Insight of patients and their parents into schizophrenia: Exploring agreement and the influence of parental factors.
Identifieur interne : 000053 ( Main/Exploration ); précédent : 000052; suivant : 000054Insight of patients and their parents into schizophrenia: Exploring agreement and the influence of parental factors.
Auteurs : Alexandra Macgregor [France] ; Joanna Norton [France] ; Catherine Bortolon [France] ; Melissa Robichon [France] ; Camille Rolland [France] ; Jean-Philippe Boulenger [France] ; Stéphane Raffard [France] ; Delphine Capdevielle [France]Source :
- Psychiatry research [ 1872-7123 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Awareness, Cognition Disorders (diagnosis), Cognition Disorders (psychology), Cognition Disorders (therapy), Expressed Emotion, Family Therapy, Female, Humans, Male, Middle Aged, Parent-Child Relations, Psychiatric Status Rating Scales (statistics & numerical data), Schizophrenia (diagnosis), Schizophrenia (therapy), Schizophrenic Psychology, Young Adult.
- MESH :
- diagnosis : Cognition Disorders, Schizophrenia.
- psychology : Cognition Disorders.
- statistics & numerical data : Psychiatric Status Rating Scales.
- therapy : Cognition Disorders, Schizophrenia.
- Adult, Awareness, Expressed Emotion, Family Therapy, Female, Humans, Male, Middle Aged, Parent-Child Relations, Schizophrenic Psychology, Young Adult.
Abstract
Poor insight is found in up to 80% of schizophrenia patients and has been associated with multiple factors of which cognitive functioning, social and environmental factors. Few studies have explored associations between patient insight and that of their biological parents', and the influence of parental factors. Insight was assessed in 41 patients and their biological parents with Amador's Scale for the assessment of Unawareness of Mental Disorder (SUMD). Parents' knowledge about schizophrenia and critical attitudes were assessed with validated self-report questionnaires. Both groups underwent cognitive assessments for working memory and executive functioning. Insight in patients and their parents was not associated for any of the SUMD dimensions but a significant correlation was found between patient and parent awareness of treatment effect for patient-parent dyads with frequent daily contact. Low parental critical attitude was associated with higher patient awareness of symptoms and a high parental memory task score with high patient insight. Our study is the first to suggest a possible influence of parental factors such as critical attitudes and cognitive performance on patient insight.
DOI: 10.1016/j.psychres.2015.05.005
PubMed: 26043807
Affiliations:
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University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France. Electronic address: a-macgregor@chu-montpellier.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Montpellier, Montpellier, France; University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Norton, Joanna" sort="Norton, Joanna" uniqKey="Norton J" first="Joanna" last="Norton">Joanna Norton</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, U-1061, Hôpital la Colombiere, Montpellier, France; Université Montpellier, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, U-1061, Hôpital la Colombiere, Montpellier, France; Université Montpellier, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Bortolon, Catherine" sort="Bortolon, Catherine" uniqKey="Bortolon C" first="Catherine" last="Bortolon">Catherine Bortolon</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, Université Paul Valéry, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, Université Paul Valéry, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Robichon, Melissa" sort="Robichon, Melissa" uniqKey="Robichon M" first="Melissa" last="Robichon">Melissa Robichon</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Rolland, Camille" sort="Rolland, Camille" uniqKey="Rolland C" first="Camille" last="Rolland">Camille Rolland</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Boulenger, Jean Philippe" sort="Boulenger, Jean Philippe" uniqKey="Boulenger J" first="Jean-Philippe" last="Boulenger">Jean-Philippe Boulenger</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Université Montpellier, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Université Montpellier, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Raffard, Stephane" sort="Raffard, Stephane" uniqKey="Raffard S" first="Stéphane" last="Raffard">Stéphane Raffard</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, Université Paul Valéry, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; Epsylon Laboratory Dynamic of Human Abilities & Health Behaviors, Université Paul Valéry, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Capdevielle, Delphine" sort="Capdevielle, Delphine" uniqKey="Capdevielle D" first="Delphine" last="Capdevielle">Delphine Capdevielle</name><affiliation wicri:level="3"><nlm:affiliation>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; INSERM, U-1061, Hôpital la Colombiere, Montpellier, France; Université Montpellier, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Department of Adult Psychiatry, Hôpital la Colombière, Montpellier University Hospital, Montpellier, France; INSERM, U-1061, Hôpital la Colombiere, Montpellier, France; Université Montpellier, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author></analytic><series><title level="j">Psychiatry research</title><idno type="eISSN">1872-7123</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Awareness</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (psychology)</term><term>Cognition Disorders (therapy)</term><term>Expressed Emotion</term><term>Family Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parent-Child Relations</term><term>Psychiatric Status Rating Scales (statistics & numerical data)</term><term>Schizophrenia (diagnosis)</term><term>Schizophrenia (therapy)</term><term>Schizophrenic Psychology</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Psychiatric Status Rating Scales</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cognition Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Awareness</term><term>Expressed Emotion</term><term>Family Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parent-Child Relations</term><term>Schizophrenic Psychology</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Poor insight is found in up to 80% of schizophrenia patients and has been associated with multiple factors of which cognitive functioning, social and environmental factors. Few studies have explored associations between patient insight and that of their biological parents', and the influence of parental factors. Insight was assessed in 41 patients and their biological parents with Amador's Scale for the assessment of Unawareness of Mental Disorder (SUMD). Parents' knowledge about schizophrenia and critical attitudes were assessed with validated self-report questionnaires. Both groups underwent cognitive assessments for working memory and executive functioning. Insight in patients and their parents was not associated for any of the SUMD dimensions but a significant correlation was found between patient and parent awareness of treatment effect for patient-parent dyads with frequent daily contact. Low parental critical attitude was associated with higher patient awareness of symptoms and a high parental memory task score with high patient insight. Our study is the first to suggest a possible influence of parental factors such as critical attitudes and cognitive performance on patient insight.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li></region><settlement><li>Montpellier</li></settlement></list><tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Macgregor, Alexandra" sort="Macgregor, Alexandra" uniqKey="Macgregor A" first="Alexandra" last="Macgregor">Alexandra Macgregor</name></region><name sortKey="Bortolon, Catherine" sort="Bortolon, Catherine" uniqKey="Bortolon C" first="Catherine" last="Bortolon">Catherine Bortolon</name><name sortKey="Boulenger, Jean Philippe" sort="Boulenger, Jean Philippe" uniqKey="Boulenger J" first="Jean-Philippe" last="Boulenger">Jean-Philippe Boulenger</name><name sortKey="Capdevielle, Delphine" sort="Capdevielle, Delphine" uniqKey="Capdevielle D" first="Delphine" last="Capdevielle">Delphine Capdevielle</name><name sortKey="Norton, Joanna" sort="Norton, Joanna" uniqKey="Norton J" first="Joanna" last="Norton">Joanna Norton</name><name sortKey="Raffard, Stephane" sort="Raffard, Stephane" uniqKey="Raffard S" first="Stéphane" last="Raffard">Stéphane Raffard</name><name sortKey="Robichon, Melissa" sort="Robichon, Melissa" uniqKey="Robichon M" first="Melissa" last="Robichon">Melissa Robichon</name><name sortKey="Rolland, Camille" sort="Rolland, Camille" uniqKey="Rolland C" first="Camille" last="Rolland">Camille Rolland</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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