Skip to main content Accessibility help
×
Home

Neurocognitive basis of insight in schizophrenia

  • Ashok Mysore (a1), Randolph W. Parks (a2), Kwang-Hyuk Lee (a2), Rajinder S. Bhaker (a2), Paul Birkett (a2) and Peter W. R. Woodruff (a2)...

Summary

People with schizophrenia have been categorised into three groups: those with full insight (aware, correct attributers); those aware of being unwell, but who misattributed their symptoms (aware, incorrect attributers); and those unaware of being ill (unaware). Cluster analysis of ‘awareness of illness' and ‘relabelling of symptoms' scores on the Schedule for the Assessment of Insight confirmed three distinct subgroups. The unaware group were impaired on executive and memory tests, whereas those in the aware, misattributing group were cognitively intact. Findings support an association between unawareness of illness and executive dysfunction, and highlight the separation of symptom misattribution from unawareness of illness.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Neurocognitive basis of insight in schizophrenia
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Neurocognitive basis of insight in schizophrenia
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Neurocognitive basis of insight in schizophrenia
      Available formats
      ×

Copyright

Corresponding author

Professor Peter W. R. Woodruff, Academic Clinical Psychiatry, University of Sheffield, Longley Centre, Norwood Grange Drive, Sheffield S5 7JT, UK. E-mail: p.w.woodruff@sheffield.ac.uk

Footnotes

Hide All

Declaration of interest

None.

Footnotes

References

Hide All
Aleman, A., Agrawal, N., Morgan, K. D., et al (2006) Insight in psychosis and neuropsychological function: meta–analysis. British Journal of Psychiatry, 189, 204212.
Amador, X. F., Flaum, M., Andreasen, N. C., et al (1994) Awareness of illness in schizophrenia and schizoaffective and mood disorders. Archives of General Psychiatry, 51, 826836.
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). APA.
Andreasen, N. C. (1983) Scale for the Assessment of Negative Symptoms (SANS). University of Iowa.
Andreasen, N. C. (1984) Scale for the Assessment of Positive Symptoms (SAPS). University of Iowa.
Brandt, J. & Benedict, R. H. B. (2001) Hopkins Verbal LearningTest – Revised. Psychological Resources.
David, A. S. (1990) Insight and psychosis. British Journal of Psychiatry, 156, 798808.
Flashman, L. A. & Roth, R. M. (2004) Neural correlates of unawareness of illness in psychosis. In Insight and Psychosis (eds Amador, X. & David, A.), pp. 157176. Oxford University Press.
Gold, J. M., Carpenter, C., Randolph, C., et al (1997) Auditory working memory and Wisconsin Card Sorting Test performance in schizophrenia. Archives of General Psychiatry, 54, 159165.
Henry, C. & Ghaemi, S. N. (2004) Insight in psychosis: a systematic review of treatment interventions. Psychopathology, 37, 194199.
Kongs, S. K., Thompson, L. L., Iverson, G. L., et al (2000) Wisconsin Card Sorting Test – 64 Card Version. Psychological Resources.
Mohamed, S., Fleming, S., Penn, D. L., et al (1999) Insight in schizophrenia: its relationship to measures of executive functions. Journal of Nervous and Mental Disorders, 187, 525531.
Morgan, K. D. & David, A. S. (2004) Neuropsychological study of insight in patients with psychotic disorders. In Insight and Psychosis (eds Amador, X. & David, A.), pp. 157176. Oxford University Press.
Nelson, H. E. (1991) National Adult Reading Test (2nd edn). nferNelson.
Nieznanski, M., Czerwinska, M., Chojnowska, A., et al (2002) Effectiveness of cognitive skills training in schizophrenia. Psychiatria Polska, 36, 745757.
Rathod, S., Kingdon, D., Smith, P., et al (2005) Insight into schizophrenia: the effects of cognitive behavioural therapy on the components of insight and association with sociodemographics – data on a previously published randomized controlled trial. Schizophrenia Research, 74, 211219.
Silver, A. S. (2003) The psychotherapy of schizophrenia: its place in the modern world. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 31, 325342.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Neurocognitive basis of insight in schizophrenia

  • Ashok Mysore (a1), Randolph W. Parks (a2), Kwang-Hyuk Lee (a2), Rajinder S. Bhaker (a2), Paul Birkett (a2) and Peter W. R. Woodruff (a2)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *