Philip T Yanos1, Beth Vayshenker2, Pavel Pleskach3, Kim T Mueser4. 1. John Jay College of Criminal Justice and the Graduate Center, City University of New York. Electronic address: pyanos@jjay.cuny.edu. 2. John Jay College of Criminal Justice and the Graduate Center, City University of New York. 3. Brooklyn College, City University of New York. 4. Center for Psychiatric Rehabilitation, Boston University.
Abstract
BACKGROUND: There is a dearth of research on what factors are predictive of insight among people with severe mental illness and co-occurring PTSD. METHOD: Data were drawn from 146 participants with severe mental illness, co-occurring PTSD and elevated psychotic symptoms participating in a randomized controlled trial comparing two interventions for PTSD among people with severe mental illness. We examined the clinical and demographic correlates of insight at baseline, the relationship between baseline insight and treatment participation, the relationship between treatment participation and post-treatment insight, and the relationship between change in insight and change in other clinical variables. RESULTS: Impaired insight was relatively common, with roughly half the sample demonstrating mild or moderate impairment at baseline. Baseline insight was associated with fewer psychotic and disorganized symptoms, and greater emotional discomfort and PTSD knowledge, but was not associated with negative symptoms, PTSD symptoms, depression/anxiety, or treatment participation. Participation in PTSD treatment was associated with increased insight at post-treatment. Improved insight was associated with improvements in disorganization and negative symptoms, but not with knowledge of PTSD or positive symptoms. DISCUSSION: The findings suggest that engagement in treatment that includes educating people about PTSD may lead to improvements in insight and related improvements in other psychiatric symptoms.
RCT Entities:
BACKGROUND: There is a dearth of research on what factors are predictive of insight among people with severe mental illness and co-occurring PTSD. METHOD: Data were drawn from 146 participants with severe mental illness, co-occurring PTSD and elevated psychotic symptoms participating in a randomized controlled trial comparing two interventions for PTSD among people with severe mental illness. We examined the clinical and demographic correlates of insight at baseline, the relationship between baseline insight and treatment participation, the relationship between treatment participation and post-treatment insight, and the relationship between change in insight and change in other clinical variables. RESULTS: Impaired insight was relatively common, with roughly half the sample demonstrating mild or moderate impairment at baseline. Baseline insight was associated with fewer psychotic and disorganized symptoms, and greater emotional discomfort and PTSD knowledge, but was not associated with negative symptoms, PTSD symptoms, depression/anxiety, or treatment participation. Participation in PTSD treatment was associated with increased insight at post-treatment. Improved insight was associated with improvements in disorganization and negative symptoms, but not with knowledge of PTSD or positive symptoms. DISCUSSION: The findings suggest that engagement in treatment that includes educating people about PTSD may lead to improvements in insight and related improvements in other psychiatric symptoms.
Authors: Martino Belvederi Murri; Matteo Respino; Marco Innamorati; Alice Cervetti; Pietro Calcagno; Maurizio Pompili; Dorian A Lamis; Lucio Ghio; Mario Amore Journal: Schizophr Res Date: 2015-01-24 Impact factor: 4.939
Authors: K T Mueser; L B Goodman; S L Trumbetta; S D Rosenberg; f C Osher; R Vidaver; P Auciello; D W Foy Journal: J Consult Clin Psychol Date: 1998-06
Authors: Paul H Lysaker; Michelle L Pattison; Bethany L Leonhardt; Scott Phelps; Jenifer L Vohs Journal: World Psychiatry Date: 2018-02 Impact factor: 49.548