Why must some schizophrenic patients be involuntarily committed? The role of insight.

Abstract:

:Twenty-four of 52 (46%) schizophrenic patients hospitalized because of acute psychotic episodes associated with preadmission medication noncompliance required involuntary commitment. Committed patients were rated as significantly more severely ill than voluntary patients and were significantly more likely to be transferred to extended treatment facilities after acute care. However, committed patients were significantly less likely than were voluntarily admitted patients to acknowledge that they were psychiatrically ill and in need of treatment, i.e., to demonstrate insight. Although psychopathology diminished significantly in both committed and voluntary patients over the course of hospitalization, only in voluntary patients did insight increase significantly. Over a 21/2 to 31/2 year follow-up, those patients who had been involuntarily committed at the index hospitalization were significantly more likely to require involuntary admissions than were the initially voluntary patients. Inability to see the self as ill seems to be a persistent trait in some schizophrenic patients.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

McEvoy JP,Applebaum PS,Apperson LJ,Geller JL,Freter S

doi

10.1016/0010-440x(89)90113-2

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

13-7

issue

1

eissn

0010-440X

issn

1532-8384

pii

0010-440X(89)90113-2

journal_volume

30

pub_type

杂志文章
  • Dissociative experiences and dissociative disorders in acute psychiatric inpatients.

    abstract::The study attempted to determine the extent of dissociative experiences and the prevalence of dissociative disorders (DDs) in a series of acute psychiatric inpatients and to correlate these experiences and disorders with some sociodemographic, clinical, and historical variables. A total of 207 consecutively admitted p...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(96)90017-6

    authors: Modestin J,Ebner G,Junghan M,Erni T

    更新日期:1996-09-01 00:00:00

  • Finders keepers: the features differentiating hoarding disorder from normative collecting.

    abstract:OBJECTIVE:A new diagnostic category called Hoarding Disorder (HD) has been proposed for inclusion in DSM-5. It is paramount that this addition does not result in an over-pathologization of normative behavior. Collectors constitute a valid population within which to test the diagnostic boundaries of HD. The current stud...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2012.07.063

    authors: Nordsletten AE,Fernández de la Cruz L,Billotti D,Mataix-Cols D

    更新日期:2013-04-01 00:00:00

  • Compliance and schizophrenia: the predictive potential of insight into illness, symptoms, and side effects.

    abstract:BACKGROUND:Personal beliefs about medication compliance have been reliably associated with emotional and behavioral response to mental health problems and health outcomes. This notion has been extensively explored in relation to mental illness. In the current study, a questionnaire designed to assess beliefs about medi...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2010.03.007

    authors: Kao YC,Liu YP

    更新日期:2010-11-01 00:00:00

  • Clinical predictors of quality of life in a large sample of adult obsessive-compulsive disorder outpatients.

    abstract:BACKGROUND:OCD causes impairment in different areas of the patients' quality of life (QoL), such as sociability, family relationships, and occupational performance. The literature has emphasized the relevance of assessing QoL as a critical outcome in mental health studies. AIMS:The aim of this study was to investigate...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2018.07.007

    authors: Velloso P,Piccinato C,Ferrão Y,Perin EA,Cesar R,Fontenelle LF,Hounie AG,do Rosário MC

    更新日期:2018-10-01 00:00:00

  • Should parents share medical information with their young children? A prospective study.

    abstract:BACKGROUND:As psychiatric consultants to pediatric wards, we are often asked whether to disclose to young children full information about the invasive medical procedures they face. To date, no studies have been published offering an evidence-based answer to this question. This prospective study examined whether sharing...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2018.11.012

    authors: Ben Ari A,Margalit D,Roth Y,Udassin R,Benarroch F

    更新日期:2019-01-01 00:00:00

  • Clinicians' conflicting emotional responses to high suicide-risk patients-Association with short-term suicide behaviors: A prospective pilot study.

    abstract:BACKGROUND:Clinician's emotional responses to patients have been recognized as potentially relating to treatment outcome, however they have received little attention in the literature on suicide risk. We examine the relationship between a novel targeted measure of clinicians' emotional responses to high-risk psychiatri...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2017.03.013

    authors: Yaseen ZS,Galynker II,Cohen LJ,Briggs J

    更新日期:2017-07-01 00:00:00

  • Screening disordered eating attitudes and eating disorders in a sample of Turkish female college students.

