INSIGHT AND WORK PERFORMANCE IN SCHIZOPHRENIA
The Journal of Nervous and Mental DiseasePublished 1 March 2002
Paul H. Lysaker, Gary Bryson, Morris D. Bell
Citations120
SJR quartileQ3
SJR score0.59
SNIP0.52
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
This study attempts to replicate previous findings that impaired insight is related to deficits in work function and shows participants with impaired insight had significantly poorer ratings of work quality, work habits, cooperativeness, and personal presentation.
Abstract
Research has linked impaired insight in schizophrenia to poorer medication compliance and poorer treatment outcome. The current study attempts to replicate previous findings that impaired insight is related to deficits in work function. To examine this question, 121 participants with schizophrenia or schizoaffective disorder enrolled in vocational rehabilitation were classified as having unimpaired (N = 65), or impaired (N = 56) insight. Next, participants were assigned a work placement and their work performance assessed on the third, fifth, and seventh weeks of work by using the Work Behavior Inventory. Among the 85 participants who completed these weeks of work, a multivariate analysis of variance and subsequent analysis of variance showed participants with impaired insight had significantly poorer ratings of work quality, work habits, cooperativeness, and personal presentation. When measures of global intelligence and executive function were entered as covariates in individual analysis of covariance, groups differed on measures of cooperativeness and personal presentation. Implications for rehabilitation are discussed.
Keywords
PsychologyMedicine
Wechsler Adult Intelligence Scale-III
3,758 Citations2001Joseph J. Ryan, Shane J. Lopez
American Journal of PsychiatryWhat are the functional consequences of neurocognitive deficits in schizophrenia?
3,492 Citations1996M F Green
Verbal memory and vigilance appear to be necessary for adequate functional outcome in schizophrenic patients and may prevent patients from attaining optimal adaptation and hence act as "neurocognitive rate-limiting factors."
The British Journal of PsychiatryInsight and Psychosis
1,148 Citations1990Anthony S. David
It is proposed that insight is not an ‘all-or-none’ phenomenon but is composed of three distinct, overlapping dimensions, namely, the recognition that one has a mental illness, compliance with treatment, and the ability to relabel unusual mental events as pathological.
Archives of General PsychiatryAwareness of Illness in Schizophrenia and Schizoaffective and Mood Disorders
893 Citations1994Xavier Amador
It is suggested that severe self-awareness deficits are a prevalent feature of schizophrenia, perhaps stemming from the neuropsychological dysfunction associated with the disorder, and are more common in schizophrenia than in other psychotic disorders.
Schizophrenia BulletinAwareness of Illness in Schizophrenia
541 Citations1991Xavier Amador, David H. Strauss +2 more
The argument is made here that many of the self-awareness deficits observed in schizophrenia are of diagnostic significance, are neurally based, and are indispensable in guiding treatment decisions.
The Journal of Nervous and Mental DiseaseThe Relative Influences of Symptoms, Insight, and Neurocognition on Social Adjustment in Schizophrenia and Schizoaffective Disorder
201 Citations1999Thomas E. Smith, James W. Hull +5 more
Study of the relative influences of insight deficits, neurocognitive functioning, and psychotic symptoms on overall social adjustment in individuals recovering from acute exacerbations can guide clinicians in determining the most appropriate treatments for specific individuals and should guide researchers in efforts to clarify the processes that underlie treatment response and recovery in schizophrenia.
Acta Psychiatrica ScandinavicaClinical symptomatology and drug compliance in schizophrenic patients
198 Citations1988György Bartkó, Ilona Herczeg +1 more
The compliant patients had significantly higher score for self‐rated depression and their score for global psychopathological state and disturbance in social adjustment was significantly higher than the noncompliant patients.
Schizophrenia ResearchUnawareness of illness and neuropsychological performance in chronic schizophrenia
180 Citations1993Donald A. Young, Rafaela Davila +1 more
The hypothesis that at least in some of its manifestations lack of awareness among chronic schizophrenics has an organic etiology probably mediated by the frontal lobes is supported.
