Relationship between insight, violence and diagnoses in psychotic patients

Autor: Neus Herrero Sebastián, Eduardo Aguilar García-Iturrospe, Carmen Leal Cercós, Julio Sanjuán Arias, José Carlos González Piqueras, Guillem Lera Calatayud
Rok vydání: 2012
Předmět:
Zdroj: Revista de Psiquiatría y Salud Mental (English Edition). 5:43-47
ISSN: 2173-5050
DOI: 10.1016/j.rpsmen.2012.04.006
Popis: Introduction Lack of insight is a common clinical problem in psychiatric patients, but few times has been properly studied until recently. Patients with good insight tend to show a better treatment adherence with a better prognosis and show less hostility. This study aims to investigate whether there is a relationship between the hostility degree and insight or not and to analyse if there are insight quantitative differences between the patients regarding their diagnoses. Method One hundred and sixty-eight psychotic patients were studied (including 86 patients with schizophrenia and 43 with bipolar disorder). PANNS P7 (hostility) item and G14 (poor impulse control) were analysed in order to assess patients’ violence and G12 in order to assess insight. All these data were correlated. It was also analysed the PANSS results of schizophrenic vs bipolar patients regarding insight and hostility separately looking for a more homogenic pull of patients. Results Patients with greater hostility showed a worse impulse control and poorer insight than the rest. Schizophrenic patients showed a greater hostility and lower insight than bipolar patients. Discussion Lack of insight may lead to a greater hostility and worse impulse control. Therapeutic interventions addressed to improve insight could indirectly lower hostility and gain a better impulse control for psychotic patients.
Databáze: OpenAIRE
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