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Cognitive insight and quality of life among psychiatric outpatients

BACKGROUND: Past studies have focused primarily on clinical insight and less on cognitive insight among individuals with mental illness. METHODS: This study examined the level of cognitive insight (CI) and its association with quality of life (QoL) among psychiatric outpatients (N = 400) in Singapor...

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Autores principales: Sagayadevan, Vathsala, Jeyagurunathan, Anitha, Lau, Ying Wen, Shafie, Saleha, Chang, Sherilyn, Ong, Hui Lin, Samari, Ellaisha, Verma, Swapna Kamal, Chong, Siow Ann, Subramaniam, Mythily
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599343/
https://www.ncbi.nlm.nih.gov/pubmed/31253121
http://dx.doi.org/10.1186/s12888-019-2163-y
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author Sagayadevan, Vathsala
Jeyagurunathan, Anitha
Lau, Ying Wen
Shafie, Saleha
Chang, Sherilyn
Ong, Hui Lin
Samari, Ellaisha
Verma, Swapna Kamal
Chong, Siow Ann
Subramaniam, Mythily
author_facet Sagayadevan, Vathsala
Jeyagurunathan, Anitha
Lau, Ying Wen
Shafie, Saleha
Chang, Sherilyn
Ong, Hui Lin
Samari, Ellaisha
Verma, Swapna Kamal
Chong, Siow Ann
Subramaniam, Mythily
author_sort Sagayadevan, Vathsala
collection PubMed
description BACKGROUND: Past studies have focused primarily on clinical insight and less on cognitive insight among individuals with mental illness. METHODS: This study examined the level of cognitive insight (CI) and its association with quality of life (QoL) among psychiatric outpatients (N = 400) in Singapore. The Beck Cognitive Insight Scale (BCIS) consisting of two subscales (self-reflectiveness (SR) and self-certainty (SC)) was used to measure CI while the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to assess the subjective well-being of the individual. RESULTS: Socio-demographic correlates of CI, differences in SR, SC, and CI scores across diagnostic groups, and the association between insight and QoL were examined. Significant differences across diagnostic groups were found only for SR scores. Higher SR and overall CI scores were significantly associated with higher QoL in the environmental domain whereas higher SC scores were associated with lower QoL in the social relationships domain. CONCLUSIONS: An understanding of cognitive insight is necessary to produce a significant change in the underlying belief system of an individual. Together with clinical insight, these two forms of insight can be used to inform therapeutic approaches to increase awareness and improve the QoL of those with mental illnesses.
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spelling pubmed-65993432019-07-11 Cognitive insight and quality of life among psychiatric outpatients Sagayadevan, Vathsala Jeyagurunathan, Anitha Lau, Ying Wen Shafie, Saleha Chang, Sherilyn Ong, Hui Lin Samari, Ellaisha Verma, Swapna Kamal Chong, Siow Ann Subramaniam, Mythily BMC Psychiatry Research Article BACKGROUND: Past studies have focused primarily on clinical insight and less on cognitive insight among individuals with mental illness. METHODS: This study examined the level of cognitive insight (CI) and its association with quality of life (QoL) among psychiatric outpatients (N = 400) in Singapore. The Beck Cognitive Insight Scale (BCIS) consisting of two subscales (self-reflectiveness (SR) and self-certainty (SC)) was used to measure CI while the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to assess the subjective well-being of the individual. RESULTS: Socio-demographic correlates of CI, differences in SR, SC, and CI scores across diagnostic groups, and the association between insight and QoL were examined. Significant differences across diagnostic groups were found only for SR scores. Higher SR and overall CI scores were significantly associated with higher QoL in the environmental domain whereas higher SC scores were associated with lower QoL in the social relationships domain. CONCLUSIONS: An understanding of cognitive insight is necessary to produce a significant change in the underlying belief system of an individual. Together with clinical insight, these two forms of insight can be used to inform therapeutic approaches to increase awareness and improve the QoL of those with mental illnesses. BioMed Central 2019-06-28 /pmc/articles/PMC6599343/ /pubmed/31253121 http://dx.doi.org/10.1186/s12888-019-2163-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Sagayadevan, Vathsala
Jeyagurunathan, Anitha
Lau, Ying Wen
Shafie, Saleha
Chang, Sherilyn
Ong, Hui Lin
Samari, Ellaisha
Verma, Swapna Kamal
Chong, Siow Ann
Subramaniam, Mythily
Cognitive insight and quality of life among psychiatric outpatients
title Cognitive insight and quality of life among psychiatric outpatients
title_full Cognitive insight and quality of life among psychiatric outpatients
title_fullStr Cognitive insight and quality of life among psychiatric outpatients
title_full_unstemmed Cognitive insight and quality of life among psychiatric outpatients
title_short Cognitive insight and quality of life among psychiatric outpatients
title_sort cognitive insight and quality of life among psychiatric outpatients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599343/
https://www.ncbi.nlm.nih.gov/pubmed/31253121
http://dx.doi.org/10.1186/s12888-019-2163-y
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