Cognitive insight and quality of life among psychiatric outpatients

BMC Psychiatry

  ^{1    1    1    1    1    1    1    1    1    2} 

[1] 0000 0004 0469 9592, grid.414752.1, Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10, Buangkok View, 539747, Singapore, Singapore;0000 0004 0469 9592, grid.414752.1, Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10, Buangkok View, 539747, Singapore, Singapore;0000 0004 0469 9592, grid.414752.1, Early Psychosis Intervention Programme (EPIP) & General Psychiatry (GP1), Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747, Singapore, Singapore;

关键词: Outpatients;    Quality of life;    Mental disorders;    Insight;    Awareness;   

DOI  :  10.1186/s12888-019-2163-y

来源: publisher

【 摘 要 】

BackgroundPast studies have focused primarily on clinical insight and less on cognitive insight among individuals with mental illness.MethodsThis study examined the level of cognitive insight (CI) and its association with quality of life (QoL) among psychiatric outpatients (N = 400) in Singapore. The Beck Cognitive Insight Scale (BCIS) consisting of two subscales (self-reflectiveness (SR) and self-certainty (SC)) was used to measure CI while the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to assess the subjective well-being of the individual.ResultsSocio-demographic correlates of CI, differences in SR, SC, and CI scores across diagnostic groups, and the association between insight and QoL were examined. Significant differences across diagnostic groups were found only for SR scores. Higher SR and overall CI scores were significantly associated with higher QoL in the environmental domain whereas higher SC scores were associated with lower QoL in the social relationships domain.ConclusionsAn understanding of cognitive insight is necessary to produce a significant change in the underlying belief system of an individual. Together with clinical insight, these two forms of insight can be used to inform therapeutic approaches to increase awareness and improve the QoL of those with mental illnesses.

【 授权许可】

CC BY