open access

Vol 5, No 4 (2008)
Research paper
Published online: 2008-12-16
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Relationships between insight, self-influence on illness course, coping styles and psychopathology in schizophrenia

Łukasz Gawęda, Piotr Buciński, Krzysztof Staniszewski, Zbigniew Słodki, Agnieszka Sym, Andrzej Kokoszka
Psychiatria 2008;5(4):124-133.

open access

Vol 5, No 4 (2008)
Prace oryginalne - nadesłane
Published online: 2008-12-16

Abstract


Introduction. The aim of presented study was to assess relationships between insight and self-influence on illness course among persons with schizophrenia. Moreover, we’ve investigated correlation between psychopathology symptoms, insight, sense of influence on illness and coping styles in schizophrenia.
Material and methods. One hundred twenty eight persons (52 outpatients and 72 inpatients), of age 19-68 years, (mean = 41.94; SD = 13.09) with schizophrenia according to ICD-10 (55 women and 73 men) took part in the study. They filled self-ratings scales: A Questionnaire of Insight into Schizophrenia - “My thoughts and feelings”; Brief Measure to Assess Perception of Self-Influence on the Disease Course - version for schizophrenia and Brief Method of Evaluating Coping with Disease. Symptoms of schizophrenia were assessed with PANSS.
Results and conclusions. Patients with better insight have stronger perception of self-influence on illness course. All psychopathology factors but depression factor were negatively correlated with insight. Patients with more severe symptoms have poorer insight. The complex relationship between coping styles and psychopathology was found and its implication was discussed. Patients with more severe negative symptoms tend to use avoidance coping style and rarely use problem-solving coping style. The theoretical and clinical implications of this findings are discussed.

Abstract


Introduction. The aim of presented study was to assess relationships between insight and self-influence on illness course among persons with schizophrenia. Moreover, we’ve investigated correlation between psychopathology symptoms, insight, sense of influence on illness and coping styles in schizophrenia.
Material and methods. One hundred twenty eight persons (52 outpatients and 72 inpatients), of age 19-68 years, (mean = 41.94; SD = 13.09) with schizophrenia according to ICD-10 (55 women and 73 men) took part in the study. They filled self-ratings scales: A Questionnaire of Insight into Schizophrenia - “My thoughts and feelings”; Brief Measure to Assess Perception of Self-Influence on the Disease Course - version for schizophrenia and Brief Method of Evaluating Coping with Disease. Symptoms of schizophrenia were assessed with PANSS.
Results and conclusions. Patients with better insight have stronger perception of self-influence on illness course. All psychopathology factors but depression factor were negatively correlated with insight. Patients with more severe symptoms have poorer insight. The complex relationship between coping styles and psychopathology was found and its implication was discussed. Patients with more severe negative symptoms tend to use avoidance coping style and rarely use problem-solving coping style. The theoretical and clinical implications of this findings are discussed.
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Keywords

schizophrenia; insight; coping styles

About this article
Title

Relationships between insight, self-influence on illness course, coping styles and psychopathology in schizophrenia

Journal

Psychiatria (Psychiatry)

Issue

Vol 5, No 4 (2008)

Article type

Research paper

Pages

124-133

Published online

2008-12-16

Bibliographic record

Psychiatria 2008;5(4):124-133.

Keywords

schizophrenia
insight
coping styles

Authors

Łukasz Gawęda
Piotr Buciński
Krzysztof Staniszewski
Zbigniew Słodki
Agnieszka Sym
Andrzej Kokoszka

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