PMID- 27866482
OWN - NLM
STAT- MEDLINE
DCOM- 20171128
LR  - 20191210
IS  - 1469-8978 (Electronic)
IS  - 0033-2917 (Print)
IS  - 0033-2917 (Linking)
VI  - 47
IP  - 4
DP  - 2017 Mar
TI  - Insight as a social identity process in the evolution of psychosocial functioning 
      in the early phase of psychosis.
PG  - 718-729
LID - 10.1017/S0033291716002506 [doi]
AB  - BACKGROUND: Awareness of illness (insight) has been found to have contradictory 
      effects for different functional outcomes after the early course of psychosis. 
      Whereas it is related to psychotic symptom reduction and medication adherence, it 
      is also associated with increased depressive symptoms. In this line, the specific 
      effects of insight on the evolution of functioning over time have not been 
      identified, and social indicators, such as socio-occupational functioning have 
      barely been considered. Drawing from social identity theory we investigated the 
      impact of insight on the development of psychosocial outcomes and the 
      interactions of these variables over time. METHOD: The participants, 240 patients 
      in early phase of psychosis from the Treatment and Early Intervention in 
      Psychosis Program (TIPP) of the University Hospital of Lausanne, Switzerland, 
      were assessed at eight time points over 3 years. Cross-lagged panel analyses and 
      multilevel analyses were conducted on socio-occupational and general functioning 
      [Social and Occupational Functioning Assessment Scale (SOFAS) and Global 
      Assessment of Functioning (GAF)] with insight, time and depressive symptoms as 
      independent variables. RESULTS: Results from multilevel analyses point to an 
      overall positive impact of insight on psychosocial functioning, which increases 
      over time. Yet the cross-lagged panel analysis did not reveal a systematic 
      positive and causal effect of insight on SOFAS and GAF scores. Depressive 
      symptoms seem only to be relevant in the beginning of the treatment process. 
      CONCLUSIONS: Our results point to a complex process in which the positive impact 
      of insight on psychosocial functioning increases over time, even when considering 
      depressive symptoms. Future studies and treatment approaches should consider the 
      procedural aspect of insight.
FAU - Klaas, H S
AU  - Klaas HS
AD  - Swiss National Centre of Competence in Research LIVES, Life Course and Inequality 
      Research Centre (LINES), Faculty of Social and Political Sciences, University of 
      Lausanne,Switzerland.
FAU - Clemence, A
AU  - Clemence A
AD  - Psychology Institute, Faculty of Social and Political Sciences, University of 
      Lausanne,Lausanne,Switzerland.
FAU - Marion-Veyron, R
AU  - Marion-Veyron R
AD  - Treatment and Early Intervention in Psychosis Program (TIPP), Service of General 
      Psychiatry, Departement de Psychiatrie Centre Hospitalier Universitaire Vaudois 
      (CHUV), Universite de Lausanne,Clinique de Cery, 1008 Prilly,Switzerland.
FAU - Antonietti, J-P
AU  - Antonietti JP
AD  - Psychology Institute, Faculty of Social and Political Sciences, University of 
      Lausanne,Lausanne,Switzerland.
FAU - Alameda, L
AU  - Alameda L
AD  - Treatment and Early Intervention in Psychosis Program (TIPP), Service of General 
      Psychiatry, Departement de Psychiatrie Centre Hospitalier Universitaire Vaudois 
      (CHUV), Universite de Lausanne,Clinique de Cery, 1008 Prilly,Switzerland.
FAU - Golay, P
AU  - Golay P
AD  - Treatment and Early Intervention in Psychosis Program (TIPP), Service of General 
      Psychiatry, Departement de Psychiatrie Centre Hospitalier Universitaire Vaudois 
      (CHUV), Universite de Lausanne,Clinique de Cery, 1008 Prilly,Switzerland.
FAU - Conus, P
AU  - Conus P
AD  - Treatment and Early Intervention in Psychosis Program (TIPP), Service of General 
      Psychiatry, Departement de Psychiatrie Centre Hospitalier Universitaire Vaudois 
      (CHUV), Universite de Lausanne,Clinique de Cery, 1008 Prilly,Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20161121
PL  - England
TA  - Psychol Med
JT  - Psychological medicine
JID - 1254142
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Awareness
MH  - Depression/*psychology/therapy
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - *Outcome Assessment, Health Care
MH  - Psychotic Disorders/*psychology/therapy
MH  - *Self Concept
MH  - *Social Identification
MH  - Young Adult
PMC - PMC5426321
OTO - NOTNLM
OT  - Early phase of psychosis
OT  - TIPP
OT  - insight
OT  - schizophrenia
OT  - social functioning
OT  - social identity
EDAT- 2016/11/22 06:00
MHDA- 2017/11/29 06:00
PMCR- 2017/05/11
CRDT- 2016/11/22 06:00
PHST- 2016/11/22 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2016/11/22 06:00 [entrez]
PHST- 2017/05/11 00:00 [pmc-release]
AID - S0033291716002506 [pii]
AID - 00250 [pii]
AID - 10.1017/S0033291716002506 [doi]
PST - ppublish
SO  - Psychol Med. 2017 Mar;47(4):718-729. doi: 10.1017/S0033291716002506. Epub 2016 
      Nov 21.