, Thom A (1998) Further parameters of insight and neuropsychological deficit in schizophrenia and other chronic mental disease. J Nerv Ment Dis. 186: 44-50.
41. Weschler D (1998) Weschler Memory Scale, Third Edition (WMS-III). New York: Psychological Corp.
42. Weschler D (2000) Weschler Adult Intelligence Scale, Third Edition (WAIS-III). New York: Psychological Corp.