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Insight dimensions in first-episode psychosis patients: clinical, cognitive, pre-morbid and socio-demographic correlates

2011; Wiley; Volume: 5; Issue: 2 Linguagem: Inglês

10.1111/j.1751-7893.2010.00249.x

1751-7893

Rosa Ayesa‐Arriola, José Manuel Rodríguez-Sánchez, Chiara Morelli, José María Pelayo‐Terán, Rocío Pérez‐Iglesias, Ignácio F. Mata, Obdulia Martínez‐García, Gema Pardo‐García, José Luis Vázquez‐Barquero, Benedicto Crespo‐Facorro,

Mental Health Research Topics

Early Intervention in PsychiatryVolume 5, Issue 2 p. 140-149 Insight dimensions in first-episode psychosis patients: clinical, cognitive, pre-morbid and socio-demographic correlates Rosa Ayesa-Arriola, Corresponding Author Rosa Ayesa-Arriola University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainRosa Ayesa-Arriola, University Hospital Marqués de Valdecilla, Department of Psychiatry, Avda Valdecilla s/n, 39800 Santander, Spain. Email: [email protected]Search for more papers by this authorJose Manuel Rodríguez-Sánchez, Jose Manuel Rodríguez-Sánchez University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorChiara Morelli, Chiara Morelli University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, Spain Department of Psychiatry, Agostino Gemelli University Polyclinic, Rome, ItalySearch for more papers by this authorJose María Pelayo-Terán, Jose María Pelayo-Terán University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorRocío Pérez-Iglesias, Rocío Pérez-Iglesias University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorIgnacio Mata, Ignacio Mata University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorObdulia Martínez-Garcia, Obdulia Martínez-Garcia University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorGema Pardo-Garcia, Gema Pardo-Garcia University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorJose L. Vazquez-Barquero, Jose L. Vazquez-Barquero University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorBenedicto Crespo-Facorro, Benedicto Crespo-Facorro University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this author Rosa Ayesa-Arriola, Corresponding Author Rosa Ayesa-Arriola University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainRosa Ayesa-Arriola, University Hospital Marqués de Valdecilla, Department of Psychiatry, Avda Valdecilla s/n, 39800 Santander, Spain. Email: [email protected]Search for more papers by this authorJose Manuel Rodríguez-Sánchez, Jose Manuel Rodríguez-Sánchez University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorChiara Morelli, Chiara Morelli University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, Spain Department of Psychiatry, Agostino Gemelli University Polyclinic, Rome, ItalySearch for more papers by this authorJose María Pelayo-Terán, Jose María Pelayo-Terán University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorRocío Pérez-Iglesias, Rocío Pérez-Iglesias University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorIgnacio Mata, Ignacio Mata University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorObdulia Martínez-Garcia, Obdulia Martínez-Garcia University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorGema Pardo-Garcia, Gema Pardo-Garcia University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorJose L. Vazquez-Barquero, Jose L. Vazquez-Barquero University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this authorBenedicto Crespo-Facorro, Benedicto Crespo-Facorro University Hospital Marqués de Valdecilla-IFIMAV CIBERSAM, Department of Psychiatry, School of Medicine, University of Cantabria, Santander, SpainSearch for more papers by this author First published: 28 January 2011 https://doi.org/10.1111/j.1751-7893.2010.00249.xCitations: 29Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Aim: To investigate pre-morbid, socio-demographic, clinical and cognitive variables as predictors of insight in a large and representative sample of first-episode psychosis patients. Methods: The abbreviated Scale to Assess Unawareness of Mental Disorder was used to assess insight dimensions. Patients with good and poor insight were independently compared on insight dimensions and logistic regression analyses were conducted to identify explanatory variables associated with each insight dimension. Results: The patients with good and poor insight of having a mental disorder differed in duration of untreated psychosis, diagnosis and attention, but only attention appeared as a predictor. The insight of the need for medication groups showed differences in age of onset, depression, severity of disorganized symptoms and hospitalization rate. Nevertheless, age of onset and disorganized symptoms seem to be the predictors. Groups of insight of the social consequences differed in duration of untreated psychosis, the negative and disorganized symptoms severity, disability, education, diagnosis and hospitalization rate. However, exclusively, the severity of disorganized symptoms seems to predict insight of social consequences. Conclusion: When independently analysed, the three insight dimensions showed different rates of affectation and different predictors. These results suggest that there must be different mechanisms underlying the lack of insight. First-episode psychosis is a crucial period for treatment adherence formation, an issue strongly associated with good insight. Thus, a more accurate evaluation of the predictors of lack of insight into each dimension is warranted to achieve a better comprehension of the lack of insight in schizophrenia and in turn, to implement treatment programmes seeking to improve it. Citing Literature Volume5, Issue2May 2011Pages 140-149 RelatedInformation