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ANALIZAN LA RELACION DEL INSIGHT EN LA ESQUIZOFRENIA CON VARIABLES AFECTIVAS, COGNITIVAS Y PSICOPATOLOGICAS

(especial para SIIC © Derechos reservados)
En el insight, el factor psicótico se relaciona con la depresión y la ansiedad, mientras que el factor cognitivo no lo hace.
bengocheaseco9.jpg Autor:
Rosario Bengochea seco
Columnista Experto de SIIC

Institución:
Centro Hospitalario Padre Menni


Artículos publicados por Rosario Bengochea seco
Coautores
David Gil Sanz* Marta Arrieta Rodríguez* Mar Fernández Modamio* Ismael Lastra Martínez** 
Psicología Clínico, Centro Hospitalario Padre Menni, Santander, España*
Médico Psiquiatra, Hospital Universitario Marqués de Valdecilla, Santander, España**
Recepción del artículo
9 de Septiembre, 2008
Aprobación
14 de Octubre, 2008
Primera edición
22 de Septiembre, 2009
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
La investigación sobre el insight ha concluido que se trata de una variable multidimensional, que se relaciona con otras variables como la sintomatología psicótica, el deterioro cognitivo y la depresión. En el presente estudio, realizado con una muestra de 136 sujetos diagnosticados de esquizofrenia, los autores plantean verificar un estudio anterior en el que establecían la existencia de dos factores del insight: un factor psicótico y un factor cognitivo. El primero hace referencia a un conocimiento general de la enfermedad, que correlaciona con la sintomatología psicótica. El factor cognitivo se refiere a un conocimiento más amplio y específico de la enfermedad y requiere el funcionamiento preservado de ciertas áreas cognitivas. Asimismo, se plantea estudiar la relación entre las diferentes dimensiones del insight y variables como la depresión, la ansiedad y las ideas de suicidio. Los resultados obtenidos corroboran la existencia de ambos factores. El factor psicótico se relacionó con la depresión y la ansiedad, mientras que el factor cognitivo no. Se discuten las consecuencias terapéuticas de estos resultados.

Palabras clave
esquizofrenia, insight, deterioro cognitivo, psicopatología, depresión


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Abstract
Research into insight has come to the conclusion that this is a multidimensional variable, associated with other variables such as psychotic symptoms, cognitive impairment, and depression. In this study, which was performed on a sample of 136 subjects who were diagnosed with schizophrenia, the authors planned to reproduce a previous study in which the existence of two factors related to insight were established: a psychotic factor, and a cognitive factor. The psychotic factor refers to a general knowledge of the illness, which correlates with psychotic symptoms. The cognitive factor refers to a broader and more specific understanding of the illness, and it requires the preservation of certain cognitive areas. The study also states the need to study the relationship between the different dimensions of insight and variables such as depression, anxiety and suicidal ideation. The results support the presence of both factors. The psychotic factor was associated with depression and anxiety, whereas the cognitive factor was not. The therapeutic implications of these results are discussed.

Key words
schizophrenia, insight, cognitive impairment, psychopathology, depression


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

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Principal: Salud Mental
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Bibliografía del artículo

