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BRIEF REPORTS further methodological difficulty in studying insight is sampling Evidence That Health Attributions and bias; patients who participate in such studies may be more likely Symptom Severity Predict Insight in to have insight than those who do not participate. We sought to establish the influence of psychological Schizophrenia coping, symptomatology, and neurocognitive functioning on Gary Donohoe, DClinPsych,*† Colin O. Donnell, MRCPsych,* insight in a group of consecutively admitted patients with Nicholas Owens, MRCPsych,* and Eadbhard O’Callaghan, MD*‡ schizophrenia. We hypothesized that insight is related to cogni- tive coping resources and attributional style. We also hypothe- Abstract: Although a relationship between insight and symptom- sized that symptomatology, cognitive coping resources, and attri- atology in schizophrenia has been repeatedly demonstrated, the influence of psychological variables such as coping mechanisms and butional style could significantly account for variance in insight. attributional style is less clear. We evaluated health attributions, SUBJECTS AND MEASURES subjective resources for coping, symptomatology, general cognitive functioning, and insight among 38 consecutive admissions with After we received ethical approval, we interviewed 38 DSM-III-R schizophrenia from a geographically defined catchment consecutively hospitalized patients admitted to St. John of area. Health attributions accounted for a significant amount of God Hospital
The Journal of Nervous and Mental Disease – Wolters Kluwer Health
Published: Sep 1, 2004
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