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Insight and psychotic illness. Cross-sectional and longitudinal associations.

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Title: Insight and psychotic illness. Cross-sectional and longitudinal associations.
Authors: David, Anthony, van Os, Jim, Jones, Peter, Harvey, Ian, Foerster, Alice, Fahy, Thomas, David, A (AUTHOR), van Os, J (AUTHOR), Jones, P (AUTHOR), Harvey, I (AUTHOR), Foerster, A (AUTHOR), Fahy, T (AUTHOR)
Source: British Journal of Psychiatry. Nov95, Vol. 167, p621-628. 8p. 4 Charts.
Subjects: Insight, Mental illness, Pathological psychology, Neuropsychology, Sociodemographic factors, Thought & thinking, Psychoses
Abstract: Background: Insight has recently re-emerged as an important aspect of psychopathology amenable to empirical study. We sought to examine the relationship between various aspects of insight into illness and clinical, sociodemographic and neuropsychological variables.Method: From an inner-London catchment area population, 150 in-patients with recent onset of psychosis were assessed on a variety of measures, including the Present State Examination (PSE). Subjects were followed up for a mean of four years and reassessed.Results: High IQ was associated with better insight as rated on the PSE, while gender, ethnicity and a diagnosis of schizophrenia appeared to be unrelated. At follow-up, similar associations were found, as well as correlations with attitudes to treatment and a more elaborate measure of insight. Cerebral ventricular enlargement and tests of frontal lobe function did not correlate with insight, but there was a curious, strong association with left-handedness at both assessment points. Initial insight correlated significantly but weakly with insight at follow-up.Conclusions: The assessment of insight in psychosis has concurrent validity and is a distinct aspect of psychotic phenomenology. It may, in part, have a neuropsychological basis. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Insight and psychotic illness. Cross-sectional and longitudinal associations.
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  Data: <searchLink fieldCode="AR" term="%22David%2C+Anthony%22">David, Anthony</searchLink><br /><searchLink fieldCode="AR" term="%22van+Os%2C+Jim%22">van Os, Jim</searchLink><br /><searchLink fieldCode="AR" term="%22Jones%2C+Peter%22">Jones, Peter</searchLink><br /><searchLink fieldCode="AR" term="%22Harvey%2C+Ian%22">Harvey, Ian</searchLink><br /><searchLink fieldCode="AR" term="%22Foerster%2C+Alice%22">Foerster, Alice</searchLink><br /><searchLink fieldCode="AR" term="%22Fahy%2C+Thomas%22">Fahy, Thomas</searchLink><br /><searchLink fieldCode="AR" term="%22David%2C+A%22">David, A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Os%2C+J%22">van Os, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+P%22">Jones, P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harvey%2C+I%22">Harvey, I</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foerster%2C+A%22">Foerster, A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fahy%2C+T%22">Fahy, T</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Nov95, Vol. 167, p621-628. 8p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Insight%22">Insight</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychology%22">Neuropsychology</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Thought+%26+thinking%22">Thought & thinking</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: <bold>Background: </bold>Insight has recently re-emerged as an important aspect of psychopathology amenable to empirical study. We sought to examine the relationship between various aspects of insight into illness and clinical, sociodemographic and neuropsychological variables.<bold>Method: </bold>From an inner-London catchment area population, 150 in-patients with recent onset of psychosis were assessed on a variety of measures, including the Present State Examination (PSE). Subjects were followed up for a mean of four years and reassessed.<bold>Results: </bold>High IQ was associated with better insight as rated on the PSE, while gender, ethnicity and a diagnosis of schizophrenia appeared to be unrelated. At follow-up, similar associations were found, as well as correlations with attitudes to treatment and a more elaborate measure of insight. Cerebral ventricular enlargement and tests of frontal lobe function did not correlate with insight, but there was a curious, strong association with left-handedness at both assessment points. Initial insight correlated significantly but weakly with insight at follow-up.<bold>Conclusions: </bold>The assessment of insight in psychosis has concurrent validity and is a distinct aspect of psychotic phenomenology. It may, in part, have a neuropsychological basis. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1192/bjp.167.5.621
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 621
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      – SubjectFull: Insight
        Type: general
      – SubjectFull: Mental illness
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      – SubjectFull: Pathological psychology
        Type: general
      – SubjectFull: Neuropsychology
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      – SubjectFull: Sociodemographic factors
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      – SubjectFull: Thought & thinking
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      – SubjectFull: Psychoses
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      – TitleFull: Insight and psychotic illness. Cross-sectional and longitudinal associations.
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            – D: 01
              M: 11
              Text: Nov95
              Type: published
              Y: 1995
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