1. Amador XF, Friedman JH, Kasapis C, Y SA, Flaum M, Gorman JM. Suicidal behavior in schizophrenia and its relationship to awareness of illness. Am J Psychiatry 153(9):1185-1188, 1996.
2. Fenning S, Everett E, Bromet EJ, Jandorf L, Fennig SR, Tanenberg-Karant M y col. Schizophr Res 22(3):257-263, 1996.
3. Collins AA, Remington GJ, Coulter K, Birkett K. Insight, neurocognitive function and symptom clusters in chronic schizophrenia. Schizophr Res 27(1):37-44, 1997.
4. Sanz M, Constable G, Lopez-Ibor I, Kemp R, David AS. A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychol Med 28:437-446, 1998.
5. Schwartz RC. Symptomatology and insight in schizophrenia. Psychol Rep 82(1):227-233, 1998.
6. Schwartz RC. The relationship between insight, illness and treatment outcome in schizophrenia. Psychiatric Q 69:1-22, 1998.
7. Smith TE, Hull JW, Israel LM, Willson DF. Insight, symptoms, and neurocognition in schizophrenia and schizoaffective disorder. Schizophr Bull 26(1):193-200, 2000.
8. Smith TE, Hull JW, Huppert JD, Silverstein SM, Anthony DT, McClough JF. Insight and recovery from psychosis in chronic schizophrenia and schizoaffective disorder patients. J Psychiatr Res 38(2):169-176, 2004.
9. Buckley PF, Hasan S, Friedman L, Cerny C. Insight and schizophrenia. Compr Psychiatry 42(1):39-41 , 2001.
10. McCabe R, Quayle E, Beirne AD, Anne Duane MM. Insight, global neuropsychological functioning, and symptomatology in chronic schizophrenia. J Nerv Ment Dis 190(8):519-525, 2002.
11. Williams CC, Collins A. Factors associated with insight among outpatients with serious mental illness. Psychiatr Serv 53(1):96-98, 2002.
12. Vaz FJ, Béjar A, Casado M. Insight, psychopathology, and interpersonal relationships in schizophrenia. Schizophr Bull 28(2):311-7, 2002.
13. Rossell SL, Coakes J, Shapleske J, Woodruff PW, David AS. Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychol Med 33(1):111-119, 2003.
14. Keshavan MS, Rabinowitz J, DeSmedt G, Harvey PD, Schooler N. Correlates of insight in first episode psychosis. Schizophr Res 70(2-3):187-94, 2004.
15. Nakano H, Terao T, Iwata N, Hasako R, Nakamura J. Symptomatological and cognitive predictors of insight in chronic schizophrenia. Psychiatry Res 127(1-2):65-72, 2004.
16. Sevy S, Nathanson K, Visweswaraiah H, Amador X. The relationship between insight and symptoms in schizophrenia. Compr Psychiatry 45(1):16-9, 2004.
17. Gil D, Bengochea R, Arrieta M, Lastra I, Alvarez A, Sánchez R, Diego MA. Insight, neurocognición y psicopatología en esquizofrenia. Actas Esp Psiquiatr 34(5):317-322, 2006.
18. Saeedi H, Addington J, Addington D. The association of insight with psychotic symptoms, depression and cognition in early psychosis: a 3-year follow-up. Schizophr Res 89(1-3):123-128, 2007.
19. Schwartz RC, Cohen BN, Grubaugh A. Does insight affect long-term impatient treatment outcome in chronic schizophrenia. Compr Psychiatry 38(5):283-288, 1997.
20. Lysaker PH, Campbell K, Johannesen JK. Hope, Awareness of illness, and coping in schizophrenia spectrum disorders: Evidence of an interaction. J Nerv Ment Dis 193(5):287-292, 2005.
21. Lincoln TM, Lüllmann E, Rief W. Correlates and long-term consequences of poor insight in patients with schizophrenia. A systematic review. Schizophr Bull 33(6):1324-1342, 2007.
22. Dickerson FB, Boronow JJ, Ringel N, Parente F. Lack of insight among outpatients with schizophrenia. Psychiatr Serv 48(2):195-199, 1997.
23. Lysaker P, Bell M, Milstein R, Bryson G, Beam-Goulet J. Insight and psychosocial treatment compliance in schizophrenia. Psychiatr 57(4):307-315, 1994.
24. Lysaker PH, Bell MD, Bryson GJ, Kaplan E. Insight and interpersonal function in schizophrenia. J Nerv Ment Dis 186(7):432-436, 1998.
