Predictors of insight in first-episode schizophrenia: A 5-year cohort study from India

International Journal of Social Psychiatry

Volumn 60, Issue 6, 2014, Pages 566-574

  Johnson, Shanthi ^a   Sathyaseelan, Manoranjitham ^a   Charles, Helen ^a   Jeyaseelan, Visalakshi ^a   Jacob, Kuruthukulangara S ^a  

^a CHRISTIAN MEDICAL COLLEGE   (India)

Author keywords

culture; explanatory models; insight; outcome; Schizophrenia

Indexed keywords

ADULT; COMPREHENSION; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; INDIA; MALE; PSYCHOLOGIC TEST; PSYCHOLOGICAL RATING SCALE; PSYCHOLOGY; SCHIZOPHRENIA; SELF CONCEPT;

ADULT; COMPREHENSION; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; INDIA; INTERVIEW, PSYCHOLOGICAL; MALE; PSYCHIATRIC STATUS RATING SCALES; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; SELF CONCEPT;

EID: 84906666960     PISSN: 00207640     EISSN: 17412854     Source Type: Journal    
DOI: 10.1177/0020764013504561     Document Type: Article

References (44)

1. Aga V. M., Agarwal A. K., Gupta S. C.. The relationship of insight to psychopathology in schizophrenia: A cross-sectional study. Indian Journal of Psychiatry. 1995 ; 37: 129-135
2. Amador X. F., David A. S. Insight and psychosis: Awareness of illness in schizophrenia and related disorders. 2004 ). Insight and psychosis: Awareness of illness in schizophrenia and related disorders, 2nd edn.Oxford, UK: Oxford University Press. Oxford, UK: Oxford University Press ; 2004 :
3. Diagnostic and statistical manual of mental disorders (DSM-IV). 1994). Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn.Washington, DC: APA. Washington, DC: APA ; 1994 :
4. Andreasen N. C., Carpenter W. T., Kane J. M., Lasser R. A., Marder S. R., Weinberger D. R.. Remission in schizophrenia: Proposed criteria and rationale for consensus. American Journal of Psychiatry. 2005 ; 162: 441-449
5. Anoop S., Saravanan B., Joseph A., Cherian A., Jacob K. S.. Maternal depression and low maternal intelligence as risk factors for malnutrition in children: A community based case-control study from South India. Archives of Diseases in Childhood. 2004 ; 89: 325-329
6. David A.. Insight and psychosis. British Journal of Psychiatry. 1990 ; 156: 798-809
7. David A. S. Insight and psychosis: Awareness of illness in schizophrenia and related disorders. 2004 ). The clinical importance of insight: An overview. In AmadorX. F.DavidA. S. (Eds.), Insight and psychosis: Awareness of illness in schizophrenia and related disorders (pp. 359-392), 2nd edn.Oxford, UK: Oxford University Press. Amador X. F. David A. S., ed. Oxford, UK: Oxford University Press ; 2004: 359-392.
8. Drake R. J., Dunn G., Tarrier N., Bentall R. P., Haddock G., Lewis S. W.. Insight as a predictor of the outcome of first-episode nonaffective psychosis in a prospective cohort study in England. Journal of Clinical Psychiatry. 2007 ; 68: 81-86
9. Duba A. S., Rajkumar A. P., Prince M. J., Jacob K. S.. Determinants of disability among elderly in a rural south Indian community: Need to study local issues and contexts. International Psychogeriatrics. 2012 ; 24: 333-341
10. Endicott J., Spitzer R. L., Fleiss J.. The Global Assessment Scale. Archives of General Psychiatry. 1976 ; 33: 766-771
11. Gater R., De Almeida Sousa B., Barrientos G., Caraveo J., Chandrasekhar C. R., Dhadphale M., Goldberg D., al Kathiri A. H., Mubbashar M., Silhan K.. The pathways to psychiatric care: A cross-cultural study. Psychological Medicine. 1991 ; 21: 761-774
12. Jacob K. S.. The assessment of insight across cultures. Indian Journal of Psychiatry. 2010 ; 52: 373-377
13. Jacob K. S.. Patient experience and psychiatric discourse. The Psychiatrist. 2012 ; 36: 414-417
14. Jacob K. S., Bhugra D., Lloyd K. R., Mann A. H.. Common mental disorders, explanatory models and consultation behavior among Indian women in primary care. Journal of the Royal Society of Medicine. 1998 ; 91: 66-71
15. Joel D., Sathyaseelan M., Jayakaran R., Vijayakumar C., Muthurathnam S., Jacob K. S.. Explanatory models of psychosis among community health workers in South India. Acta Psychiatrica Scandinavica. 2003 ; 108: 66-69
16. Johnson S., Manoranjitham S. D., Charles H., Jeyaseelan V., Jacob K. S.. Insight, psychopathology, explanatory models and outcome of schizophrenia in India: A prospective 5-year cohort study. BMC Psychiatry. 2012 ; 12: 159
17. Kapoor R. L.. Mental health care in rural India: A study of existing patterns and their implications for future policy. British Journal of Psychiatry. 1975 ; 127: 286-293
18. KaufmanJ. (2007). Escaping the voices. H&P: The Stanford Medical Student Clinical Journal, 11, 18-19. Retrieved from http://bioethics.stanford. edu/arts/documents/Winter%2007%20PDF.pdf
19. Kay S. R., Fiszbein A., Opler L. A.. The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin. 1987 ; 13: 261-276
