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Relationship Between Insight, Educational Background and Cognition in Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Rob Macpherson ,
Bill Jerrom  and
Anthony Hughes
Rob Macpherson*
Affiliation:
Wotton Lawn, Gloucester
Bill Jerrom
Affiliation:
Long Fox Unit, Weston General Hospital, Weston-super-Mare, Avon BS23 4TQ
Anthony Hughes
Affiliation:
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR
*
Dr R. Macpherson, Wotton Lawn, Horton Road, Gloucester GL1 3PX
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Abstract

Background

There is a paucity of research into the relationship between insight and variables including cognitive function, educational background and symptomatology in schizophrenia.

Method

Sixty-four patients with DSM–III–R diagnosis schizophrenia were assessed with the Schedule for Assessment of Insight, Mini Mental State cognitive test, a new measure of knowledge about treatment (the Understanding of Medication Questionnaire), and educational background and compliance assessments.

Results

Insight scores correlated significantly with a range of variables. In a multiple regression analysis only knowledge about treatment and number of years in education explained a significant proportion of insight.

Conclusion

Educational background and the intellectual ability required to learn complex concepts, such as models of mental illness, appear to be more important than previously considered. Research is limited by the lack of a generally accepted definition of insight.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 6 , June 1996 , pp. 718 - 722
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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