Insight and schizophrenia: Correlates, etiology and treatment

Clinical Schizophrenia and Related Psychoses

Volumn 2, Issue 2, 2008, Pages 147-154

  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

Cognition; Insight; Psychotherapy; Recovery; Schizophrenia

Indexed keywords

NEUROLEPTIC AGENT;

ATTITUDE TO MENTAL ILLNESS; AWARENESS; BEHAVIOR THERAPY; COGNITION; COGNITIVE THERAPY; CONVALESCENCE; COPING BEHAVIOR; CORRELATION ANALYSIS; DISEASE COURSE; EMOTIONALITY; EMPOWERMENT; HUMAN; INTERVIEW; MEDICAL RESEARCH; MOTIVATION; OUTCOME ASSESSMENT; PATHOGENESIS; PATIENT ATTITUDE; PATIENT CARE; PATIENT COMPLIANCE; PSYCHOLOGIC ASSESSMENT; PSYCHOLOGICAL WELL BEING; PSYCHOSOCIAL REHABILITATION; PSYCHOTHERAPY; REVIEW; SCHIZOPHRENIA; SELF CONCEPT; SELF ESTEEM; SOCIAL PSYCHOLOGY; STIGMA; SYMPTOM; THINKING; VOCATIONAL REHABILITATION;

EID: 48049098740     PISSN: 19351232     EISSN: None     Source Type: Journal    
DOI: 10.3371/CSRP.2.2.4     Document Type: Review

References (69)

