Premium
Insight in early psychosis: a 1 year follow‐up
Author(s) -
Mintz A.,
Addington J.,
Addington D.
Publication year - 2002
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.106.s413.1_130.x
Subject(s) - psychosis , depression (economics) , psychiatry , schizophrenia (object oriented programming) , psychology , early psychosis , clinical psychology , medicine , economics , macroeconomics
Insight is an important prognostic indicator in early psychosis, as its presence can enhance treatment compliance, thus reducing the risk of clinical deterioration. The Calgary Early Psychosis Programme (EPP) is a comprehensive treatment programme for individuals experiencing their first episode of psychosis. Purpose (i) to examine insight on admission and determine if change occurred in the first year of treatment and (ii) to determine if insight was associated with other symptoms. Methods Participants were 180 consecutive admissions to EPP who completed a 1‐year follow‐up. Insight, positive and negative symptoms were measured with the PANSS. Depression was measured with the Calgary Depression Scale. Results There was a significant improvement in insight from initial to 1‐year follow‐up ( P < 0.001). Insight was positively correlated with positive and negative symptoms ( P < 0.001) over time. Insight was negatively correlated with depression ( P < 0.001) at the initial assessment. Conclusions In these first episode patients, there is a significant improvement in insight over time. Insight is significantly related to positive and negative symptoms and to depression in the initial stages of the illness when the presence of depression is notable.