title: Insight and quality of life in long-term hospitalized Japanese patients with chronic schizophrenia.
abstract: OBJECTIVE
  The aim of the study was to investigate the relationship between insight and quality of life (QOL) and the respective predictive factors in long-term hospitalized patients with chronic schizophrenia.
  
  
  METHODS
  The present subjects were 47 Japanese patients with chronic schizophrenia who were hospitalized for >1 year (mean hospitalization period, 9.8 years). Assessments were made using the Scale of Unawareness of Mental Disorder (SUMD) and the EuroQoL-5 Dimensions (EQ-5D) scale. Sociodemographic details and illness-related variables were also evaluated, including use of the Positive and Negative Syndrome Scale.
  
  
  RESULTS
  There was no association between SUMD and EQ-5D scores. Hallucinatory behavior was a predictor of good insight. Poor rapport was a predictor of bad insight. Poor attention was a predictor of bad QOL.
  
  
  CONCLUSIONS
  The relationship between insight and QOL and the respective predictive factors might be different between acute and chronic stages. Further studies are needed to investigate how these changes occur.
authors.affiliation: Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. nakamae@koto.kpu-m.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Nakamae
authors.forename: Yurinosuke
authors.initials: Y
authors.lastname: Kitabayashi
authors.forename: Aiko
authors.initials: A
authors.lastname: Okamura
authors.forename: Keisuke
authors.initials: K
authors.lastname: Shibata
authors.forename: Sachiko
authors.initials: S
authors.lastname: Iwahashi
authors.forename: Fumiko
authors.initials: F
authors.lastname: Naka
authors.forename: Midori
authors.initials: M
authors.lastname: Morinobu
authors.forename: Mika
authors.initials: M
authors.lastname: Watanabe
authors.forename: Jin
authors.initials: J
authors.lastname: Narumoto
authors.forename: Masaki
authors.initials: M
authors.lastname: Kitabayashi
authors.forename: Kenji
authors.initials: K
authors.lastname: Fukui
mesh_terms: D001364:Awareness; D002908:Chronic Disease; D005260:Female; D006760:Hospitalization; D006801:Humans; D007564:Japan; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology