Abstract：
:Insight impairment is common early in the course of psychosis. Most studies have focused on the relationship between insight and depression, although manic symptoms are also frequent in psychoses. The main aim of this study was to examine the relationship between insight dimensions and manic and depressive symptoms in first-episode psychosis. A group of inpatients in their first psychotic episodes (n=124) were evaluated using the Scale to Assess Unawareness of Mental Disorder, Young Mania Rating Scale and Hamilton Depression Rating Scale. To study the effect of clinical, manic and depressive symptoms on insight, awareness of mental disorder, awareness of the achieved effects of medication, and awareness of the social consequences of having a mental disorder were modelled using ordinal logistic regression techniques. Results showed that greater awareness of mental disorder was significantly related to higher age at first episode together with higher scores for negative and depressive symptoms. The opposite was found to be true in presentations with a higher severity of disease and manic symptoms. The model fitting unawareness of the achieved effects of medication identified the same significant variables, except in the case of negative symptoms. Finally, the model assessing the social consequences of having a mental disorder showed unawareness to be greater when manic symptoms and disease severity were high.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Aspiazu S,Mosquera F,Ibañez B,Vega P,Barbeito S,López P,Ruiz de Azúa S,Ugarte A,Vieta E,González-Pinto Adoi
10.1016/j.psychres.2010.03.012subject
Has Abstractpub_date
2010-08-15 00:00:00pages
480-6issue
3eissn
0165-1781issn
1872-7123pii
S0165-1781(10)00109-5journal_volume
178pub_type
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