کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
339881 548163 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Impaired insight in patients with newly diagnosed nonaffective psychotic disorders with and without deficit features
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
پیش نمایش صفحه اول مقاله
Impaired insight in patients with newly diagnosed nonaffective psychotic disorders with and without deficit features
چکیده انگلیسی

Patients with schizophrenia who have primary, enduring negative symptoms, or the deficit syndrome, have poorer psychosocial functioning but lesser clinical distress compared with nondeficit patients. Poor awareness of impairment in patients with deficit schizophrenia may contribute to this seeming contradiction. We hypothesized that poor insight would be present early in the course of illness in deficit patients, and that those with deficit features would have greater impairment in insight than those without deficit features. One-hundred one first-episode patients with nonaffective psychotic disorders were categorized into deficit (n = 31) and nondeficit (n = 70) groups. The deficit patients had significantly poorer insight than nondeficit patients when rated using a self-report questionnaire, and nearly significantly poorer insight rated by clinical researchers. Further, this effect remained for self-rated insight and reached statistical significance for researcher-rated insight after controlling for positive, negative, and general psychopathology symptoms. These results suggest that the treatment of deficit patients may be particularly complicated by poor insight.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Schizophrenia Research - Volume 126, Issues 1–3, March 2011, Pages 252–256
نویسندگان
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