Insight in Bipolar Disorder
Insight in Bipolar Disorder
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DOI：
10.1007/s11126-011-9200-4
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发表时间：
2012-09-01
影响因子：
3.5
通讯作者：
Latalova, Klara
中科院分区：
文献类型：
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作者：
Latalova, Klara
尽管人们对双相情感障碍的洞察力很感兴趣，但对精神分裂症的研究还没有那么发达。我们搜索了Medline、Embase和mental Info数据库。搜索中使用的关键词是“躁郁症”、“躁狂症”、“躁狂症”、“意识”和“洞察力”。关于儿科主题的书籍、社论、信件和报告被排除在外。对摘要或全文进行相关性筛选。更好的洞察力与更好地坚持治疗和更好的结果相关。执行功能和记忆的障碍，以及更严重的精神病症状，都与洞察力障碍有关。在疾病发作期间比缓解期间，在混合性躁狂发作中比单纯躁狂发作中，在双相II患者中比在双相I患者中，在单纯躁狂患者中比在双相或单相抑郁患者中，自知力受到的损害更严重。心理社会治疗改善洞察力和结果。有必要整合定量评估方法，并将其引入研究和临床实践。
Although there has been interest in insight in bipolar disorder, research has not been as developed as in schizophrenia. The Medline, Embase, and PsychInfo data bases were searched. The key words used in the search were "bipolar", "mania", "manic", "awareness", and "insight". Books, editorials, letters, and reports on pediatric subjects were excluded. Abstracts or full texts were screened for relevance. Better insight is associated with better adherence to treatment and better outcomes. Impairments of executive functions and memory, as well as higher severity of psychotic symptoms, are associated with impairments of insight. Insight is more impaired during an illness episode than during remission, in mixed than in pure manic episodes, in bipolar II than in bipolar I patients, in pure mania than in bipolar or unipolar depression. Psychosocial treatments improve insight and outcomes. There is a need for integration of quantitative assessment methods and their introduction into research and clinical practice.