Skip to main content

Advertisement

SpringerLink
Log in

The Relationship Between Consumer Insight and Provider-Consumer Agreement Regarding Consumer’s Quality of Life

  • Brief Report
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

This study examined the relationship between insight and mental health consumers and providers agreement regarding consumers rated quality of life (QoL). Seventy mental health consumers and their 23 care providers filled-out parallel questionnaires designed to measure consumer QoL. Consumers’ insight was also assessed. For most QoL domains, agreement between consumers and providers was higher for persons with high insight. For the Psychological well being dimension a negative correlation was uncovered for persons with low insight indicating disagreement between consumer and provider. These findings are discussed within the context of the literature on insight and agreement between consumer and provider as related to the therapeutic alliance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  • Amador, X. F., Flaum, M. M., Andreasen, N. C., Strauss, D. H., Yale, S. A., Clark, S. C., et al. (1994). Awareness of illness in schizophrenia and schizoaffective and mood disorders. Archives of General Psychiatry, 51, 826–836.

    PubMed  CAS  Google Scholar 

  • Amador, X. F., Strauss, D., Yale, S., & Gorman, J. M. (1991). Awareness of illness in schizophrenia. Schizophrenia Bulletin, 17(1), 113–132.

    PubMed  CAS  Google Scholar 

  • Angus, L. E., & McLeod, J. (2004). The handbook of narrative and psychotherapy: Practice, theory and research. Sage.

  • Becker, M., Diamond, R., & Sainfort, F. (1993). A new client focused index for measuring quality of life in persons with sever and persistent mental illness. Quality of Life Research, 2, 239–251.

    Article  PubMed  CAS  Google Scholar 

  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16(3), 252–260.

    Article  Google Scholar 

  • Chopra, M. (2004). Psychological factors associated with treatment compliance and their relationship to outcome among individuals suffering from sever mental illness. Ph.D. Thesis, School of Social-Work, Bar-Ilan University.

  • Coorigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (2008). Principles and practice of psychiatric rehabilitation. New York: Guilford Press.

    Google Scholar 

  • Couture, M. S., Roberts, D. L., Penn, D. L., Cather, C., Otto, M. W., & Goff, D. (2006). Do baseline characteristics predict the therapeutic alliance in the treatment of schizophrenia? Journal of Nervous and Mental Disease, 94, 10–14.

    Google Scholar 

  • Cuesta, M. J., & Peralta, V. (1994). Lack of insight in schizophrenia. Schizophrenia Bulletin, 20(2), 359–366.

    PubMed  CAS  Google Scholar 

  • Deegan, P. E. (2004). Rethinking rehabilitation: Freedom. In The 20th World Congress of rehabilitation international: Rethinking rehabilitation. Oslo, Norway.

  • Deegan, P. E. (2005). Silence: What we don’t talk about in rehabilitation. In SKUR conference Norway.

  • Doyle, M., Flanagan, S., Browne, S., Clarke, M., Lydon, D., Larkin, E., et al. (1999). Subjective and external assessment of quality of life in schizophrenia: relationship to insight. Acta Psychiatrica Scandinavica, 99, 466–472.

    Article  PubMed  CAS  Google Scholar 

  • Friedlander, M. L., Escudero, V., & Heatherington, L. (2006). Therapeutic alliances in couple and family therapy: An empirically influence guide to practice. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Hasson-Ohayon, I., Kravetz, S., & Roe, D. (2010). The relation between metacognition and empathy: The dialogical core of a metacognitive approach to psychiatric rehabilitation. In G. Dimaggio & P. H. Lysaker (Eds.), Metacognition and severe adult mental disorders: From research to treatment (pp. 233–245). New York: Routledge.

    Google Scholar 

  • Hatfield, A. B., & Lefley, H. P. (1993). Clients perceptions of professionals and the service provider system. In Surviving mental illness: Stress, coping and adaptation (pp. 91–99). New York: Guilford.

  • Horvath, A. O., & Bedi, R. P. (2002). The alliance. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapists’ contributions and responsiveness of clients (pp. 37–69). New York: Oxford University Press.

    Google Scholar 

  • Kemp, R., & David, A. (1995). Insight and adherence to treatment in psychotic disorders. British Journal of Hospital Medicine, 54(5), 222–227.

    PubMed  CAS  Google Scholar 

  • Kemp, R., & David, A. (1997). Insight and compliance. In B. Blackwell (Ed.), Compliance and treatment alliance in serious mental illness (pp. 61–86). Amsterdam: Harwood Academic Publishers.

  • Kravetz, S., Faust, M., & Dasberg, I. (2002). A comparison of care consumer and therapist perspectives on the quality of life of persons with persistent and severe psychiatric disabilities. Psychiatric Rehabilitation Journal, 25(4), 388–397.

    PubMed  Google Scholar 

  • Langdon, R., & Ward, P. (2008). Taking the perspective of the other contributes to awareness of illness in schizophrenia. Schizophrenia Bulletin, 35, 1003–1011.

    Google Scholar 

  • Lasalvia, A., & Ruggeri, M. (2007). Assessing the outcome of community-based psychiatric care: building a feedback loop from ‘real world’ health services research into clinical practice. Acta Psychiatrica Scandinavica, 116(Suppl 437), 6–15.

