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Article: Insight in Chinese schizophrenia patients: A 12-month follow-up

TitleInsight in Chinese schizophrenia patients: A 12-month follow-up
Authors
Issue Date2011
Citation
Journal Of Psychiatric And Mental Health Nursing, 2011, v. 18 n. 9, p. 751-757 How to Cite?
AbstractInsight is a multidimensional concept that is defined as a patient's recognition of having a psychiatric disorder, of the social consequences of that disorder and of the need for treatment. Improving insight is one of the major aims of pharmacotherapy and psychosocial interventions in schizophrenia because it is pivotal in engaging patients in treatment and also has implications for prognosis. Core psychiatric concepts as insight is not independent of the socio-cultural environment, and to date there is no study that explores that relationship between insight and socio-demographic characteristics, psychotic symptoms, depression, executive functions and quality of life in schizophrenia patients in China. Standard psychiatric care does not improve the level of insight in clinically stable Chinese schizophrenia outpatients, which warrants the introduction of specific therapeutic interventions that enhance insight. This study aimed to assess insight in Chinese schizophrenia patients and to identify its relationship with socio-demographic and clinical factors, executive functions and quality of life (QOL). A cohort of 139 clinically stable schizophrenia patients was selected by consecutively screening patients diagnosed with schizophrenia who were attending the outpatient department of a university-affiliated psychiatric hospital in China. Participants' socio-demographic and clinical characteristics, including psychotic symptoms, depression and insight, as well as QOL and executive functions, were periodically assessed with standardized rating instruments. Patients received standard psychiatric care and were followed up for 1 year. Impaired insight was found to be common in stable Chinese schizophrenia patients (76.3%), with merely 5% showing improvement over the 1-year follow-up. Insight was inversely correlated with positive and negative symptoms at all but the 12-month assessment and with both the physical and mental components of QOL at baseline and the 12-month assessment. Insight was not associated with depressive symptoms or executive functions. Standard psychiatric care does not improve the level of insight in clinically stable Chinese schizophrenia outpatients, which warrants the introduction of specific therapeutic interventions that enhance insight. © 2011 Blackwell Publishing.
Persistent Identifierhttp://hdl.handle.net/10722/171970
ISSN
2015 Impact Factor: 1.055
2015 SCImago Journal Rankings: 0.536
References

 

DC FieldValueLanguage
dc.contributor.authorWang, Yen_US
dc.contributor.authorXiang, YTen_US
dc.contributor.authorWang, CYen_US
dc.contributor.authorChiu, HFKen_US
dc.contributor.authorZhao, JPen_US
dc.contributor.authorChen, Qen_US
dc.contributor.authorChan, SSMen_US
dc.contributor.authorLee, EHMen_US
dc.contributor.authorTang, WKen_US
dc.contributor.authorUngvari, GSen_US
dc.date.accessioned2012-10-30T06:19:00Z-
dc.date.available2012-10-30T06:19:00Z-
dc.date.issued2011en_US
dc.identifier.citationJournal Of Psychiatric And Mental Health Nursing, 2011, v. 18 n. 9, p. 751-757en_US
dc.identifier.issn1351-0126en_US
dc.identifier.urihttp://hdl.handle.net/10722/171970-
dc.description.abstractInsight is a multidimensional concept that is defined as a patient's recognition of having a psychiatric disorder, of the social consequences of that disorder and of the need for treatment. Improving insight is one of the major aims of pharmacotherapy and psychosocial interventions in schizophrenia because it is pivotal in engaging patients in treatment and also has implications for prognosis. Core psychiatric concepts as insight is not independent of the socio-cultural environment, and to date there is no study that explores that relationship between insight and socio-demographic characteristics, psychotic symptoms, depression, executive functions and quality of life in schizophrenia patients in China. Standard psychiatric care does not improve the level of insight in clinically stable Chinese schizophrenia outpatients, which warrants the introduction of specific therapeutic interventions that enhance insight. This study aimed to assess insight in Chinese schizophrenia patients and to identify its relationship with socio-demographic and clinical factors, executive functions and quality of life (QOL). A cohort of 139 clinically stable schizophrenia patients was selected by consecutively screening patients diagnosed with schizophrenia who were attending the outpatient department of a university-affiliated psychiatric hospital in China. Participants' socio-demographic and clinical characteristics, including psychotic symptoms, depression and insight, as well as QOL and executive functions, were periodically assessed with standardized rating instruments. Patients received standard psychiatric care and were followed up for 1 year. Impaired insight was found to be common in stable Chinese schizophrenia patients (76.3%), with merely 5% showing improvement over the 1-year follow-up. Insight was inversely correlated with positive and negative symptoms at all but the 12-month assessment and with both the physical and mental components of QOL at baseline and the 12-month assessment. Insight was not associated with depressive symptoms or executive functions. Standard psychiatric care does not improve the level of insight in clinically stable Chinese schizophrenia outpatients, which warrants the introduction of specific therapeutic interventions that enhance insight. © 2011 Blackwell Publishing.en_US
dc.languageengen_US
dc.relation.ispartofJournal of Psychiatric and Mental Health Nursingen_US
dc.subject.meshAdulten_US
dc.subject.meshAwarenessen_US
dc.subject.meshChinaen_US
dc.subject.meshExecutive Functionen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshPsychiatric Status Rating Scalesen_US
dc.subject.meshQuality Of Life - Psychologyen_US
dc.subject.meshSchizophrenic Psychologyen_US
dc.subject.meshSocial Adjustmenten_US
dc.subject.meshSocioeconomic Factorsen_US
dc.titleInsight in Chinese schizophrenia patients: A 12-month follow-upen_US
dc.typeArticleen_US
dc.identifier.emailLee, EHM:edwinlhm@hku.hken_US
dc.identifier.authorityLee, EHM=rp01575en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1365-2850.2010.01677.xen_US
dc.identifier.pmid21985677-
dc.identifier.scopuseid_2-s2.0-80053905522en_US
dc.identifier.hkuros206271-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80053905522&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume18en_US
dc.identifier.issue9en_US
dc.identifier.spage751en_US
dc.identifier.epage757en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridWang, Y=53879004900en_US
dc.identifier.scopusauthoridXiang, YT=35241398400en_US
dc.identifier.scopusauthoridWang, CY=7501646810en_US
dc.identifier.scopusauthoridChiu, HFK=24447976700en_US
dc.identifier.scopusauthoridZhao, JP=53879234100en_US
dc.identifier.scopusauthoridChen, Q=38360961600en_US
dc.identifier.scopusauthoridChan, SSM=13409371900en_US
dc.identifier.scopusauthoridLee, EHM=7406967099en_US
dc.identifier.scopusauthoridTang, WK=7403430796en_US
dc.identifier.scopusauthoridUngvari, GS=7006092063en_US

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