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Titolo:
Insight and outcome in bipolar, unipolar, and anxiety disorders
Autore:
Ghaemi, SN; Boiman, E; Goodwin, FK;
Indirizzi:
Harvard Univ, Massachusetts Gen Hosp, Bipolar Res Program, Consolidated Dept Psychiat, Boston, MA 02114 USA Harvard Univ Boston MA USA 02114 ated Dept Psychiat, Boston, MA 02114 USA George Washington Univ, Dept Psychiat, Washington, DC USA George Washington Univ Washington DC USA pt Psychiat, Washington, DC USA
Titolo Testata:
COMPREHENSIVE PSYCHIATRY
fascicolo: 3, volume: 41, anno: 2000,
pagine: 167 - 171
SICI:
0010-440X(200005/06)41:3<167:IAOIBU>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCHIZOPHRENIC-PATIENTS; CLINICAL-PSYCHIATRY; PSYCHOSIS; ILLNESS; AWARENESS; SCALE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Ghaemi, SN Harvard Univ, Massachusetts Gen Hosp, Bipolar Res Program, Consolidated Dept Psychiat, 15 Parkman St,WAC-812, Boston, MA 02114 USA HarvardUniv 15 Parkman St,WAC-812 Boston MA USA 02114 2114 USA
Citazione:
S.N. Ghaemi et al., "Insight and outcome in bipolar, unipolar, and anxiety disorders", COMP PSYCHI, 41(3), 2000, pp. 167-171

Abstract

We performed a study to assess the relationship between impairment of insight and the long-term outcome in affective and anxiety disorders. Standardized insight assessments were made using the Scale to Assess Unawareness of Mental Disorder (SUMD) in 101 outpatients with psychiatric disorders, mostly affective and anxiety disorders, treated over 1 year in a university-based clinic. Outcome was prospectively assessed with the Clinical Global Impression (CGI) and Global Assessment of Functioning (GAF) rating scales. The mean follow-up period was 3.9 months. Initial Impairment of insight did not correlate with poor outcome. However, improvement in insight correlated with good outcome, particularly in bipolar disorder type I (r = .56 to .67, P = .0005), Insight was similarly impaired in bipolar and unipolar major depressive disorders, and more so than in anxiety disorders (P = .002), An association between a lack of improvement in insight and a poor outcome, most significantly in bipolar disorder type I, was observed in this sample. We found a greater relative impairment of insight in mood versus anxiety disorders. Copyright (C) 2000 by W.B. Saunders Company.

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Documento generato il 09/04/20 alle ore 13:20:21