    abstract::It has been hypothesized that college women are particularly susceptible to the development and maintenance of disturbed eating behaviors. The purpose of this study was to determine the frequency of disordered eating attitudes and eating disorders in a sample of Turkish female college students. The Eating Attitudes Te...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2005.05.004

    authors: Uzun O,Güleç N,Ozşahin A,Doruk A,Ozdemir B,Calişkan U

    更新日期:2006-03-01 00:00:00

  • Is there a relationship between clozapine and obsessive-compulsive disorder?: a retrospective chart review.

    abstract::The emergence of obsessive-compulsive symptoms during clozapine treatment has been reported in recent case studies, yet the incidence and significance of this finding is still unclear pending reliable data from a larger sample of patients. Hospital records of 142 randomly selected inpatients started on clozapine treat...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0010-440x(95)90071-3

    authors: Ghaemi SN,Zarate CA Jr,Popli AP,Pillay SS,Cole JO

    更新日期:1995-07-01 00:00:00

  • Anhedonia as predictor of clinical events after acute coronary syndromes: a 3-year prospective study.

    abstract:BACKGROUND:Depression after acute coronary syndromes (ACS) is an important risk factor for further coronary events; but the influence of anhedonia, the decreased capacity to experience pleasure, has received little attention. The aim of the study was to investigate the effects of anhedonia on prognosis at 3-year follow...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2009.01.011

    authors: Leroy M,Loas G,Perez-Diaz F

    更新日期:2010-01-01 00:00:00

  • Does food addiction contribute to excess weight among clinic patients seeking weight reduction? Examination of the Modified Yale Food Addiction Survey.

    abstract:BACKGROUND:Despite controversy surrounding the construct of food addiction, its relationship with obesity and the validity of the Yale Food Addiction Scale (YFAS), have become emerging fields of study. No prior research has examined the prevalence and correlates of food addiction, and validation of the Modified Yale Fo...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2018.03.006

    authors: Masheb RM,Ruser CB,Min KM,Bullock AJ,Dorflinger LM

    更新日期:2018-07-01 00:00:00

  • Adolescent insanity revisited: course and outcome in early-onset schizophrenia spectrum psychoses in an 8-year follow-up study.

    abstract:OBJECTIVES:Despite inclusion of adolescent insanity-a concept proposed by Thomas Clouston in late XIX century-into the broader nosological entity of dementia praecox, the uniqueness of early psychosis is still discussed. The aim of the current study is the assessment of course and outcome in the large sample of early-o...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.03.013

    authors: Remberk B,Bażyńska AK,Krempa-Kowalewska A,Rybakowski F

    更新日期:2014-07-01 00:00:00

  • Validation of a Greek adaptation of the 20-item Toronto Alexithymia Scale.

    abstract:BACKGROUND:The purpose of the current investigation was (1) to test whether the 3-factor structure of the 20-item Toronto Alexithymia Scale (TAS-20) corresponding to the theoretical conceptualization of the alexithymia construct could be recovered in a Greek translation of the scale (the TAS-20-G), (2) to assess if a 3...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2009.09.005

    authors: Tsaousis I,Taylor G,Quilty L,Georgiades S,Stavrogiannopoulos M,Bagby RM

    更新日期:2010-07-01 00:00:00

  • Separation anxiety in adulthood: dimensional or categorical?

    abstract::Recent evidence suggests that a clinical form of separation anxiety can be observed in adults. An important question of relevance to defining the construct of adult separation anxiety is whether there is discontinuity between that constellation and other forms of anxiety. In the present study, 2 taxometric procedures ...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2007.05.011

    authors: Silove D,Slade T,Marnane C,Wagner R,Brooks R,Manicavasagar V

    更新日期:2007-11-01 00:00:00

  • Psychometric properties of the Temperament and Character Inventory-Revised (TCI-R) in Czech adolescent sample.

    abstract::The psychometric properties of the TCI-R method were investigated in a cohort of 15-year-old adolescents (n = 787). This is the lowest recommended age for using the adult version of the method. A factor analysis of the temperament and character scales was carried out on the basis of Principal Component Analysis with V...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2011.01.008

    authors: Snopek M,Hublova V,Porubanova M,Blatny M

    更新日期:2012-01-01 00:00:00

  • The impact of diagnostic criteria on the prevalence of schizophrenic subtypes.

