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Purpose: e aim of this study was to investigate the relationships among insight, perception of people with mental illness, self-esteem, and reality testing in patients with schizophrenia. Method:We examined the responses of 63 patients to the Schedule for Assessment of InsightJapanese version (SAI-J), Insight Scale (IS), Rosenberg Self Esteem Scale, Japanese version of the Beck Cognitive Insight Scale (BCIS-J), and perception of people with mental illness. Results:We found signi cant relationships among insight (SAI-J and IS), perception of people with mental illness, and self-esteem when we divided the participants according to degree of awareness of mental illness. We also found a signi cant correlation between insight (SAI-J and IS) and self-re ectiveness as well as a good model for predictive factors of “awareness of illness” by multiply regression analysis. e predictive factors were negative symptoms, self-re ectiveness, self-certainty, self-esteem, and one of the factors of perception of people with mental illness. Discussion: e ndings of this study suggest that insight, perception of people with mental illness, and self-esteem are complexly related and that self-re ectiveness is an important cognitive ability for insight in people with schizophrenia. Although further study is needed, these results suggest that improving self-esteem, perception of people with mental illness, and ability of realistic cognition is important for improving insight in patients with schizophrenia.

Insight in Patients with Schizophrenia: Relationships among Self-Esteem, Perception of People with Mental Illness, and Cognitive Insight