1. Amador XF, Strauss DH, Yale SA, Gorman JM. Awareness of illness in schizophrenia. Schizophr Bull 1991;17(1):113-132.
2. David AS. Insight and psychosis. Br J Psychiatry 1990;156:798-808.
3. Lysaker PH, Wickett AM, Wilke N, Lysaker J. Narrative incoherence in schizophrenia: the absent agent-protagonist and the collapse of internal dialogue. Am J Psychother 2003;57(2):153-166.
4. Bell M, Fiszdon J, Richardson R, Lysaker P, Bryson G. Are self-reports valid for schizophrenia patients with poor insight? Relationship of unawareness of illness to psychological self-report instruments. Psychiatry Res 2007;151(1-2):37-46.
5. Linden M, Godemann F. The differentiation between 'lack of insight' and 'dysfunctional health beliefs' in schizophrenia. Psychopathology 2007;40(4):236-241.
6. Startup M. Awareness of own and others' schizophrenic illness. Schizophr Res 1997;26(2-3):203-211.
7. Pescosolido BA. Beyond rational choice: the social dynamics of how people seek help. Am J Sociol 1997;97(4):1096-1138.
8. Pescosolido BA. Illness careers and network ties: a conceptual model of utilization and compliance. In: Albrecht G, Levy J, editors. Advances in medical sociology: a research annual, 1991. Greenwich (CT): JAI Press; 1991. p.161-184.
9. Buckley PF, Fenley G, Mabe A, Peeples S. Recovery and schizophrenia. Clinical Schizophrenia & Related Psychoses 2007;1(1):96-100.
10. Davidson L, O'Connell M, Tondora J, Lawless M, Evans AC. Recovery in serious mental illness: a new wine or just a new bottle? Prof Psychol Res Pr 2005;36(5):480-487.
11. New Freedom Commission on Mental Health. Achieving the promise: transforming mental health care in America, final report. DHHS Pub. No. SMA-03-3832. Rockville, MD: 2003.
12. Roe D. Exploring the relationship between the person and the disorder among individuals hospitalized for psychosis. Psychiatry 2001;62(4):372-380.
13. Bartko G, Herczeg I, Zador G. Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr Scand 1988;77(1):74-76.
14. Cuffel BJ, Alford J, Fischer EP, Owen RR. Awareness of illness in schizophrenia and outpatient treatment adherence. J Nerv Ment Dis 1996;184(11):653-659.
15. Rocca P. Crivelli B, Marino F, Mongini T, Portaleone F, Bogetto F. Correlations of attitudes toward antipsychotic drugs with insight and objective psychopathology in schizophrenia. Compr Psychiatry 2008;49(2):170-176.
16. Olfson M, Marcus SC, Wilk J, West JC. Awareness of illness and nonadherence to antipsychotic medications among persons with schizophrenia. Psychiatr Serv 2006;57(2):205-211.
17. Perkins DO, Johnson JL, Hamer RM, Zipursky RB, Keefe RS, Centorrhino F, et al; HGDH Research Group. Predictors of antipsychotic medication adherence in patients recovering from a first psychotic episode. Schizophr Res 2006;83(1):53-63.
18. Lincoln TM, Lullmann E, Rief W. Correlates and long-term consequences of poor insight in patients with schizophrenia. A systematic review. Schizophr Bull 2007;33(6):1324-1342.
19. Lysaker PH, Buck KD. Illness and the disruption of autobiography: accounting for the complex effect of awareness in schizophrenia. J Psychosoc Nurs Ment Health Serv 2007;45(9):39-45.
20. Heinrichs DW, Cohen BP, Carpenter WT Jr. Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis 1985;173(3):133-138.
21. McEvoy JP, Freter S, Everett G, Geller JL, Appelbaum P, Apperson LJ, et al. Insight and the clinical outcome of schizophrenic patients. J Nerv Ment Dis 1989;177(1):48-51.
22. Drake RJ, Dunn G, Tarrier N, Bentall RP, Haddock G, Lewis SW. Insight as a predictor of the outcome of first-episode nonaffective psychosis in a prospective cohort study in England. J Clin Psychiatry 2007;68(1):81-86.
23. Bota RG, Munro JS, Ricci WF, Bota DA. The dynamics of insight in the prodrome of schizophrenia. CNS Spectr 2006;11(5):355-362.
24. Keshavan MS, Rabinowitz J, DeSmedt G, Harvey PD, Schooler N. Correlates of insight in first episode psychosis. Schizophr Res 2004;70(2-3):187-194.
25. Sevy S, Nathanson K, Visweswaraiah H, Amador X. The relationship between insight and symptoms in schizophrenia. Compr Psychiatry 2004;45(1):16-19.
26. Mintz AR, Addington J, Addington D. Insight in early psychosis: a 1-year follow-up. Schizophr Res 2004;67(2-3):213-217.
27. Francis JL, Penn DL. The relationship between insight and social skill in persons with severe mental illness. J Nerv Ment Dis 2001;189(12):822-829.
28. Lysaker PH, Bell MD, Bryson GJ, Kaplan E. Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 1998;186(7):432-436.
29. Landgon R, Comer 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(5):699-713.
30. Lysaker PH, Daroyanni P, Ringer JM, Beattie NL, Strasburger AM, Davis LW. Associations of awareness of illness in schizophrenia spectrum disorder with social cognition and cognitive perceptual organization. J Nerv Ment Dis 2007;195(7):618-621.
31. Lysaker PH, Bryson GJ, Bell MD. Insight and work performance in schizophrenia. J Nerv Ment Dis 2002;190(3):142-146.
32. Debowska G, Grzywa A, Kucharska-Pietura K. Insight in paranoid schizophrenia - its relationship to psychopathology and premorbid adjustment. Compr Psychiatry 1998;39(5):255-260.
33. Lincoln TM, Hodgins S. Is lack of insight associated with physically aggressive behavior among people with schizophrenia living in the community? J Nerv Ment Dis 2008;196(1):62-66.
34. Mintz AR, Dobson KS, Romney DM. Insight in schizophrenia: a meta-analysis. Schizophr Res 2003;61(1):75-88.
