Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions

Frederick CassidyDuke University, Durham, NC, USABackground: The study of insight in bipolar disorder has received limited attention, despite its potential impact on treatment compliance and prognosis. In the current study we compare insight levels during different phases of bipolar disorder, and co...

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Autor principal:	Frederick Cassidy
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3504c2d9df3d4b36a1118d049602e4c2
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spelling	oai:doaj.org-article:3504c2d9df3d4b36a1118d049602e4c22021-12-02T01:17:08ZInsight in bipolar disorder: relationship to episode subtypes and symptom dimensions1176-63281178-2021https://doaj.org/article/3504c2d9df3d4b36a1118d049602e4c22010-09-01T00:00:00Zhttp://www.dovepress.com/insight-in-bipolar-disorder-relationship-to-episode-subtypes-and-sympt-a5339https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Frederick CassidyDuke University, Durham, NC, USABackground: The study of insight in bipolar disorder has received limited attention, despite its potential impact on treatment compliance and prognosis. In the current study we compare insight levels during different phases of bipolar disorder, and consider its relationship to symptoms dimensions and epidemiologic variables.Methods: Insight ratings obtained from 156 bipolar subjects in any phase of bipolar disorder were compared. A regression analysis was also conducted to identify symptom dimensions predictive of insight levels.Results: Greater impairments in insight were observed during pure manic episodes than during mixed or depressed episodes, or during euthymia. Depressive symptoms were associated with better insight. Improvements in insight with treatment were neither complete nor universal. Lack of insight was unrelated to age, years of illness, age of first psychiatric illness, or lifetime number of hospitalizations.Conclusions: Although psychosis may be associated with impaired insight, other variables also impact on degree of impaired insight. Specifically, depressed mood appears to be associated with preservation of insight. That relationship may transcend strict syndromal diagnosis.Keywords: insight, bipolar disorder, psychosis, depression Frederick CassidyDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2010, Iss Issue 1, Pp 627-631 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Frederick Cassidy Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
description	Frederick CassidyDuke University, Durham, NC, USABackground: The study of insight in bipolar disorder has received limited attention, despite its potential impact on treatment compliance and prognosis. In the current study we compare insight levels during different phases of bipolar disorder, and consider its relationship to symptoms dimensions and epidemiologic variables.Methods: Insight ratings obtained from 156 bipolar subjects in any phase of bipolar disorder were compared. A regression analysis was also conducted to identify symptom dimensions predictive of insight levels.Results: Greater impairments in insight were observed during pure manic episodes than during mixed or depressed episodes, or during euthymia. Depressive symptoms were associated with better insight. Improvements in insight with treatment were neither complete nor universal. Lack of insight was unrelated to age, years of illness, age of first psychiatric illness, or lifetime number of hospitalizations.Conclusions: Although psychosis may be associated with impaired insight, other variables also impact on degree of impaired insight. Specifically, depressed mood appears to be associated with preservation of insight. That relationship may transcend strict syndromal diagnosis.Keywords: insight, bipolar disorder, psychosis, depression
format	article
author	Frederick Cassidy
author_facet	Frederick Cassidy
author_sort	Frederick Cassidy
title	Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
title_short	Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
title_full	Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
title_fullStr	Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
title_full_unstemmed	Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
title_sort	insight in bipolar disorder: relationship to episode subtypes and symptom dimensions
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/3504c2d9df3d4b36a1118d049602e4c2
work_keys_str_mv	AT frederickcassidy insightinbipolardisorderrelationshiptoepisodesubtypesandsymptomdimensions
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Insight in bipolar disorder: relationship to episode subtypes and symptom dimensions

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