title: Lack of insight in bipolar disorder. The acute manic episode.
abstract: This study examined the clinical correlates of lack of insight in bipolar disorder. In 28 acutely manic patients interviewed upon hospitalization and/or discharge, mean scores on the Insight and Treatment Attitudes Questionnaire (ITAQ) improved only slightly, from 12.0 on admission to 15.5 on discharge (p = .08), despite marked improvement in other psychiatric symptoms. A reciprocal relationship was found between higher ITAQ scores and involuntary hospitalization (r = -.38). Like schizophrenia, bipolar disorder appears to be a condition in which poor insight is a prominent characteristic.
authors.affiliation: Clinical Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114, USA.
authors.forename: S N
authors.initials: SN
authors.lastname: Ghaemi
authors.forename: A L
authors.initials: AL
authors.lastname: Stoll
authors.forename: H G
authors.initials: HG
authors.lastname: Pope
mesh_terms: D000208:Acute Disease; D000328:Adult; D001294:Attitude to Health; D001364:Awareness; D001714:Bipolar Disorder / Q000175:diagnosis / Q000523:psychology; D003134:Commitment of Persons with Psychiatric Disorders; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male