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Psychiatric Quarterly

, Volume 90, Issue 2, pp 339–350 | Cite as

Insight and Symptom Severity in an Inpatient Psychiatric Sample

  • Vincent Rozalski
  • Gerald M. McKeegan
Original Paper

Abstract

Individuals with a severe mental illness, particularly a psychotic disorder, often lack insight into having a mental illness. This study sought to examine the differences in insight and symptom severity between individuals with psychotic, bipolar, and depressive disorders in an inpatient psychiatric sample. 199 participants were interviewed and medical records were consulted. Results show that participants with a psychotic disorder had significantly less insight into their illness, more debilitating symptoms, and reported less depression symptoms after controlling for education, race, marital status, homelessness, age, gender, and history of incarceration. Insight was shown to be a mediator between having a psychotic disorder and symptom severity. Subjective quality of life did not differ by diagnosis. Substance use was not associated with insight or overall symptom severity, while homelessness was associated with having a psychotic disorder and more severe symptoms. Fostering insight during an inpatient stay may be an important part of reducing symptom severity and preventing patient relapse. However, greater insight may increase depression and suicidality, indicating a need for mood management and safety planning along with psychoeducation of symptoms.

Keywords

Insight Schizophrenia Inpatient Diagnosis Severity Psychiatric 

Notes

Compliance with Ethical Standards

Conflict of Interest

Drs. Rozalski and McKeegan declare that we have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Nevada, Las VegasLas VegasUSA
  2. 2.MartinezUSA
  3. 3.Spectrum HealthGrand RapidsUSA

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