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A. De Risio, M. Mazza, R. Roncone, C. Tozzini, M. Casacchia - Vol. 6, Marzo 2000,num.1

Testo Immagini Bibliografia Summary Riassunto Indice

Consapevolezza di malattia ed aspetti psicopatologici nel disturbo schizofenico
Awareness of disease and psychopathological features in schizophrenic disorders

Background

Literature data concerning correlations between insight and the severity of symptomatology are contrasting.

In this study we intended to verify the relationship between the awareness of the disease and psychopatological dimensions in persons affected by schizofrenia.

Aim and Method

We evaluated the insight 67 people affected by schizophrenic disorders, with the Italian version of the Insight Scale, (Birchwood, 1994) going to validated by our group.

The psychopathology of patients was assessed by the administration of 24-item the BPRS, espanded version (Casacchia e Morosini, 1995), SANS (Andreasen, 1984) and SAPS (Andreasen, 1984).

Results

Results show significant correlations between items of the Birchwood’s Insight Scale, BPRS, SANS and SAPS.

Patients with positive symptoms are less aware of having a mental disorder, while those with negative symptoms, as blunted affect and alogia, are more prone to accept past psychotic experiences and need for treatment.

Conclusions

Insight varies according to positive vs. negative sympton prevalence in schizophrenic patients.