Insight Into Illness and Psychological Defense Attitudes in People With Chronic Schizophrenia Using Markova's Insight Scale
Insight Into Illness and Psychological Defense Attitudes in People With Chronic Schizophrenia Using Markova's Insight Scale
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使用马尔可瓦洞察力量表洞察慢性精神分裂症患者的疾病和心理防御态度
DOI：
10.1097/nmd.0000000000001392
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Nishikawa Takashi
中科院分区：
文献类型：
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作者：
Ogawa Yasuhiro;Fukuhara Keita;Tanaka Hiroyuki;Nagata Yuma;Ishimaru Daiki;Urakawa Mizuki;Nishikawa Takashi
对疾病的洞察是一个多维现象，并且可以进行各种评估。我们重点关注马尔可瓦洞察力量表（IS），调查了 38 名精神分裂症患者的洞察力、心理防御和神经认知之间的关系。结果表明，洞察力与不成熟的防御风格显着相关。此外，在调整临床变量后，不成熟的防御方式可以显着预测 IS。尽管洞察力通常被认为是由认知功能和心理防御机制等因素的潜在贡献决定的，但我们的结果表明，用 IS 评估的更好的洞察力更有可能反映不成熟的防御。这也可能反映在我们的结果中，即较高的洞察力得分与较早发病相关。洞察力分数可能反映了精神分裂症患者不成熟的心理防御态度，并可能导致此类患者希望遵从临床医生的观点。
Insight into illness is a multidimensional phenomenon, and various assessments are available. We focused on Markova's Insight Scale (IS) and investigated the relationship between insight, psychological defenses, and neurocognition in 38 patients with schizophrenia. Results showed that insight was significantly correlated with an immature defense style. Moreover, IS was significantly predicted by immature defense style after adjusting for clinical variables. Although insight is often assumed to be multidetermined with potential contributions from factors such as cognitive function and psychological defensive mechanisms, our results indicated that better insight assessed with the IS is more likely to reflect immature defenses. This may also be reflected in our result that a higher insight score correlated with earlier onset of illness. The insight score may reflect the immature psychological defensive attitudes of schizophrenia and may lead such patients to wish to comply with the views of clinicians.