    abstract::The distribution of schizophrenic subtypes shows a high range of cross-cultural and historical variations. Our study aimed to investigate the effect of different diagnostic criteria on the prevalence of schizophrenic subtypes. A sample of 220 consecutively admitted schizophrenic patients from 3 different psychiatric i...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.comppsych.2005.03.003

    authors: Stompe T,Ortwein-Swoboda G,Ritter K,Marquart B,Schanda H

    更新日期:2005-11-01 00:00:00

  • Frequency vs. intensity: Framing effects on patients' use of verbal rating scale anchors.

    abstract:BACKGROUND:The present study examined the hypothesis that patients' ratings would be less congruent and stable if they were asked to rate imprecise terms on frequency and intensity that were embedded in a behavioral or perceptual framework. Based on data acquired from the patients' ratings the presented terms were anal...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.06.010

    authors: Krabbe J,Forkmann T

    更新日期:2014-11-01 00:00:00

  • Nonresponse to clozapine and premorbid functioning in treatment of refractory schizophrenia.

    abstract:INTRODUCTION:It is recognized that early treatment can improve outcomes and generally improve recovery potential for those with schizophrenia. Data suggest that poor premorbid functioning has been found to be related to more severe symptoms and poor antipsychotic response; however, little is known about premorbid funct...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2009.07.003

    authors: Kelly DL,Feldman S,Boggs DL,Gale E,Conley RR

    更新日期:2010-05-01 00:00:00

  • The relationship between characteristics of sexual abuse and dissociative experiences.

    abstract::Childhood sexual abuse has been associated with adult dissociative symptomatology. The purpose of this study was to examine the relationship between specific characteristics of sexual abuse and dissociative experiences in adulthood. Fifty-six female inpatients with a history of physical abuse and severe sexual abuse r...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(94)90230-5

    authors: Zlotnick C,Begin A,Shea MT,Pearlstein T,Simpson E,Costello E

    更新日期:1994-11-01 00:00:00

  • Is alexithymia linked with marital satisfaction or attachment to the partner? A study in a pregnancy cohort of parents-to-be.

    abstract:OBJECTIVE:To investigate possible associations of alexithymia with marital satisfaction and mutual attachment between the partners in a group of parents-to-be during pregnancy. METHODS:The present study was conducted in a pregnancy cohort. Cross-sectional data were available for 151 mothers and 106 fathers, and altoge...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.03.019

    authors: Karukivi M,Tolvanen M,Karlsson L,Karlsson H

    更新日期:2014-07-01 00:00:00

  • Further contribution to the conceptual validity of the unified biosocial model of personality: US and Yugoslav data.

    abstract::In this study, the conceptual validity of the unified model of personality, postulated by Cloninger (1987) and measured by the Tridimensional Personality Questionnaire (TPQ), is tested in diverse Yugoslav and American societies. The issue of cross-cultural sensitivity of personality studies and the methodology that mi...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(91)90040-j

    authors: Svrakić DM,Przybeck TR,Cloninger CR

    更新日期:1991-05-01 00:00:00

  • Types of childhood trauma and spirituality in adult patients with depressive disorders.

    abstract:OBJECTIVE:The aim of this study was to investigate the differences in spirituality among adult patients with depressive disorders, who had suffered various types of abuse or neglect in childhood. METHODS:A total of 305 outpatients diagnosed with depressive disorders completed questionnaires on socio-demographic variab...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2016.04.003

    authors: Song JM,Min JA,Huh HJ,Chae JH

    更新日期:2016-08-01 00:00:00

  • Beliefs and emotions have different roles in generating attitudes toward providing personal help and state-sponsored help for people with a mental illness.

    abstract::The aim of this study was to examine the role of emotions like pity and anger in mediating the relationship between beliefs about the controllability of a mental illness, and the willingness to help someone with a mental illness. In particular, we tested the hypothesis that the effects of beliefs about controllability...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.comppsych.2012.11.004

    authors: Obonsawin MC,Lindsay A,Hunter SC

    更新日期:2013-07-01 00:00:00

  • The relationship between DSM-III personality disorders and the five-factor model of personality.

