Korean J Schizophr Res Search

CLOSE


Korean J Schizophr Res > Volume 22(2); 2019 > Article
Korean Journal of Schizophrenia Research 2019;22(2):56-65.
DOI: https://doi.org/10.16946/kjsr.2019.22.2.56    Published online October 31, 2019.
The Insight Paradox among Outpatients with Schizophrenia.
Tae Yong Kim, Jun Gee Kim, Chul Kwon Kim
Department of Psychiatry, College of Medicine, Dong-A University, Busan, Korea. kimck@dau.ac.kr
Abstract
OBJECTIVES
The primary objective was to test the phenomenon known as the insight paradox, which refers to the association between higher levels of insight and lower self-esteem, higher hopelessness, and a higher perception of social prejudice among patients with schizophrenia.
METHODS
A total of 216 outpatients with schizophrenia according to the DSM-IV diagnostic criteria were recruited. All participants were receiving ongoing outpatient treatment and were in a stable phase of the disorder. The participants were divided into a good-insight (N=109) and a poor-insight (N=107) group by the direct interview and the mean score of questionnaire. The parameters used for analysis and comparison were demographic variables (age, gender, education), clinical variables (age at onset, number of hospitalizations), self-esteem, hopelessness, self-stigma, and quality of life.
RESULTS
Compared with the poor-insight group, the good-insight group was found to have a lower number of hospitalizations, lower self-esteem, higher hopelessness, lower quality of life, and a higher level of internalized stigma.
CONCLUSION
The insight can cause the negative consequences in patients with schizophrenia. Therefore, clinicians should pay attention to the negative aspects of insight for improving the quality of life in the treatment of patients with schizophrenia.
Key Words: Hopelessness · Insight · Insight paradox · Internalized stigma · Quality of life · Schizophrenia · Self-esteem


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
15 Teheran-ro 82-gil, Gangnam-gu, Seoul 06178, Korea
Tel: +82-2-552-6677    Fax: +82-31-554-2599    E-mail: thanato96@naver.com                

Copyright © 2021 by Korean Society for Schizophrenia Research.

Developed in M2PI

Close layer
prev next