Comprehensive Psychiatry
Volume 43, Issue 6 , Pages 443-447 , November 2002

Predictive value of insight for suicide, violence, hospitalization, and social adjustment for outpatients with schizophrenia: A prospective study

References 

  1. Morrison J. DSM-IV Made easy: The Clinician's Guide to Diagnosis. New York, NY: Guilford; 1995;
  2. Mcevoy JP, Freter S, Everett G, Geller JL, Appelbaum P, Apperson LJ, et al.  Insight and the clinical outcome of schizophrenic patients. J Nerv Ment Dis. 1989;177:48–51
  3. David A, Buchanon A, Reed A, Almeida O. The assessment of insight in psychosis. Br J Psychiatry. 1992;161:599–602
  4. Takai A, Uematsu M, Hirofumi U, Sone K, Kaiya H. Insight and its related factors in chronic schizophrenic patients: a preliminary study. Eur Psychiatry. 1992;6:159–170
  5. Amador XF, Strauss DH, Yale SA, Flaum MM, Endicott J, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry. 1993;150:873–879
  6. Amador XF, Flaum M, Andreasen NC, Strauss DH, Yale SA, Clark SC, et al.  Awareness of illness in schizophrenia and schizoaffective and mood disorders. Arch Gen Psychiatry. 1994;51:826–836
  7. Mcevoy JP, Appelbaum PS, Apperson LJ, Geller JL, Freter S. Why must some schizophrenic patients be involuntarily committed? The role of insight. Compr Psychiatry. 1989;30:13–17
  8. Mcevoy JP, Freter S, Merritt M, Apperson LJ. Insight about psychosis among outpatients with schizophrenia. Hosp Commun Psychiatry. 1993;44:883–884
  9. Van Os J, Fahy T, Jones P, Harvey I, Sham P, Lewis S, et al.  Psychopathological syndromes in the functional psychosis: associations with course and outcome. Psychol Med. 1996;26:161–176
  10. Schwartz RC, Cohen BN, Grubaugh A. Dose insight affect long-term inpatient treatment outcome in chronic schizophrenia?. Compr Psychiatry. 1997;38:283–288
  11. Amador XF, Friedman JH, Kasapis C, Yale SA, Flaum M, Gorrman JM. Suicidal behaviour in schizophrenia and its relationship to awareness of illness. Am J Psychiatry. 1996;153:1185–1188
  12. Schwartz RC, Petersen S. The relationship between insight and suicidality among patients with schizophrenia. J Nerv Ment Dis. 1999;187:376–378
  13. Torrey EF. Violent behaviour by individuals with serious mental illness. In:  Amador XF,  David AS editor. Insight and Psychosis. New York, NY: Oxford University Press; 1998;p. 269–288
  14. Arango C, Calcedo Barba A, Gonzalez-Salvador T, Calcedo Ordonez A. Violence in inpatients with schizophrenia: a prospective study. Schizophr Bull. 1999;25:493–503
  15. Mcglashan TH. The Chestnut Lodge follow-up study. II. Long-term outcome of schizophrenia and the affective disorders. Arch Gen Psychiatry. 1984;41:586–591
  16. Harrow M, Sands JR, Silverstein ML, Goldberg JF. Course and outcome for schizophrenia versus other psychotic patients: A longitudinal study. Schizophr Bull. 1997;23:287–303
  17. Smith TE, Hull JW, Goodman M, Hedayat-Harris A, Willson DF, Israel LM, et al.  The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. J Nerv Ment Dis. 1999;187:102–108
  18. David AS. Insight and psychosis. Br J Psychiatry. 1990;156:789–808
  19. Kemp R, David A. Insight and compliance. In:  Blackwell B editors. Treatment Compliance and the Therapeutic Alliance. Newark, NJ: Gordon & Breach; 1996;p. 61–84
  20. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. Ed. 4. Washington, DC: APA; 1994;
  21. Kay SR. Positive and Negative Syndromes in Schizophrenia: Assessment and Research. New York, NY: Brunner/Mazel; 1991;
  22. Cheng JJ, Ho H, Chang CJ, Lan SY, Hwu HG. Positive and Negative Syndrome Scale (PANSS): establishment and reliability study of a Mandarin Chinese language version. Chin Psychiatry ROC. 1996;10:251–258
  23. Ho H, Yin CC, Hwu HG, Tsuang MM. Violence and Suicide Assessment Scale: a reliability and validity study. Chin Psychiatry ROC. 1995;9:122–128
  24. Feinstein R, Plutchik R. Violence and suicide risk assessment in the psychiatric emergency room. Compr Psychiatry. 1990;31:337–343
  25. Hwu HG, Sun MC, Chuu TH, Chang MD. Community psychiatric rating scale: Reliability and clinical applicability. Chin Psychiatry ROC. 1987;1:111–122
  26. Mcglashan TH, Carpenter WT. Dose attitude toward psychosis relate to outcome?. Am J Psychiatry. 1981;138:797–801
  27. Yen CF, Yeh ML, Chong MY, Chung HH, Chen CS. A multidimensional assessment of insights in schizophrenic patients. Kaohsiung J Med Sci. 2001;17:253–260
  28. Sanz M, Constable G, Lopez-Ibor I, Kemp R, David AS. A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychol Med. 1998;28:437–446
  29. Heinrichs DW, Cohen BP, Carpenter WT. Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis. 1985;173:133–138
  30. Buchanan A. A two-year prospective study of treatment compliance in patients with schizophrenia. Psychol Med. 1992;22:787–797
  31. Blomhoff S, Seim S, Friis S. Can prediction of violence among psychiatric inpatients be improved?. Hosp Commun Psychiatry. 1990;41:771–775
  32. Apperson LJ, Mulvey EP, Lids CW. Short-term clinical prediction of assaultive behavior: Artifacts of research methods. Am J Psychiatry. 1993;150:1374–1379
  33. Westermeyer JF, Harrow M, Carone B. The clinical course of schizophrenia: two successive follow-ups. In:  Grinker RR,  Harrow M editor. Clinical Research in Schizophrenia: A Multidimensional Approach. Springfield, IL: Charles C. Thomas; 1987;p. 314–328

PII: S0010-440X(02)00042-1

doi: 10.1053/comp.2002.35901

Comprehensive Psychiatry
Volume 43, Issue 6 , Pages 443-447 , November 2002