Comparisons of insight in schizophrenia, bipolar I disorder, and depressive disorders with and without comorbid alcohol use disorder

Cheng Fang Yen, Cheng Chung Chen, Chung Ping Cheng, Chia Nan Yen, Huang Chi Lin, Chih Hung Ko, Ju Yu Yen, Cheng Sheng Chen

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Aims: To compare the level of insight among six groups of patients with psychiatric disorders, including those with schizophrenia (SZ), bipolar I disorder (BP), or depressive disorders (DD) who had or did not have comorbid alcohol use disorder (AUD). Methods: A total of 285 outpatients meeting the aforementioned criteria were recruited into the study. The Schedule of Assessment of Insight-Expanded version (SAI-E) was used to measure subjects' insight. Analysis of covariance (ancova) was used to compare the levels of insight among the six groups of subjects. Results: Regardless of whether patients had comorbid AUD or not, patients with DD had higher levels of insight than did patients with SZ. Comorbid AUD had independent effects on the differences in the level of insight between patients with DD and BP and between patients with BP and SZ. No statistically significant difference in insight was found between patients with the same psychiatric diagnosis with and without comorbid AUD. Conclusions: In addition to psychotic features and clinical states, comorbid AUD should be taken into consideration when comparing the level of insight among patients with different psychiatric diagnoses.

Original languageEnglish
Pages (from-to)685-690
Number of pages6
JournalPsychiatry and Clinical Neurosciences
Volume62
Issue number6
DOIs
Publication statusPublished - 2008 Dec

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Neurology
  • Clinical Neurology
  • Psychiatry and Mental health

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