| Insight into illness: impact on diagnosis and outcome of nonaffective psychosis. | |
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MedLine Citation:
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PMID: 18652788 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Insight is a reliably measured construct that is stable across cultures, with several aspects assessed frequently. Insight impairment in schizophrenia appears to be more stable than in mania and tends to be worse at all stages than other psychoses or "at-risk states." Good insight may lead to temporary low mood and poor self-image, but these processes are complex and perhaps not the same at different stages of illness. Depression and hopelessness mediate insight's relationship with suicidality. Insight predicts low self-rating of quality of life but better observer rating and social function. It did not predict violence in one large study but did in shorter-term studies of forensic or first-admission populations. First-episode studies find consistent links with relapse and readmission but weak evidence of insight predicting symptoms or function at follow-up. Atypical antipsychotics were not specifically beneficial in one large trial, but cognitive-behavioral therapy was in another. |
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Authors:
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Richard J Drake |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current psychiatry reports Volume: 10 ISSN: 1535-1645 ISO Abbreviation: Curr Psychiatry Rep Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-07-25 Completed Date: 2008-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888960 Medline TA: Curr Psychiatry Rep Country: United States |
Other Details:
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Languages: eng Pagination: 210-6 Citation Subset: IM |
Affiliation:
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Psychiatry Research Group, School of Community Based Medicine, University of Manchester, 3.315 University Place (East), Oxford Road, Manchester M13 9PL, England. richard.drake@manchester.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude to Health* Humans Psychotic Disorders* / diagnosis, psychology, therapy Quality of Life / psychology Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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