    abstract::Two hundred twenty-four first-degree relatives of patients with psychotic disorders were administered the Structured Interview for DSM-III Personality Disorders (SIDP) and completed a self-report instrument to assess dimensions of the five-factor model of personality. All of the DSM-III personality disorders were rela...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(93)90003-m

    authors: Yeung AS,Lyons MJ,Waternaux CM,Faraone SV,Tsuang MT

    更新日期:1993-07-01 00:00:00

  • Comorbidity in obsessive-compulsive disorder (OCD): a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS).

    abstract:BACKGROUND:Obsessive-compulsive disorder (OCD) is often associated with significant psychiatric comorbidity. Comorbid disorders include mood and anxiety disorders as well as obsessive-compulsive spectrum disorders (OCSDs). This paper aims to investigate comorbidity of DSM Axis I-disorders, including OCSDs, in patients ...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.05.020

    authors: Lochner C,Fineberg NA,Zohar J,van Ameringen M,Juven-Wetzler A,Altamura AC,Cuzen NL,Hollander E,Denys D,Nicolini H,Dell'Osso B,Pallanti S,Stein DJ

    更新日期:2014-10-01 00:00:00

  • Anhedonia in schizophrenia: The role of subjective experiences.

    abstract:BACKGROUND:High levels of anhedonia have been found in patients with schizophrenia; specifically they report higher levels of social anhedonia rather than physical anhedonia, and further, in the anticipatory rather than consummatory facets of pleasure. Nonetheless, contrasting results emerged regarding the underlying m...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2015.07.011

    authors: Fortunati R,Ossola P,Camerlengo A,Bettini E,De Panfilis C,Tonna M,Maggini C,Marchesi C

    更新日期:2015-10-01 00:00:00

  • Mindfulness-oriented meditation improves self-related character scales in healthy individuals.

    abstract::Previous studies have shown that mindfulness meditation may improve well-being in healthy individuals and be effective in the treatment of mental and neurological disorders. Here, we investigated the effects of an 8-week mindfulness-mediation program on the personality profiles of three groups of healthy individuals w...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2014.03.009

    authors: Campanella F,Crescentini C,Urgesi C,Fabbro F

    更新日期:2014-07-01 00:00:00

  • Cloninger's temperament dimensions and affective responses to different challenges.

    abstract::Cloninger's psychobiological model of temperament and character postulates that each of the temperament dimensions is associated with a specific emotional experience, depending on the situational cues. The aim of the present study was to test this postulate in a variety of challenging experimental tasks. The participa...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2004.07.023

    authors: Puttonen S,Ravaja N,Keltikangas-Järvinen L

    更新日期:2005-03-01 00:00:00

  • Affective temperament and attachment in adulthood in patients with Bipolar Disorder and Cyclothymia.

    abstract:OBJECTIVE:To examine attachment and affective temperament in patients who have been diagnosed with Bipolar Disorder and to investigate possible differences in both variables among Bipolar I Disorder (BD-I), Bipolar II Disorder (BD-II), and cyclothymic patients. METHODS:Ninety (45 male and 45 female) outpatients with b...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2013.12.006

    authors: Harnic D,Pompili M,Innamorati M,Erbuto D,Lamis DA,Bria P,Girardi P,Janiri L

    更新日期:2014-05-01 00:00:00

  • Characterizing organic mood syndrome, depressed type.

    abstract::In this report, a first comprehensive description of the clinical features of patients with organic mood syndrome, depressed type (OMS-D), in a psychiatric hospital population is presented. This description is based on information from 130 OMS-D patients among 14,889 patients who presented for initial evaluation over ...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/0010-440x(93)90071-b

    authors: Cornelius JR,Fabrega H Jr,Mezzich J,Cornelius MD,Ulrich RF

    更新日期:1993-11-01 00:00:00

  • Temperament and character in patients with systemic lupus erythematosus.

    abstract:BACKGROUND:In addition to identified neuropsychiatric characteristic of systemic lupus erythematosus (SLE), changes in personality seem to occur in patients with SLE. Even in absence of an axis I psychiatric diagnosis, personality variations play important role in general wellbeing of these patients. This study investi...

    journal_title:Comprehensive psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.comppsych.2017.09.007

    authors: Mani A,Rostami A,Aflaki E,Ravanfar P

    更新日期:2018-01-01 00:00:00