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Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, Vol. 59 No. 2, 2023.

Original scientific paper

https://doi.org/10.20471/dec.2023.59.02.08

The Insight of Patients and Their Parents Differ in the Early Phase of Psychosis

Lada Goršić orcid id orcid.org/0009-0005-6624-3720 ; niversity Psychiatric Hospital Sveti Ivan, Zagreb, Croatia; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Sandra Caratan ; niversity Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Sandra Kocijan-Lovko ; niversity Psychiatric Hospital Sveti Ivan, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Helena Goršić orcid id orcid.org/0009-0006-8397-1452 ; niversity Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Ivan Požgain ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Branka Restek-Petrović ; niversity Psychiatric Hospital Sveti Ivan, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia

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Abstract

The aim of this cross-sectional study was to investigate whether the insight of patients and their parents differ in the early phase of psychosis. Target population were the patients hospitalized with the diagnosis of the psychotic spectrum (F20- F29; ICD- 10th; disease duration ≤ 5 years), both sexes, with average age M = 25.4 (SD = 3.56, C = 25, min = 18, max = 32) and their parents. Insight into illness in patients was assessed using the Scale to assess Unawareness of mental Disorder (SUMD) abbreviated version. Parents’ insight into illness was assessed with a modified version of the SUMD with question rephrased to probe parents’ understanding of patients’ illness. The expression, structure and severity of psychotic symptoms was assessed by The Positive and Negative Syndrome Scale of Schizophrenia (PANSS- Five factor models) and Clinical global impression scale (CGI- s). The results indicated a statistically significant (Z = 2.99; p < 0.01) higher mean value on General Awareness of patients (M = 6.1, SD = 3.26) compared to parents (M = 5.0, SD = 2.99. A significant difference was obtained by the sex of parents too (z = -2.07, p < 0.05): fathers had better insight (M = 2.0, SD = 1.15) than mothers (M = 1.5, SD = 0.89). The results call for necessity to develop innovative and comprehensive program for early family interventions.

Keywords

psychotic disorders; awareness; psychopathology; early medical intervention

Hrčak ID:

304155

URI

https://hrcak.srce.hr/304155

Publication date:

19.6.2023.

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