Skip to main content
×
Home
    • Aa
    • Aa

Is “clinical” insight the same as “cognitive” insight in schizophrenia?

  • GARY DONOHOE (a1), JUDY HAYDEN (a1), NICOLA McGLADE (a2), CARA O’GRÁDA (a3), TERESA BURKE (a4), SANDRA BARRY (a3), CARAGH BEHAN (a2), TIMOTHY G. DINAN (a3), EADBHARD O’CALLAGHAN (a2), MICHAEL GILL (a1) and AIDEN P. CORVIN (a1)...
Abstract
Abstract

Poor insight is associated with impaired cognitive function in psychosis. Whether poor clinical insight overlaps with other aspects of self-awareness in schizophrenia, such as cognitive self-awareness, is unclear. We investigated whether awareness of clinical state (“clinical insight”) and awareness of cognitive deficits (“cognitive insight”) overlap in schizophrenia in a sample of 51 stabilized patients with chronic schizophrenia. Cognitive insight was assessed in terms of the agreement between subjective self-report and neuropsychological assessment. Patients who show good cognitive insight did not necessarily show good clinical insight. By contrast, self-report and objective neuropsychological assessment only correlated for patients in the intact clinical insight group and not for those in the impairment clinical insight group. We conclude that while good cognitive insight may not be necessary for good clinical insight, good cognitive awareness is at least partly reliant on the processes involved in clinical insight. (JINS, 2009, 15, 471–475.)

Copyright
Corresponding author
*Correspondence and reprint requests to: Gary Donohoe, Department of Psychiatry, Trinity Health Centre, St. James’s Hospital, Dublin 8, Ireland. E-mail: donoghug@tcd.ie
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

A. Aleman , N. Agrawal , K.D. Morgan , & A.S. David (2006). Insight in psychosis and neuropsychological function: Meta-analysis. The British Journal of Psychiatry, 189, 204212.

D.E. Broadbent , P.F. Cooper , P. FitzGerald , & K.R. Parkes (1982). The Cognitive Failures Questionnaire (CFQ) and its correlates. The British Journal of Clinical Psychology, 21, 116.

N. Crumlish , P. Whitty , M. Kamali , M. Clarke , S. Browne , O. McTigue , A. Lane , A. Kinsella , C. Larkin , & E. O’Callaghan (2005). Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder. Acta Psychiatrica Scandinavica, 112, 449455.

A.S. David (1990). Insight and psychosis. The British Journal of Psychiatry, 156, 798808.

G. Donohoe , A. Corvin , & I.H. Robertson (2006). Are the cognitive deficits associated with impaired insight in schizophrenia specific to executive task performance? Journal of Nervous and Mental Disease, 193, 803808.

R.J. Drake & S.W. Lewis (2003). Insight and neurocognition in schizophrenia. Schizophrenia Research, 62, 165173.

L.S. Grossman , M. Harrow , C. Rosen , R. Faull , & G.P. Strauss (2008). Sex differences in schizophrenia and other psychotic disorders: A 20-year longitudinal study of psychosis and recovery. Comprehensive Psychiatry, 49, 523529.

P.D. Harvey , M.R. Serper , L. White , M.J. Parrella , S.R. McGurk , P.J. Moriarty , C. Bowie , N. Vadhan , J. Friedman , & K.L. Davis (2001). The convergence of neuropsychological testing and clinical ratings of cognitive impairment in patients with schizophrenia. Comprehensive Psychiatry, 42, 306313.

R. Kemp & A. David (1996). Psychological predictors of insight and compliance in psychotic patients. The British Journal of Psychiatry, 169, 444450.

K.R. Laws (1999). A meta-analytic review of Wisconsin Card Sort studies in schizophrenia: General intellectual deficit in disguise? Cognitive Neuropsychiatry, 4, 130.

P.H. Lysaker , A. Carcione , G. Dimaggio , J.K. Johannesen , G. Nicolò , M. Procacci , & A. Semerari (2005). Metacognition amidst narratives of self and illness in schizophrenia: Associations with neurocognition, symptoms, insight and quality of life. Acta Psychiatrica Scandinavica, 112, 6471.

T. Manly , I.H. Robertson , M. Galloway , & K. Hawkins (1999). The absent mind: Further investigations of sustained attention to response. Neuropsychologia, 37, 661670.

A.R. Mintz , K.S. Dobson , & D.M. Romney (2003). Insight in schizophrenia: A meta-analysis. Schizophrenia Research, 61, 7588.

S.H. Mutsatsa , E.M. Joyce , S.B. Hutton , & T.R. Barnes (2006). Relationship between insight, cognitive function, social function and symptomatology in schizophrenia: The West London first episode study. European Archives of Psychiatry and Clinical Neuroscience, 256, 356363.

J.M. Pyne , D. Bean , & G. Sullivan (2001). Characteristics of patients with schizophrenia who do not believe they are mentally ill. The Journal of Nervous and Mental Disease, 189, 146153.

M.S. Ritsner & H. Blumenkrantz (2007). Predicting domain-specific insight of schizophrenia patients from symptomatology, multiple neurocognitive functions, and personality related traits. Psychiatry Research, 149, 5969.

I.H. Robertson , T. Manly , J. Andrade , B.T. Baddeley , & J. Yiend (1997). ‘Oops!’: Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35, 747758.

J. Sanjuán , E.J. Aguilar , J.M. Olivares , S. Ros , A.L. Montejo , F. Mayoral , M.A. Gonzalez-Torres , & M. Bousoño (2006). Subjective perception of cognitive deficit in psychotic patients. Journal of Nervous and Mental Disease, 194, 5860.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Journal of the International Neuropsychological Society
  • ISSN: 1355-6177
  • EISSN: 1469-7661
  • URL: /core/journals/journal-of-the-international-neuropsychological-society
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: