Comprehensive Psychiatry
Volume 44, Issue 5 , Pages 404-408 , September 2003

Changes of insight in manic episodes and influencing factors

  • Cheng-Fang Yen

      Affiliations

    • Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang HospitalKaoshiung City, Taiwan
    • Department of Psychiatry, Kaohsiung Medical UniversityKaoshiung City, Taiwan
    • ,
  • Cheng-Sheng Chen

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Cheng-Sheng Chen, M.D., Department of Psychiatry, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Rd, Kaohsiung City, Taiwan 807
    • Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang HospitalKaoshiung City, Taiwan
    • Department of Psychiatry, Kaohsiung Medical UniversityKaoshiung City, Taiwan
    • ,
  • Ming-Li Yeh

      Affiliations

    • Department of Nursing, Oriental Institute of Technology, Kaoshiung City, Taiwan
    • ,
  • Shang-Ju Yang

      Affiliations

    • Department of Psychiatry, Kaohsiung Medical UniversityKaoshiung City, Taiwan
    • ,
  • Jhy-Horng Ke

      Affiliations

    • Department of Psychiatry, Kaohsiung Medical UniversityKaoshiung City, Taiwan
    • ,
  • Ju-Yu Yen

      Affiliations

    • Department of Psychiatry, Kaohsiung Medical UniversityKaoshiung City, Taiwan

References 

  1. Lin IF, Spiga R, Fortsch W. Insight and adherence to medication in chronic schizophrenics. J Clin Psychiatry. 1979;40:430–432
  2. Buchanan A. A two-year prospective study of treatment compliance in patients with schizophrenia. Psychol Med. 1992;22:787–797
  3. Schwartz RC, Cohen BN, Grubaugh A. Dose insight affect long-term inpatient treatment outcome in chronic schizophrenia?. Compr Psychiatry. 1997;38:283–288
  4. Yen CF, Yeh ML, Chen CS, Chung HH. Predictive value of insight for suicide, violence, hospitalization and social adjustment for outpatients with schizophrenia (a prospective study). Compr Psychiatry. 2002;43:443–447
  5. McEvoy JP, Apperson LJ, Appelbaum PS, Ortlip P, Brecosky J, Hammill K, et al.  Insight in schizophrenia. Its relationship to acute psychopathology. J Nerv Ment Dis. 1989;177:43–47
  6. Amador XF, Strauss DH, Yale SA, Flaum MM, Endicott J, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry. 1993;150:873–879
  7. Michalakeas A, Skoutas C, Charalambous A, Peristeris A, Marinos V, Keramari E, et al.  Insight in schizophrenia and mood disorders and its relation to psychopathology. Acta Psychiatr Scand. 1994;90:46–49
  8. Jorgensen P. Recovery and insight in schizophrenia. Acta Psychiatr Scand. 1995;92:436–440
  9. Ghaemi SN, Stoll AL, Pope HG. Lack of insight in bipolar disorder the acute manic episode. J Nerv Ment Dis. 1995;183:464–467
  10. Ghaemi SN, Sachs GS, Baldassano CF, Truman CJ. Insight in seasonal affective disorder. Compr Psychiatry. 1997;38:345–348
  11. Peralta V, Cuesta MJ. Lack of insight in mood disorders. J Affect Disord. 1998;49:55–58
  12. Chen EYH, Kwok CL, Chen RYL, Kwong PPK. Insight change in acute psychotic episode (a prospective study of Hong Kong Chinese patients). J Nerv Ment Dis. 2001;189:24–30
  13. Ghaemi SN, Pope HG. Lack of insight in psychotic and affective disorders (a review of empirical studies). Harv Rev Psychiatry. 1994;2:22–33
  14. American Psychiatric Association . Diagnostic and Statistic Manual of Mental Disorders. Ed. 4. Washington, DC: APA; 1994;
  15. David AS. Insight and psychosis. Br J Psychiatry. 1990;156:789–808
  16. 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
  17. Young R, Biggs J, Meyer D. A rating scale for mania (reliability, validity and sensitivity). Br J Psychiatry. 1978;133:429–435

☆ Supported by Grants No. NSC 89-2413-H-037-004 and 90-2413-H-037-004 awarded by the National Science Council, Taiwan (ROC).

PII: S0010-440X(03)00107-X

doi: 10.1016/S0010-440X(03)00107-X

Comprehensive Psychiatry
Volume 44, Issue 5 , Pages 404-408 , September 2003

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