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February 11, 2007
Measurement of Insight Useful Indicator of Relapse Risk
According to an article in PsychiatryMatters.MD, researchers investigated the relationship between insight and outcome such as time to relapse and rehospitalization, and whether or not insight affects social function and symptom severity in patients with non-affective psychosis (such as schizophrenia, but not schizoaffective disorder).
They concluded that although insight did not seem to directly affect symptom severity or social function, it did highly predict risk of relapse and subsequent rehospitalization.
The researchers, reporting in the Journal of Clinical Psychiatry, used a 0-16 insight measurement scale called the Birchwood Insight Scale (BIS). The researchers recommend that measurement of insight at first hospitalization for schizophrenia be added to the list of variables predicting outcome.
They note that poor recognition of symptoms was the aspect of initial insight most related to outcome and expressed the idea that special therapeutic intervention might be warranted:
"The details of the beliefs and assumptions determining outcome remain unclear, but intervening to alter them appears to be justified."
Read the full article: Poor insight increases schizophrenia relapse and readmission
Thanks to Dan for pointing out this article.
Posted by Jeanie Wolfson at February 11, 2007 04:30 PM
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