A multi-dimensional approach to insight and its evolution in first-episode psychosis: A 1-year outcome naturalistic study

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• 作者：Delphine Capdevielle ; Joanna Norton ; Isabelle Jaussent ; Cindy Prud鈥檋omme ; St茅phane Raffard ; Fran莽oise Gelly ; Jean-Philippe Boulenger ; Karen Ritchie
• 关键词：First psychosis episode ; Insight ; SUMD ; Remission
• 刊名：Psychiatry Research
• 出版年：30 December, 2013
• 年：2013
• 卷：210
• 期：3
• 页码：835-841
• 全文大小：317 K

文摘

The aim of the study was to describe the evolution of the different dimensions of insight at 1 year and its associations with psychopathology and symptomatic remission. Participants included 55 patients hospitalized for a first psychosis episode and followed up at 6 and 12 months after discharge. Measures included the Scale to Assess Unawareness of Mental Disorder and the Positive and Negative Syndrome Scale (PANSS). Six dimensions of insight were evaluated, for current episode at hospital discharge and at 6 and 12 month FUs and past episode (at 6 and 12 month follow-ups). Our results show that concerning the current episode, only awareness of the social consequences and of the positive symptoms significantly improved during follow-up. Insight into the past episode improved for awareness of having a mental disorder, the social consequences and the positive symptoms of mental illness. Cross-sectional associations between insight and PANSS show weak to moderate, albeit significant, associations. Most of the dimensions of insight are positively and significantly associated with remission. Our findings suggest that the main underlying dimensions of insight evolve differently over time, which could suggest different inherent processes. This could be useful for developing psychotherapeutic programmes acting upon the different aspects of insight.