The Journal of Nervous and Mental DiseaseAwareness of Illness in Schizophrenia and Outpatient Treatment Adherence
171 Citations1996Brian J. Cuffel, J. S. Alford +2 more
Results indicate that persons with greater awareness perceived greater need for outpatient treatment and evidenced better adherence to outpatient treatment when adherence and awareness were measured concurrently, and neurocognitive status may bias adherence reporting in persons with schizophrenia.
American Journal of OrthopsychiatryAcceptance of the mental illness label by psychotic patients: Effects on functioning.
161 Citations1989Richard Warner, Dawn O. Taylor +2 more
Two predictive models were tested and results supported the central hypothesis of the psychotherapeutic model but not that of the labeling model, although some elements of the latter model were affirmed.
The Journal of Nervous and Mental DiseaseInsight and Interpersonal Function in Schizophrenia
148 Citations1998Paul H. Lysaker, Morris D. Bell +2 more
Unawareness of the social consequences of illness was found to be the component of insight more closely linked to social dysfunction, which suggests that impairments in insight may be uniquely associated with social dysfunction.
The Journal of Nervous and Mental DiseaseFurther Parameters of Insight and Neuropsychological Deficit in Schizophrenia and Other Chronic Mental Disease
145 Citations1998Donald A. Young, Konstantine K. Zakzanis +5 more
The hypothesis that lack of illness awareness is related to defective frontal lobe functioning as indexed by neuropsychological measures is supported.
Psychiatry ResearchWisconsin card sorting test and work performance in schizophrenia
143 Citations1995Paul H. Lysaker, Morris D. Bell +1 more
Investigation of the relationship between behavior at a vocational work placement and performance on the Wisconsin Card Sorting Test for schizophrenia or schizoaffective disorder finds results support the criterion-related validity of the WCST and have implications for understanding impairments in work function.
The Journal of Nervous and Mental DiseaseInsight and Cognitive Impairment in Schizophrenia Performance on Repeated Administrations of the Wisconsin Card Sorting Test
141 Citations1994Paul H. Lysaker, Morris D. Bell
The hypothesis that cognitive impairment may underlie poor insight in schizophrenia is supported by the results of a comparison of patients with schizophrenia and impaired insight on the Wisconsin Card Sorting Test.
Schizophrenia ResearchSelf-Appraisal of Illness Questionnaire (SAIQ): relationship to researcher-rated insight and neuropsychological function in schizophrenia
139 Citations2000Kriscinda A. Marks, Philip S. Fastenau +2 more
It was concluded that the Need for Treatment and Presence/Outcome subscales may be used in combination as a brief screening instrument for clients with schizophrenia receiving outpatient psychiatric treatment who may be at risk for treatment non-compliance due to a lack of insight into illness.
Acta Psychiatrica ScandinavicaNeurocognitive function and insight in schizophrenia: support for an association with impairments in executive function but not with impairments in global function
118 Citations1998Paul H. Lysaker, Morris D. Bell +2 more
It is suggested that insight is closely linked to deficits in executive function, and that it may be associated with the compromise of frontal lobe function.
PsychiatryInsight and Psychosocial Treatment Compliance in Schizophrenia
112 Citations1994Paul H. Lysaker, Morris D. Bell +3 more
Poor insight in patients with schizophrenia is found to be positively associated with fewer weeks of participation and with poorer social skills and personal presentation in the fifth week of work, and may be related to a constellation of cognitive deficits.
The Journal of Nervous and Mental DiseaseInsight in Schizophrenia: Its Relationship to Measures of Executive Functions
94 Citations1999Somaia Mohamed, Shelley K. Fleming +2 more
The results showed that unawareness and misattribution of negative symptoms are significantly associated with deficits in some aspects of executive functioning even after a test of general intelligence had been partialed from the analyses.
Psychological MedicineInsight and cognitive deficits in schizophrenia: evidence for a curvilinear relationship
92 Citations1996Mike Startup
In a multiple regression analysis predicting test results from insight scores, the linear component was non-significant while the quadratic component accounted for a highly significant 56% of the variance.
Psychiatric QuarterlyThe Relationship Between Insight, Illness and Treatment Outcome in Schizophrenia
78 Citations1998Robert C. Schwartz
The role of insight is outlined, as are current methods for assessing awareness of mental disorder in schizophrenia and suggestions for future research in this area are delineated.