Insight, outcome and recovery in schizophrenia spectrum disorders: An examination of their paradoxical relationship

Current Psychiatry Reviews

Volumn 3, Issue 1, 2007, Pages 65-71

  Lysaker, Paul H ^a,b   Buck, Kelly D ^a  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Hope; Insight; Narrative; Psychosocial function; Quality of life; Recovery; Schizophrenia; Symptoms

Indexed keywords

NEUROLEPTIC AGENT;

AWARENESS; CHRONIC PAIN; DYSPHORIA; HEALTH BEHAVIOR; HEALTH BELIEF; HOSPITAL ADMISSION; HUMAN; MEDICAL DECISION MAKING; MENTAL DISEASE; PREDICTION; PRIORITY JOURNAL; QUALITY OF LIFE; REVIEW; RISK ASSESSMENT; SCHIZOPHRENIA; SELF CONCEPT; SOCIAL PSYCHOLOGY; SUICIDE; SYMPTOM; TREATMENT OUTCOME;

EID: 34247119589     PISSN: 15734005     EISSN: None     Source Type: Journal    
DOI: 10.2174/157340007779815619     Document Type: Review

References (52)

1. Amador, XF, Strauss DH, Yale SA, Gorman JM. Awareness of illness in schizophrenia. Schizophr Bull 1991; 17: 113-132.
2. David AS. Insight and psychosis. Br J Psychiatry 1990; 156: 798-805.
3. Lysaker PH, Wickett AM, Wilke N, Lysaker JT. Narrative incoherence in schizophrenia: The absent agent-protagonist and the collapse of internal dialogue. Am J Psychotherapy 2003; 57: 153-166.
4. Startup M. Awareness of own and others' schizophrenic illness. Schizophr Res 1997; 29: 203-211.
5. Pescosolido BA. Beyond rational choice: The social dynamics of how people seek help. Am J Sociol 1997; 97: 1096-1138.
6. Pescosolido BA. Illness careers and network ties: A conceptual model of utilization and compliance. Adv Med Sociol 1991; 2: 161-184.
7. Bartko G, Herczeg I, Zador G. Clinical symptomatology and drug compliance in schizophrenia. Acta Psychiatr Scand 1988; 77: 74-76.
8. Cuffel BJ, Alford J, Fischer EP, Owen RR. Awareness of illness in schizophrenia and outpatient treatment compliance. J Nerv Ment Dis 1996; 184: 653-659.
9. Olfson M, Marcus SC, Wilk J, West JC. Awareness of illness and nonadherence to antipsychotic medications among persons with schizophrenia. Psychiatric Serv 2006; 57: 205-211.
10. Schwartz RC. The relationship between insight, illness and treatment outcome in schizophrenia. Psychiatric Q 1998; 69: 1-22.
11. Heinrichs DW, Cohen BP, Carpenter WT. Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis 1985; 173: 133-138.
12. McEvoy JP, Freter S, Everett G, et al. Insight and clinical outcome of schizophrenic patients. J Nerv Ment Dis 1989; 177: 48-51.
13. Keshavan MS, Rabinowitz J, DeSmedt G, Harvey PD, Schooler N. Correlates of insight in first episode psychosis. Schizophr Res 2004; 70: 187-194.
14. Sevy S, Nathanson K, Visweswaraiah H, Amador X. The relationship between insight and symptoms in schizophrenia. Compr Psychiatry 2004; 45: 16-19.
15. Mintz AR, Addington J, Addington D. Insight in early psychosis: A one year follow up. Schizophr Res 2004; 67: 213-218.
16. Bota RG, Munro JS, Ricci WF, Bota DA. The dynamics of insight in the prodrome of schizophrenia. CNS Spectr 2006; 11: 355-362.
17. Francis JL, Penn, DL. The relationship between insight and social skill in persons with severe mental illness. J Nerv Ment Dis 2001; 189: 822-829.
18. Lysaker PH, Bell MD, Bryson GJ, Kaplan EZ. Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 1998; 186: 432-436.
19. Landgon R, Corner T, McLaren J, Ward PB, Coltheart M. Externalizing and personalizing biases in persecutory delusions: The relationship with poor insight and theory-of mind. Behav Res Ther 2006; 44: 699-713.
20. Debowska G, Grzywa A, Kucharska-Pieture K. Insight in paranoid schizophrenia: Its relationship to psychopathology and premorbid adjustment. Compr Psychiatry 1998; 39: 255-260.
21. Lysaker PH, Bryson GJ, Bell MD. Insight and work performance in schizophrenia. J Nerv Ment Dis 2002; 190: 142-146.
22. Mintz AR, Dobson KS, Romney DM. Insight in schizophrenia: A meta-analysis. Schizophr Res 2003; 61: 75-88.
23. Pyne JM, Bean D, Sullivan G. Characteristics of patients with schizophrenia who do not believe they are mentally ill. J Nerv Ment Dis 2001; 189: 146-153.
24. Moore O, Cassidy E, Carr A, O'Callaghan E. Unawareness of illness and its relationship with depression and self-deception in schizophrenia. Eur Psychiatry 1999; 14: 264-269.
25. Warner R, Taylor D, Powers M, Hyman, R. Acceptance of the mental illness label by psychotic patients: effects on functioning. Am J Orthopsychiatry 1989; 59: 389-409.
26. Drake RJ, Pickles A, Bentall RP, et al. The evolution of insight, paranoia and depression during early schizophrenia. Psychol Med 2004; 34: 285-292.