    Google Scholar 

  • Lee, K. (2006). Empathic deficits in schizophrenia. In T. Farrow & P. Woodruff (Eds.), Empathy in mental illness (pp. 17–32). New York: Cambridge University Press.

    Google Scholar 

  • Lincoln, T. M., Lullman, E., & Rief, W. (2007). Correlates and long term consequences of poor insight in clients with schizophrenia. A systematic review. Schizophrenia Bulletin, 33(6), 1324–1342.

    Article  PubMed  Google Scholar 

  • Lysaker, P. H., Clements, C. A., Plascak-Hallberg, C. D., Knipscheer, S. J., & Wright, D. E. (2002). Insight and personal narratives of illness in schizophrenia. Psychiatry, 65(3), 197–206.

    Article  PubMed  Google Scholar 

  • Martin, D. J., Graske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Counseling and Clinical Psychology, 68, 438–450.

    Article  CAS  Google Scholar 

  • McCabe, R., & Priebe, S. (2004). The therapeutic relationship in the treatment of severe mental illness: A review of methods and findings. International Journal of Social Psychiatry, 50(2), 115–128.

    Article  PubMed  Google Scholar 

  • Mitchel, J. E., Pyle, R. L., & Hatsukami, D. (1983). A comparative analysis of psychiatric problems listed by clients and physicians. Hospital Community Psychiatry, 34(9), 848–849.

    Google Scholar 

  • Perrault, M., Rogers, W. L., Leichner, P., & Sabourin, S. (1996). Client’s requests and satisfaction with services in an outclient psychiatric setting. Psychiatric Services, 47(3), 287–292.

    Google Scholar 

  • Priebe, S., Reininghaus, U., McCabe, R., Burns, T., Eklund, M., Hansson, L., et al. (2010). Factors influencing subjective quality of life in patients with schizophrenia and other mental disorders: A pooled analysis. Schizophrenia Research, 121, 251–258.

    Article  PubMed  Google Scholar 

  • Priebe, S., Watts, J., Chase, M., & Matanov, A. (2005). Processes of disengagement and engagement in assertive outreach patients: Qualitative study. British Journal of Psychiatry, 187, 438–443.

    Article  PubMed  Google Scholar 

  • Roe, D., & Kravetz, S. (2003). Different ways of being aware of and acknowledging a psychiatric disability. A multifunctional narrative approach to insight into mental disorder. Journal of Nervous and Mental Disease, 191(7), 417–424.

    Article  PubMed  Google Scholar 

  • Roe, D., Lereya, J., & Fennig, S. (2001). Comparing clients and staff member’s attitudes: Does client’s competence to disagree mean they are not competent? Journal of Nervous and Mental Diseases, 189(5), 307–310.

    Article  CAS  Google Scholar 

  • Roe, D., Weishut, D. J. N., Jaglom, M., & Rabinowitz, J. (2002). Clients’ and staff members’ attitudes about the rights of hospitalized psychiatric clients. Psychiatric Services, 53, 87–91.

    Article  PubMed  Google Scholar 

  • Sainfort, F., Becker, M., & Diamond, R. (1996). Judgment of quality of life of individuals with sever mental illness disorders: Client self report versus provider perspective. American Journal of Psychiatry, 153(4), 497–502.

    PubMed  CAS  Google Scholar 

  • Sanz, M., Constable, I., Lopez-Ibor, R., & David, A. S. (1998). A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychological Medicine, 28, 437–446.

    Google Scholar 

  • Schwartz, R. C. (1998). Symptomatology and insight in schizophrenia. Psychological Reports, 82, 227–233.

    PubMed  CAS  Google Scholar 

  • Solomon, P., Draine, J., & Delaney, M. A. (1995). The working alliance and consumer case management. Journal of Mental Health Administration, 22(2), 126–134.

    Article  PubMed  CAS  Google Scholar 

  • Tam, C., & Law, S. (2007). A systematic approach to the management of patients who refuse medications in an Assertive Community Treatment Team Setting. Psychiatric Services, 58(4), 457–459.

    Article  PubMed  Google Scholar 

  • Van Nieuwenhuizen, C., Schene, A. H., Boevink, A., & Wolf, J. R. L. M. (1997). Measuring the quality of life of therapists with severe mental illness: A review of instruments. Psychiatric Rehabilitation Journal, 20(4), 33–41.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychology, Bar-Ilan University, 52900, Ramat-Gan, Israel

    Ilanit Hasson-Ohayon, Shlomo Kravetz, Itamar Levy-Frank & Taly Meir

  2. Department of Community Mental Health, University of Haifa, Haifa, Israel

    David Roe

Authors
  1. Ilanit Hasson-Ohayon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David Roe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shlomo Kravetz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Itamar Levy-Frank
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Taly Meir
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ilanit Hasson-Ohayon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hasson-Ohayon, I., Roe, D., Kravetz, S. et al. The Relationship Between Consumer Insight and Provider-Consumer Agreement Regarding Consumer’s Quality of Life. Community Ment Health J 47, 607–612 (2011). https://doi.org/10.1007/s10597-011-9380-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-011-9380-2

Keywords

Search

Navigation