20. Kemp R., David A. Treatment compliance and the therapeutic alliance in serious mental illness. Blackwell B., ed. Amsterdam, The Netherlands: Harwood Academic Publishers ; 1997: 61-84.
21. Kulhara P., Chakraborti S., Basu D.. Insight and psychosis - An empirical inquiry. Indian Journal of Social Psychiatry. 1992 ; 8: 40-44
22. Lloyd K. R., Jacob K. S., Patel V., St Louis L., Bhugra D., Mann AH. The development of the short explanatory model interview and its use among primary care attenders with common mental disorder - A preliminary report. Psychological Medicine. 1998 ; 28: 1231-1237
23. Manoharam E. S., John K. R., Joseph A., Jacob K. S.. Psychiatric morbidity, patient perspectives of illness and factors associated with poor medication compliance among the tuberculosis in Vellore, South India. Indian Journal of Tuberculosis. 2001 ; 48: 77-80
24. Manoranjitham S. D., Rajkumar A. P., Thangadurai P., Prasad J., Jayakaran R., Jacob K. S.. Suicide in rural South India. British Journal of Psychiatry. 2010 ; 196: 26-30
25. McCabe R., Priebe S.. Explanatory models of illness in schizophrenia: Comparison of four ethnic groups. British Journal of Psychiatry. 2004 ; 185: 25-30
26. Mintz A. R., Dobson K. S., Romney D. M.. Insight in schizophrenia: A meta-analysis. Schizophrenia Research. 2003 ; 61: 75-88
27. Mohamed S., Rosenheck R., Mcevoy J., Swartz M., Stroup S., Lieberman J. A.. Cross-sectional and longitudinal relationships between insight and attitudes toward medication and clinical outcomes in chronic schizophrenia. Schizophrenia Bulletin. 2009 ; 35: 336-346
28. Nambi S. K., Prasad J., Singh D., Abraham V., Kuruvilla A., Jacob K. S.. Explanatory models and common mental disorders among subjects with unexplained somatic symptoms in a primary care facility in Tamil Nadu. National Medical Journal of India. 2002 ; 15: 331-335
29. Patel V., Pereira J., Mann A.. Somatic and psychological models of common mental disorders in India. Psychological Medicine. 1998 ; 28: 135-143
30. Roe D., Kravetz S.. Different ways of being aware of a psychiatric disability: A multifunctional narrative approach to insight into mental disorder. Journal of Nervous and Mental Disease. 2003 ; 191: 417-424
31. Sanz M., Constable G., Lopez-Ibor I., Kemp R., David A. S.. A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychological Medicine. 1998 ; 28: 437-446
32. Saravanan B., David A., Bhugra D., Prince M., Jacob K. S.. Insight in people with psychosis: The influence of culture. International Review of Psychiatry. 2005 ; 17: 83-87
33. Saravanan B., Jacob K. S., Johnson S., Prince M., Bhugra D., David A. S.. Assessing insight in schizophrenia. East meets West. British Journal of Psychiatry. 2007a ; 190: 243-247
34. Saravanan B., Jacob K. S., Johnson S., Prince M., Bhugra D., David A. S.. Belief models in first episode schizophrenia in South India. Social Psychiatry and Psychiatric Epidemiology. 2007b ; 42: 446-451
35. Saravanan B., Jacob K. S., Johnson S., Prince M., Bhugra D., David A. S.. Outcome of first-episode schizophrenia in India: Longitudinal study of effect of insight and psychopathology. British Journal of Psychiatry. 2010 ; 196: 454-459
36. Saravanan B., Jacob K. S., Prince M., Bhugra D., David A. S.. Culture and insight revisited. British Journal of Psychiatry. 2004 ; 184: 107-109
37. Sims A. New Oxford textbook of psychiatry. 2009 ). Descriptive phenomenology. In GelderM. G.AndreasenN. C.Lopez-IborJ. J.GeddesJ. R. (Eds.), New Oxford textbook of psychiatry (pp. 47-61), 2nd edn.Oxford, UK: Oxford University Press. Gelder M. G. Andreasen N. C. Lopez-Ibor J. J. Geddes J. R., ed. Oxford, UK: Oxford University Press ; 2009: 47-61.
38. Spitzer R. L., Williams J. B. W., Gibbon M., First M. B. Structured clinical interview for DSM III-R-patient version (SCID-P). Washington, DC: American Psychiatric Press ; 1990 :
39. Surguladze S., David A.. Insight and major mental illness: An update for clinicians. Advances in Psychiatric Treatment. 1999 ; 5: 163-170
40. Tranulis C. S., Freudenreich O., Park L.. Narrative insight: Rethinking insight in psychosis. International Journal of Culture and Mental Health. 2009 ; 2: 16-28
41. Ventura J. A., Lukoff D., Neuchterlein K. H., Liberman R. P., Green M. F., Shaner A.. Brief Psychiatric Rating Scale Expanded version 4.0: Scales anchor points and administration manual. International Journal of Methods in Psychiatric Research. 1993 ; 13: 221-244
42. Wilson W. H., Ban T. A., Guys W.. Flexible system criteria in chronic schizophrenia. Comprehensive Psychiatry. 1986 ; 27: 259-265
43. Report of the international pilot study of schizophrenia. Geneva, Switzerland: WHO ; 1973 :
44. WHODAS II Disability Assessment Schedule. 12-item interviewer administered version. Geneva, Switzerland: WHO ; 2001 :