PMID- 9298321
OWN - NLM
STAT- MEDLINE
DCOM- 19971024
LR  - 20220317
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 38
IP  - 5
DP  - 1997 Sep-Oct
TI  - Does insight affect long-term impatient treatment outcome in chronic 
      schizophrenia?
PG  - 283-8
AB  - The purpose of this study was to investigate whether the degree of insight into 
      illness is associated with long-term inpatient treatment outcome in chronic 
      schizophrenia. Inpatients diagnosed with schizophrenia were evaluated using the 
      Global Assessment of Functioning Scale (GAF) and the Functional Skills Rating 
      Form (FSRF) at baseline and at follow-up evaluation 1 year after treatment. The 
      Scale to Assess Unawareness of Mental Disorder (SUMD) was used to evaluate 
      insight into illness at follow-up evaluation. Pearson correlation coefficients 
      were used to evaluate the relationship between insight and outcome variables, and 
      multivariate analyses of variance (MANOVAs) were used to assess differences in 
      treatment outcome between patients with good versus poor insight. The results 
      suggest that a patient's insight is significantly related to global and specific 
      measures of functional outcome. Moreover, patients with good insight showed 
      better improvement after long-term inpatient treatment. These findings both 
      support and expand on previous research indicating that increased insight into 
      illness is associated with better treatment compliance and outcome. We propose 
      that further research is necessary to specify the etiology of insight and to 
      develop new interventions focused on increasing insight into illness.
FAU - Schwartz, R C
AU  - Schwartz RC
AD  - Meridian Behavioral Healthcare, Inc. of Florida, Gainesville 32601-1810, USA.
FAU - Cohen, B N
AU  - Cohen BN
FAU - Grubaugh, A
AU  - Grubaugh A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Activities of Daily Living/psychology
MH  - Adult
MH  - *Awareness
MH  - Chronic Disease
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - Long-Term Care/psychology
MH  - Male
MH  - Middle Aged
MH  - Psychiatric Status Rating Scales
MH  - Schizophrenia/*therapy
MH  - *Schizophrenic Psychology
MH  - Treatment Outcome
EDAT- 1997/09/23 00:00
MHDA- 1997/09/23 00:01
CRDT- 1997/09/23 00:00
PHST- 1997/09/23 00:00 [pubmed]
PHST- 1997/09/23 00:01 [medline]
PHST- 1997/09/23 00:00 [entrez]
AID - S0010-440X(97)90061-4 [pii]
AID - 10.1016/s0010-440x(97)90061-4 [doi]
PST - ppublish
SO  - Compr Psychiatry. 1997 Sep-Oct;38(5):283-8. doi: 10.1016/s0010-440x(97)90061-4.