35. Drake RJ, Pickles A, Bentall RP, Kinderman P, Haddock G, Tarrier N, et al. The evolution of insight, paranoia and depression during early schizophrenia. Psychol Med 2004;34(2):285-292.
36. Hasson-Ohayon I, Kravetz S, Roe D, David AS, Weiser M. Insight into psychosis and quality of life. Compr Psychiatry 2006;47(4):265-269.
37. 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(9):1185-1188.
38. Crumlish N, Whitty P, Kamali M, Clarke M, Browne S, McTigue O, et al. Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder. Acta Psychiatr Scand 2005;112(6):449-455.
39. Evren C, Evren B. Characteristics of schizophrenia patients with a history of suicide attempt. International Journal of Psychiatry in Clinical Practice 2004;8(4):227-234.
40. 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 2007;33(1):192-199.
41. Osatuke K, Ciesla J, Kasckow JW, Zisook S, Mohamed S. Insight in schizophrenia: a review of etiological models and supporting research. Compr Psychiatry 2008;49(1):70-77.
42. Lysaker PH, France CM, Hunter NL, Davis LW. Personal narratives of illness in schizophrenia: associations with neurocognition and symptoms. Psychiatry 2005;68(2):140-151.
43. Drake RJ, Lewis SW. Insight and neurocognition in schizophrenia. Schizophr Res 2003;62(1-2):165-173.
44. Lysaker PH, Bryson GJ, Lancaster RS, Evans JD, Bell MD. Insight in schizophrenia: associations with executive function and coping style. Schizophr Res 2003;59(1):41-47.
45. Mohamed S, Fleming S, Penn DL, Spaulding W. Insight in schizophrenia: its relationship to measures of executive functions. J Nerv Ment Dis 1999;187(9):525-531.
46. Smith TE, Hull JW, Goodman M, Hedayat-Harris A, Wilson DF, Israel LM, et al. The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. J Nerv Ment Dis 1999;187(2):102-108.
47. Young DA, Zakzanis KK, Bailey C, Davila R, Griese J, Sartory G, et al. Further parameters of insight and neuropsychological deficit in schizophrenia and other chronic mental disease. J Nerv Ment Dis 1998;186(1):44-50.
48. Cuesta MJ, Peralta V, Zarzuela A, Zandio M. Insight dimensions and cognitive function in psychosis: a longitudinal study. BMC Psychiatry 2006;6:26.
49. 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(9):1339-1345.
50. Henry C, Ghaemi SN. Insight in psychosis: a systematic review of treatment interventions. Psychopathology 2004;37(4):194-199.
51. Sensky T, Turkington D, Kingdon D, Scott JL, Scott J, Siddle R, et al. A randomized controlled trial of cognitive-behavioral therapy for persistent symptoms in schizophrenia resistant to medication. Arch Gen Psychiatry 2000;57(2):165-172.
52. Rathod S, Kingdon D, Smith P, Turkington D. Insight into schizophrenia: the effects of cognitive behavioural therapy on the components of insight and association with sociodemographics-data on a previously published randomised controlled trial. Schizophr Res 2005;74(2-3):211-219.
53. Startup M, Jackson MC, Startup S. Insight and recovery from acute psychotic episodes: the effects of cognitive behavior therapy and premature termination of treatment. J Nerv Ment Dis 2006;194(10):740-745.
54. France CM, Uhlin BD. Narrative as an outcome domain in psychosis. Psychol Psychother 2006;79(Pt 1):53-67.
55. Gold E. From narrative wreckage to islands of clarity. Can Fam Physician 2007;53(8):1271-1275.
56. Lysaker P, Buck K, Ringer J. The recovery of metacognitive capacity in schizophrenia across 32 months of individual psychotherapy: A case study. Psychother Res 2007;17(6):713-720.
57. Lysaker PH, Davis LW, Jones AM, Strasburger AM, Hunter NL. The interplay of relationship and technique in the long-term psychotherapy of schizophrenia: A single case study. Counselling and Psychotherapy Research 2007;7:79-85.
58. Lysaker PH, Davis LD, Eckert GJ, Strasburger AM, Hunter NL, Buck KD. Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study. Clin Psychol Psychother 2005;12(5):406-416.
59. Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: towards an empirically validated stage model. Aust N Z J Psychiatry 2003;37(5):586-594.
60. Laithwaite H, Gumley A. Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting. Clin Psychol Psychother 2007;14(4):302-316.
61. Roe D. Recovering from severe mental illness: mutual influences of self and illness. J Psychosoc Nurs Ment Health Serv 2005;43(12):35-40.
62. Rusch N, Corrigan PW. Motivational interviewing to improve insight and treatment adherence in schizophrenia. Psychiatr Rehabil J 2002;26(1):23-32.
63. Sousa S. The LORS-enabled dialogue: improving insight in psychotic illnesses. J Psychosoc Nurs Ment Health Serv 2008;46(2):44-51.
64. Lysaker P, Bell M. Work rehabilitation and improvements in insight in schizophrenia. J Nerv Ment Dis 1995;183(2):103-106.
65. Amador XF. I am not sick-I don't need help. 1st ed. Peconic (NY): Vida Press; 2000.
66. Lewis L. Mourning, insight, and reduction of suicide risk in schizophrenia. Bull Menninger Clin 2004;68(3):231-244.
67. Bourgeois M, Swendsen J, Young F, Amador X, Pini S, Cassano GB, et al. Awareness of disorder and suicide risk in the treatment of schizophrenia: results of the international suicide prevention trial. Am J Psychiatry 2004;161(8):1494-1496.
68. Roe D, Kravetz S. Different ways of being aware of a psychiatric disability: a multifunctional narrative approach to insight into mental disorder. J Nerv Ment Dis 2003;191(7):417-424.
69. Buckley PF, Wirshing DA, Bhushan P, Pierre JM, Resnick SA, Wirshing WC. Lack of insight in schizophrenia: impact on treatment adherence. CNS Drugs 2007;21(2):129-141.