title: Factors associated with insight among outpatients with serious mental illness.
abstract: This study examined the relationships between insight, severity of symptoms, diagnosis, locus of control, quality of life, and engulfment among 25 patients with a DSM-III-R diagnosis of schizophrenia and 33 patients with a diagnosis of bipolar disorder. Engulfment is the extent to which a person identifies with the patient role. Severity of symptoms and engulfment were significantly associated with insight. These results are consistent with the notion that poor insight is associated with severe illness. The association between development of deviant or sick roles and awareness of illness warrants further attention.
authors.affiliation: Faculty of Social Work, University of Toronto, Canada. charmaine.williams@utoronto.ca
authors.forename: Charmaine C
authors.initials: CC
authors.lastname: Williams
authors.forename: April
authors.initials: A
authors.lastname: Collins
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D001364:Awareness; D001714:Bipolar Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy; D012565:Schizophrenic Psychology; D012803:Sick Role