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1211 – Self-report And Hetero-evaluation Of Insight And Medication Adherence In Severe Mental Illness - Correlation And Clinical Interest

Published online by Cambridge University Press:  15 April 2020

N. Madeira ,
C. Roque ,
A.T. Pereira ,
V. Nogueira ,
M.J. Soares ,
A. Macedo ,
M. Marques ,
J. Valente  and
S. Bós
N. Madeira
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra Psychiatry Department, Coimbra Hospital and University Centre, Coimbra, Portugal
C. Roque
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra Psychiatry Department, Coimbra Hospital and University Centre, Coimbra, Portugal
A.T. Pereira
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra
V. Nogueira
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra Psychiatry Department, Coimbra Hospital and University Centre, Coimbra, Portugal
M.J. Soares
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra
A. Macedo
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra Psychiatry Department, Coimbra Hospital and University Centre, Coimbra, Portugal
M. Marques
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra
J. Valente
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra
S. Bós
Affiliation:
Medical Psychology Service, Faculty of Medicine, University of Coimbra

Abstract

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Introduction

Insight and treatment adherence in serious mental illness, namely psychotic disorders, are well recognized as strong predictors of prognosis; several psychometric instruments have been developed for their evaluation.

Objectives and aims

To analyze the relation between self and hetero-evaluated insight and treatment attitudes in a clinical sample of psychiatric patients, besides assessing it's clinical correlates and relevance.

Methods

60 patients with serious mental illness (schizophrenia and bipolar disorder with psychotic features) were assessed using the Portuguese versions of the ‘Insight Scale' (IS), ‘Medication Adherence Rating Scale’ (MARS) and ‘Insight and Treatment Attitudes Questionnaire’ (ITAQ). General psychopathology and functioning scales were also applied, such as the BPRS, BDI-II and FAST. Relevant sociodemographic and clinical variables were also obtained. Statistical analysis was conducted using SPSS version 19.

Results

Self-reported insight using the IS was not correlated with the insight subscale of the ITAQ, a hetero-evaluation instrument. Similarly, we found no correlation regarding attitudes to treatment when comparing self-report (MARS) and hetero- evaluation (treatment attitudes subscale of the ITAQ). Nonetheless, patients with a history of medication non-compliance and worse clinical outcomes had significantly lower (p< .05) scores in hetero-evaluation measures of insight and treatment attitudes (ITAQ), yet exhibited no differences in the self-evaluation measures of those dimensions.

Discussion and conclusions

Insight and treatment attitudes assessments can be valuable in clinical practice, contributing to decisions in both in- and outpatient settings involving treatment planning and level of monitoring. Clinician-rated instruments are probably more reliable, with clearer prognostic relevance.

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E580
Copyright
Copyright © European Psychiatric Association 2013
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