Variability in Insight Before and After Treatment in Patients with Schizophrenia
Introduction: An important component in the management of schizophrenia is insight. Schizophrenia patients that lack insight have poor clinical outcomes. Chronic patients of chronic schizophrenia lacking insight more often require hospitalisation than those recognising their illness. Poor insigh...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2020-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/14344/45406_CE[Ra1]_F(SL)_PF1(AD_OM)_PFA(OM)_PN(SL).pdf |
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| author | Prakash Behere Mangesh Rathod Debolina Chowdhury Amit Nagdive Aniruddh Prakash Behere Richa Yadav Rouchelle Fernandes |
| author_facet | Prakash Behere Mangesh Rathod Debolina Chowdhury Amit Nagdive Aniruddh Prakash Behere Richa Yadav Rouchelle Fernandes |
| author_sort | Prakash Behere |
| collection | DOAJ |
| description | Introduction: An important component in the management
of schizophrenia is insight. Schizophrenia patients that lack
insight have poor clinical outcomes. Chronic patients of chronic
schizophrenia lacking insight more often require hospitalisation
than those recognising their illness. Poor insight is a good
indicator of poor compliance and can predict the prognosis of
any psychiatric patient including schizophrenia.
Aim: This study was aimed at contrasting the gain in insight
after treatment among various sub-groups of patients with
schizophrenia.
Materials and Methods: A cross-sectional study was
conducted at the Acharya Vinobha Bhave Rural Hospital,
Wradha, Maharashtra. The sample size was collected for
a period of 1 year, during which all the patients admitted to
the psychiatry ward were screened, of which 100 eligible
patients with schizophrenia were identified using prespecified
inclusion and exclusion criteria. Patients of both sexes aged
above 18 years and attendants that provided consent were
included in the study. The Schedule for Assessment of Insight
Scale (SAI) was used to determine the patient’s level of insight.
The proportion of patients with distinct socio-demographic
characteristics, clinical profile, psychiatric diagnosis and SAI
scores were calculated. A paired t-test was used for elaborating
the results. The p-value <0.05 was considered significant.
Results: The changes in insight scores from the time of
admission (4.15) to the time of discharge (9.28) were statistically
significant and similar in both males and females and also
results are statistically significant according to marital status.
Significant improvement was seen in patients irrespective of
their employment status or their educational status.
Conclusion: This study showed that the insight changes as the
patient improves during the hospital stay. This study highlights
that poor insight is commonly seen in psychotic patients and
the treatment considerably improves their insight. |
| first_indexed | 2024-12-21T01:51:01Z |
| format | Article |
| id | doaj.art-76d3566cf7f7467ba6fc64e467cb72cc |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T01:51:01Z |
| publishDate | 2020-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-76d3566cf7f7467ba6fc64e467cb72cc2022-12-21T19:19:54ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-12-011412VC01VC0410.7860/JCDR/2020/45406.14344Variability in Insight Before and After Treatment in Patients with SchizophreniaPrakash Behere0Mangesh Rathod1Debolina Chowdhury2Amit Nagdive3Aniruddh Prakash Behere4Richa Yadav5Rouchelle Fernandes6Former Vice Chancellor, D Y Patil University, Kolhapur (MS); Director Professor, Department of Psychiatry, Jawaharlal Nehru Medical College, Director School of Advanced Studies, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Former Resident, Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.Resident, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Associate Professor, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.Consultant, Department of Psychiatry, Helen Devos Children’s Hospital, Assistant Professor, Department of Paediatrics and Human Development, Grand Rapids, Michigan, USA.Assistant Professor, Department of Psychiatry and Behavioural Sciences, OU College of Medicine, Oklahoma City, Oklahoma, USA.Resident, Department of Psychiatry, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha, Maharashtra, India.Introduction: An important component in the management of schizophrenia is insight. Schizophrenia patients that lack insight have poor clinical outcomes. Chronic patients of chronic schizophrenia lacking insight more often require hospitalisation than those recognising their illness. Poor insight is a good indicator of poor compliance and can predict the prognosis of any psychiatric patient including schizophrenia. Aim: This study was aimed at contrasting the gain in insight after treatment among various sub-groups of patients with schizophrenia. Materials and Methods: A cross-sectional study was conducted at the Acharya Vinobha Bhave Rural Hospital, Wradha, Maharashtra. The sample size was collected for a period of 1 year, during which all the patients admitted to the psychiatry ward were screened, of which 100 eligible patients with schizophrenia were identified using prespecified inclusion and exclusion criteria. Patients of both sexes aged above 18 years and attendants that provided consent were included in the study. The Schedule for Assessment of Insight Scale (SAI) was used to determine the patient’s level of insight. The proportion of patients with distinct socio-demographic characteristics, clinical profile, psychiatric diagnosis and SAI scores were calculated. A paired t-test was used for elaborating the results. The p-value <0.05 was considered significant. Results: The changes in insight scores from the time of admission (4.15) to the time of discharge (9.28) were statistically significant and similar in both males and females and also results are statistically significant according to marital status. Significant improvement was seen in patients irrespective of their employment status or their educational status. Conclusion: This study showed that the insight changes as the patient improves during the hospital stay. This study highlights that poor insight is commonly seen in psychotic patients and the treatment considerably improves their insight.https://jcdr.net/articles/PDF/14344/45406_CE[Ra1]_F(SL)_PF1(AD_OM)_PFA(OM)_PN(SL).pdfimprovementmanagementpsychosis |
| spellingShingle | Prakash Behere Mangesh Rathod Debolina Chowdhury Amit Nagdive Aniruddh Prakash Behere Richa Yadav Rouchelle Fernandes Variability in Insight Before and After Treatment in Patients with Schizophrenia Journal of Clinical and Diagnostic Research improvement management psychosis |
| title | Variability in Insight Before and After Treatment in Patients with Schizophrenia |
| title_full | Variability in Insight Before and After Treatment in Patients with Schizophrenia |
| title_fullStr | Variability in Insight Before and After Treatment in Patients with Schizophrenia |
| title_full_unstemmed | Variability in Insight Before and After Treatment in Patients with Schizophrenia |
| title_short | Variability in Insight Before and After Treatment in Patients with Schizophrenia |
| title_sort | variability in insight before and after treatment in patients with schizophrenia |
| topic | improvement management psychosis |
| url | https://jcdr.net/articles/PDF/14344/45406_CE[Ra1]_F(SL)_PF1(AD_OM)_PFA(OM)_PN(SL).pdf |
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