25. Arango C, Calcedo BA, Gonzalez S, Calcedo OA. Violence in inpatients with schizophrenia: a prospective study. Schizophr Bull 25:493-503, 1999.
26. Smith TE, Hull JW, Goodman M, Hedayat-Harris A, Willson DF, Israel LM et al. The relative influences of symptoms, insight and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. J Nerv Ment Dis 187(2):102-108, 1999.
27. Francis JL, Penn DL. The relationship between insight and social skill in persons with severe mental illness. J Nerv Ment Dis 189(12):822-9, 2001.
28. Yen CF, Yeh ML, Chen CS, Chung HH. Predictive value of insight for suicide, violence, hospitalization, and social adjustment for outpatients with schizophrenia: a prospective study. Compr Psychiatry 43(6):443-447, 2002.
29. Buckley PF, Hrouda DR, Friedman L, Noffsinger SG, Resnick PJ, Camlin-Shingler K. Insight and its relationship to violent behavior in patients with schizophrenia. Am J Psychiatry 161:1712-1714, 2004.
30. Cernovsky ZZ, Landmark JA, Merskey H, Husni M. Clinical correlates of insight in schizophrenia. Psychol Rep 95(3):821-827, 2004.
31. Mutsatsa SH, Joyce EM, Hutton SB, Barnes TRE. Relationship between insight, cognitive function, social function and symptomatology in schizophrenia. The West London first episode study. Eur Arch Psychiatry Clin Neurosci 256:356-363, 2006.
32. Lincoln TM, Hodgins S. Is lack of insight associated with physically aggressive behavior among people with schizophrenia living in the community? J Nerv Ment Dis 196:62-66, 2008.
33. Ritsner MS, Blumenkrantz H. Predicing domain-specific insight of schizophrenia patients from symptomatology, multiple neurocognitive functions, and personality related traits. Psychiatry Res 149(1):59-69, 2006.
34. Judd LL. Mood disorders in schizophrenia: epidemiology and comorbidity. J Clin Psychiatry 16:2-4, 1998.
35. Addington D, Addington J, Patten S. Depression in people with first-episode schizophrenia. Br J Psychiatry Suppl 172(33):90-92, 1998.
36. Addington J, Leriger E, Addington D. Symptom outcome 1 year after admission to an early psychosis program. Can J Psychiatry 48(3):204-207, 2003.
37. McGlashan TH, Carpenter WT. Post-psychotic depression in schizophrenia. Arch Gen Psychiat 33:231-239, 1976.
38. Sands JR, Harrow M. Depression during the longitudinal course of schizophrenia. Schizophr Bull 25(1):157-171 , 1999.
39. Addington DD, Azorin JM, Falloon IRH, Gerlach J, Hirsch SR, Siris, SG. Clinical issues related to depression in schizophrenia: an international survey of psychiatrists. Acta Psychiatr Scand 105:189-195, 2002.
40. Collins AA, Remington GJ, Coulter K, Birkett K. Insight, neurocognitive function and symptom clusters in chronic schizophrenia. Schizophr Res 27(1):37-44, 1997.
41. Smith TE, Hull JW, Santos L. The relationship between symptoms and insight in schizophrenia: a longitudinal perspective. Schizophr Res 33 1-2):63-67, 1998.
42. Carroll A, Fattah S, Clyde Z, Coffey I, Owens DG, Johnstone EC. Correlates of insight and insight change in schizophrenia. Schizophr Res 35(3):247-253, 1999.
43. Schwartz RC, Petersen S. The relationship between insight and suicidality among patients with schizophrenia. J Nerv Ment Dis 187(6):376-378, 1997.
44. Drake RJ, Pickles A, Bentall RP, Kinderman P, Haddock G, Tarrier N, Lewis SW. The evolution of insight, paranoia and depression during early schizophrenia. Psychol Med 34(2):285-292, 2004.
45. Crumlish N, Whitty P, Kamali M, Clarke M, Browne S, McTigue O, Lane A, Kinsella A, Larkin C, O'Callaghan E. Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder. Acta Psychiatr Scand 112(6):449-455, 2005.
46. McEvoy JP, Jhonson J, Perkins D, Lieberman JA, Hamer RM, Keefe RSE, y col. Insight in first-episode psychoses. Psichol Med 36:1385-1393, 2006.
