title: Relationships between insight and psychosocial adjustment in patients with bipolar I disorder.
abstract: OBJECTIVE
  The aim of this cross-sectional study was to examine the relationships between insight and psychosocial adjustment in outpatients with bipolar I disorder in clinical remission.
  
  
  METHODS
  Using the Schedule of Assessment of Insight (SAI) and its expanded version (SAI-E), we evaluated 50 consecutive patients with bipolar I disorder in remission to determine their level of insight. We also evaluated their psychosocial adjustment using the Community Life Scale. Relationships among psychosocial adjustment, insight, residual affective symptoms, and demographic and clinical characteristics were examined.
  
  
  RESULTS
  The results of the multiple regression analysis indicated that having a higher total SAI or SAI-E insight score and having no residual affective symptoms were significantly associated with better psychosocial adjustment in patients with bipolar I disorder.
  
  
  CONCLUSIONS
  In this cross-sectional study, better insight and less residual affective symptoms were correlated with good psychosocial adjustment. To address the causality issue, a longitudinal study is needed.
authors.affiliation: Department of Psychiatry, College of Medicine, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Cheng-Fang
authors.initials: CF
authors.lastname: Yen
authors.forename: Cheng-Sheng
authors.initials: CS
authors.lastname: Chen
authors.forename: Shang-Ju
authors.initials: SJ
authors.lastname: Yang
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Ko
authors.forename: Ju-Yu
authors.initials: JY
authors.lastname: Yen
authors.forename: Chi-Feng
authors.initials: CF
authors.lastname: Huang
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D000368:Aged; D000553:Ambulatory Care; D001294:Attitude to Health; D001364:Awareness; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology*; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012044:Regression Analysis; D012917:Social Adjustment; D013624:Taiwan / Q000453:epidemiology