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The nature and evolution of insight in schizophrenia: A multi-informant longitudinal study of first-episode versus chronic patients

This study investigated a novel distinction between two possible sources of poor insight in schizophrenia: primary unawareness, in which the ill person is not aware that other people think one has a problem, and secondary unawareness (or disagreement), in which a person does appreciate that other pe... Full description

Journal Title: Schizophrenia Research December 2013, Vol.151(1-3), pp.245-251
Main Author: Koren, Danny
Other Authors: Viksman, Polina , Giuliano, Anthony J , Seidman, Larry J
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0920-9964 ; E-ISSN: 1573-2509 ; DOI: 10.1016/j.schres.2013.10.013
Link: http://dx.doi.org/10.1016/j.schres.2013.10.013
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recordid: elsevier_sdoi_10_1016_j_schres_2013_10_013
title: The nature and evolution of insight in schizophrenia: A multi-informant longitudinal study of first-episode versus chronic patients
format: Article
creator:
  • Koren, Danny
  • Viksman, Polina
  • Giuliano, Anthony J
  • Seidman, Larry J
subjects:
  • Schizophrenia
  • Insight
  • Unawareness
  • First-Episode
  • Schizophrenia
  • Insight
  • Unawareness
  • First-Episode
ispartof: Schizophrenia Research, December 2013, Vol.151(1-3), pp.245-251
description: This study investigated a novel distinction between two possible sources of poor insight in schizophrenia: primary unawareness, in which the ill person is not aware that other people think one has a problem, and secondary unawareness (or disagreement), in which a person does appreciate that other people think one has a problem. A secondary goal was to compare the evolution of insight in first-episode and chronic schizophrenia. Sixty-eight first-episode and 51 chronic patients were administered two versions of the Scale of Unawareness of Mental Disorder (SUMD) at three time points: hospital admission, discharge, and 6-month post-discharge. In the first standard SUMD version, they were asked about their own opinions, whereas in the second modified version, they were asked about their best guess of their doctor's opinion. While overall level of unawareness remained stable within each single episode, there were significant Type of Unawareness...
language: eng
source:
identifier: ISSN: 0920-9964 ; E-ISSN: 1573-2509 ; DOI: 10.1016/j.schres.2013.10.013
fulltext: fulltext
issn:
  • 0920-9964
  • 09209964
  • 1573-2509
  • 15732509
url: Link


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subjectSchizophrenia ; Insight ; Unawareness ; First-Episode ; Schizophrenia ; Insight ; Unawareness ; First-Episode
descriptionThis study investigated a novel distinction between two possible sources of poor insight in schizophrenia: primary unawareness, in which the ill person is not aware that other people think one has a problem, and secondary unawareness (or disagreement), in which a person does appreciate that other people think one has a problem. A secondary goal was to compare the evolution of insight in first-episode and chronic schizophrenia. Sixty-eight first-episode and 51 chronic patients were administered two versions of the Scale of Unawareness of Mental Disorder (SUMD) at three time points: hospital admission, discharge, and 6-month post-discharge. In the first standard SUMD version, they were asked about their own opinions, whereas in the second modified version, they were asked about their best guess of their doctor's opinion. While overall level of unawareness remained stable within each single episode, there were significant Type of Unawareness...
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Sixty-eight first-episode and 51 chronic patients were administered two versions of the Scale of Unawareness of Mental Disorder (SUMD) at three time points: hospital admission, discharge, and 6-month post-discharge. In the first standard SUMD version, they were asked about their own opinions, whereas in the second modified version, they were asked about their best guess of their doctor's opinion.

While overall level of unawareness remained stable within each single episode, there were significant Type of Unawareness...

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abstract

This study investigated a novel distinction between two possible sources of poor insight in schizophrenia: primary unawareness, in which the ill person is not aware that other people think one has a problem, and secondary unawareness (or disagreement), in which a person does appreciate that other people think one has a problem. A secondary goal was to compare the evolution of insight in first-episode and chronic schizophrenia.

Sixty-eight first-episode and 51 chronic patients were administered two versions of the Scale of Unawareness of Mental Disorder (SUMD) at three time points: hospital admission, discharge, and 6-month post-discharge. In the first standard SUMD version, they were asked about their own opinions, whereas in the second modified version, they were asked about their best guess of their doctor's opinion.

While overall level of unawareness remained stable within each single episode, there were significant Type of Unawareness...

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