47. Schwartz-Stav O, Apter A, Zalsman G. Depression, suicidal behavior and insight in adolescents with schizophrenia. Eur Child Adolesc Psychiatry 15(6):352-359, 2006.
48. Saeedi H, Addington J, Addington D. The association of insight with psychotic symptoms, depression, and cognition in early psychosis: A 3-year follow-up. Schizophr Res 89(1-3):123-128, 2007.
49. Schwartz RC. Insight and suicidality in schizophrenia: a replication study. J Nerv Ment Dis 188(4):235-237, 2000.
50. Kim CH, Jayathilake K, Meltzer HY. Hopelessness, neurocognitive function, and insight in schizophrenia: relationship to suicidal behavior. Schizophr Res 60(1):71-80, 2003.
51. Schwartz RC, Smith SD. Suicidality and psychosis: the predictive potential of symptomatology and insight into illness. J Psychiatr Res 38(2):185-191, 2004.
52. Schwartz RC. Self-awareness in schizophrenia: its relationship to depressive symptomatology and broad psychiatric impairments. J Nerv Ment Dis 189(6):401-403, 2001.
53. Bourgeois M, Swendsen J, Young F, Amador X, Pini S, Cassano GB, Lindenmayer JP, Hsu C, Alphs L, Meltzer HY, InterSePT Study Group. Awareness of disorder and suicide risk in the treatment of schizophrenia: results of the international suicide prevention trial. Am J Psychiatry 161(8):1494-1496, 2004.
54. Steblaj A, Tavcar R, Dernovsek MZ. Predictors of suicide in psychiatric hospital. Acta Psychiatr Scand 100(5):383-388, 1999.
55. Dickerson FB, Boronow JJ, Ringel N, Parente F. Lack of insight among outpatients with schizophrenia. Psychiatr Serv 48:195-199, 1997.
56. Freudenreich O, Deckersbach T, Goff DC. Insight into current symptoms of schizophrenia. Association with frontal cortical function and affect. Acta Psychiatr Scand 110:14-20, 2004.
57. Saravanan B, Jacob KS, Johnson S, Prince M, Bhugra D, David AS. Assessing insight in schizophrenia: East meets West. Br J Psychiatry 190:243-247, 2007.
58. Recasens C, Mimic L, Dardennes R, Guelfi JD, Rouillon F. Awareness of illness and selfconsciousness in schizophrenia: relationships with anxiety and depression. Annales Medico-psychologiques 160(8):589-595, 2002.
59. Mintz AR, Dobson KS, Romney DM. Insight in schizophrenia: a meta-analysis. Schizophr Res 31(1):75-88, 2003.
60. Moore O, Cassidy E, Carr A, O'Callaghan E. Unawareness of illness and its relationship with depression and self-deception in schizophrenia. Eur Psychiatry 14(5):264-269, 1999.
61. Sim K, Mahendran R, Siris SG, Heckers S, Chong SA. Subjective quality of life in first episode schizophrenia spectrum disorders with comorbid depression. Psychiatry Res 129(2):141-147, 2004.
62. Peralta V, Cuesta MJ. Validación de la Escala de los Síndromes Positivo y Negativo (PANSS) en una muestra de esquizofrénicos españoles. Actas Luso Esp Neurol Psiquiatr Cienc Afines 22:171-177, 1994.
63. Peña-Casanova J. Programa integrado de exploración neuropsicológica. Barcelona, Masson, 1990.
64. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: Guilford Press (Trad. esp. en Bilbao: Desclée de Brower, 1983), 1979.
65. Spielberger C, Gorcsuch RL, Lushene RE. Manual for state-trait anxiety inventory (self-evaluation questionnaire). Palo Alto, California, Consulting Psychologist Press (versión española, TEA 1988, 3º ed.), 1970.
66. SPSS Inc. SPSS for Windows. Release 13.0. Chicago, 2004.
67. Owens DG, Cunningham, Carroll A, Fattah S, Clyde Z, Coffey I, Johnstone EC. A randomized, controlled trial of a brief interventional package for schizophrenic out-patients. Acta Psychiatr Scand 103(5):362-369, 2001.

 
 
 
 
 
 
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Especialidad principal:
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