27. Thompson EH. Variations in the self-concept of young adult chronic patients: Chronicity reconsidered. Hosp Comm Psychiatry 1988; 39: 771-775.
28. Kravetz S, Faust M, David M. Accepting the mental illness label, perceived control over the illness, and quality of life. Psychiatr Rehabil J 2000; 23: 323-332.
29. Hasson-Ohayon I, Kravetz S, Roe D, Weiser M. Insight Into severe mental illness, perceived control over the illness, and quality of life. Compr Psychiatry 2006; 47: 265-269.
30. Amador XF, Freidman 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: 1185-1188.
31. Crumlish N, Whitty P, Kamali M, et al. Early insight predicts depression and attempted suicide after four years in first episode schizophrenia and schizophreniform disorder. Acta Psychiatr Scand 2005; 112: 449-455.
32. Evren C, Evren B. Characteristics of schizophrenia patients with a history of suicide attempt. Int J Psychiatry 2004; 8: 227-234.
33. Roe D, Kravetz S. Different ways of being aware of and acknowledging a psychiatric disability. A multifunctional narrative approach to insight into mental disorder. J Nerv Ment Dis 2003; 191:417-24.
34. Lysaker PH, Clements CA, Plascak-Hallberg CD, Knipscheer SJ, Wright DE. Insight and personal narratives of illness in schizophrenia. Psychiatry 2002; 65(3): 197-206.
35. Lambert BL, Levy NA, Winer J, Keeping the balance and monitoring the self-system: Towards a more comprehensive model of medication management in psychiatry. In: Brasher D and Goldsmith D Eds, Communication and the Management of Health and Illness. New Jersey, Earlbaum. In press.
36. Bury MU. Chronic illness as biographical disruption. Soc Health Illn 1982; 4: 167-182.
37. Richardson JC, Ongm BN, Sim J. Is chronic widespread pain biographically disruptive? Soc Sci Med 2006; 63: 1573-1585.
38. Downe-Wamboldt B, Butler L, Coulter L. The relationship between meaning of illness, social support coping strategies, and quality of life for lung cancer patients and their family members. Cancer Nurs 2006; 29: 111-119.
39. Carricaburu D, Pierret, J. From biographical disruption to biographical reinforcement the case of HIV positive men. Sociol Health Illn 1995; 17: 65-88.
40. Charon R. A narrative medicine for pain. In Carr D, Loeser J, Morris, D Eds, Narrattive Pain and Suffering. Seattle, IASP Press; 17-28.
41. Frank AW. Generosity, care and narrative. In Carr D, Loeser J, Morris, D Eds, Narrative Pain and Suffering. Seattle, IASP Press; 289-300.
42. Swindle R, Heller K, Pescosolido BA, Kikuzawa S. Responses to nervous breakdowns in America over a 40-year period: Mental health policy implications. Am Psychol 2000; 55: 740-749.
43. Link BG, Phelan M, Bresnahan M, Stuave A, Pescosolido BA. Public conceptions of mental illness: Labels, causes, dangerousness and social distance. Am J Public Health 1999; 89: 1328-1333.
44. Pescosolido BA, Monahan J, Link BG, Stueve A, Kikuzawa S. The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems. Am J Public Health 1999; 89: 1339-1345.
45. Martin JK, Pescosolido BA, Tuch SA. Of fear and loathing: The role of "disturbing behavior," labels and causal attributions in shaping public attitudes toward persons with mental illness. J Health Soc Behav 2000; 41(2): 208-233.
46. Lysaker PH, Roe D, Yanos PT. Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope and self-esteem among people with schizophrenia spectrum disorders. Schizophr Bull, in press.
47. Lysaker PH, Buck KD, Taylor AC, Roe D. Associations of metacognition, self stigma and insight with qualities of self experience in schizophrenia; Submitted for publication.
48. Watson PWB, Garety PA. Weinman J, et al. Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions. Psychol Med 2006; 36: 761-770.
49. Lysaker PH, Davis LD, Eckert GJ, Strasburger A, Hunter N, Buck KD. Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: A single case study. Clin Psychol Psychotherapy 2005; 12: 406-416.
50. Lysaker PH, Buck KD, Hammoud, K, Taylor, AC, Roe D. Associations of symptom remission, psychosocial function and hope with qualities of self experience in schizophrenia: Comparisons of objective and subjective indicators of recovery. Schizophr Res 2006; 82: 241-249.
51. Drake RJ, Lewis SW. Insight and neurocognition in schizophrenia. Schizophr Res 2003; 62:165-173.
52. Smith TE, Hull JW, Israel, LM, Wilson DF. Insight symptoms and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull 2000; 26: 193-200.