TY - JOUR
PY - 2002//
TI - Lack of insight in schizophrenic patients: A review
JO - Tijdschrift voor Psychiatrie
A1 - Robben, N.
A1 - De Hert, M.
A1 - Peuskens, J.
SP - 313
EP - 322
VL - 44
IS - 5
N2 - BACKGROUND: Lack ofinsight is a common clinically used and examined concept.
AIM: This review gives an overview of the research which studied the different variables associated with insight.
METHOD: The different studies were collected by means of Medline and Psyclit. We reduced the number of articles by using English and Dutch language literature from 1990 until July 2000.
RESULTS: Lack of insight is more prevalent in schizophrenic patients than in other diagnostic groups. Association with positive symptoms is present. The impact of neurocognitive dysfunctioning on insight is more and more highlighted. The higher the insight, the better the psychosocial functioning, the treatment compliance and the global outcome seem to be, indicating the importance of treatment strategies improving insight. Increasing insight is associated with depressed mood and an elevated risk for suicide.
CONCLUSION: Research results indicate a correlation between insight, positive symptoms and prognosis. The associations mentioned are only correlational, a statement about causality is not possible. Especially longitudinal studies, the use of a consistent definition of insight, and re-liable, valid instuments to measure insight are needed.
Language: nl
LA - nl SN - 0303-7339 UR - http://dx.doi.org/ ID - ref1 ER -