title: Insight in psychotic disorder: relation with psychopathology and frontal lobe function.
abstract: OBJECTIVE
  Through conceptualising poor insight in psychotic disorders as a form of anosognosia, frontal lobe dysfunction is often ascribed a vital role in its pathogenesis. The objective of this study was to compare the relation of insight in patients with psychotic illness to that of psychopathology and frontal lobe function.
  
  
  METHODS
  Forty patients with psychotic disorder were selected from those attending the Department of Psychiatry in a tertiary care teaching hospital. The evaluation of insight was carried out using the Schedule for Assessment of Insight (SAI), that of frontal lobe function by the Frontal Assessment Battery (FAB) and psychopathology by the Brief Psychiatric Rating Scale (BPRS). The correlation coefficients were determined.
  
  
  RESULTS
  A negative correlation between SAI and BPRS scores means that the BPRS score is opposite to SAI scores. When the SAI total score was compared with the FAB total score, the correlation coefficient demonstrated a positive correlation. Better insight predicted lesser psychopathology and also that poor insight would exist with greater psychopathology. Better insight predicted a higher functional status of frontal lobes and prefrontal cortex in particular.
  
  
  CONCLUSIONS
  Insight deficits in schizophrenia and other psychotic illnesses are multidimensional. Integration of different aetiological factors like biological, psychopathological, environmental ones and others are necessary for a better understanding of insight in psychosis.
authors.affiliation: Silchar Medical College and Hospital, Silchar, India.
authors.forename: Atmesh
authors.initials: A
authors.lastname: Kumar
authors.forename: Pranjal
authors.initials: P
authors.lastname: Sharma
authors.forename: Shyamanta
authors.initials: S
authors.lastname: Das
authors.forename: Kamal
authors.initials: K
authors.lastname: Nath
authors.forename: Uddip
authors.initials: U
authors.lastname: Talukdar
authors.forename: Dipesh
authors.initials: D
authors.lastname: Bhagabati
mesh_terms: D000328:Adult; D010054:Brief Psychiatric Rating Scale; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017397:Prefrontal Cortex / Q000503:physiopathology; D011599:Psychopathology; D011618:Psychotic Disorders / Q000503:physiopathology / Q000523:psychology*; D012559:Schizophrenia / Q000503:physiopathology; D012565:Schizophrenic Psychology; D055815:Young Adult