Insight in first episode psychosis: conceptual and clinical considerations

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dc.contributor.authorSegarra Echevarría, Rafael
dc.contributor.authorOjeda del Pozo, Natalia
dc.contributor.authorZabala Rabadán, Arantzazu
dc.contributor.authorGarcía Ormaza, Jon
dc.contributor.authorPeña Lasa, Javier
dc.contributor.authorEguiluz Urruchurtu, José Ignacio
dc.contributor.authorGutiérrez Fraile, Miguel
dc.date.accessioned2026-07-09T09:30:05Z
dc.date.available2026-07-09T09:30:05Z
dc.date.issued2010-04
dc.date.updated2026-07-09T09:30:05Z
dc.description.abstractPoor insight or impaired awareness of illness is a very common feature in psychosis. The purpose of this study is to review critically the conceptual approximations from different perspectives to insight in psychosis and address its relations to other clinical and psychopathological variables. We reviewed the principal factors that have been proposed to contribute to deficient insight in first episode psychosis patients from different conceptual frameworks, defence mechanisms or coping styles, structural or volumetric brain associations, cognitive deficits, and severity of clinical symptoms. This review of literature suggests that insight is a complex mental faculty heavily influenced by additional factors, such as social and cultural aspects, among others. Results also show the correlates of insight in first episode psychosis and treatment adherence in the course of the illness, although it is not stable over time. In fact, adequate level of insight is a necessary, but not sufficient condition for an adequate adherence. Insight is a complex and multidimensional mental faculty that is a key factor in the prognosis of the illness. The link between both is probably mediated by the interaction of additional variables such as DUP, affective symptoms, sociodemographics, and drug abuse. Due to the complex relationships among insight, cognition and psychopathology in psychosis, these three factors could be considered as semi-independent phenomena. Finally, the neuroscience perspective about insight in psychosis is an especially productive research line that has contributed to a better understanding of the complex picture.en
dc.description.sponsorshipSupported by the Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); by the Instituto de Salud Carlos III, FIS PI051508; by the Basque Government Department of Health (Healthcare Research Fund), 2008111010; and by the University of the Basque Country (UPV- EHU)en
dc.identifier.citationEchebarría, R. S., del Pozo, N. O., Rabadán, A. Z., Ormaza, J. G., Lasa, J. P., Uruchurtu, I. E., & Fraile, M. G. (2010). Insight in first episode psychosis: conceptual and clinical considerations. European Journal of Psychiatry, 24(2), 78-86. https://doi.org/10.4321/S0213-61632010000200003
dc.identifier.doi10.4321/S0213-61632010000200003
dc.identifier.issn0213-6163
dc.identifier.urihttps://hdl.handle.net/20.500.14454/6394
dc.language.isoeng
dc.publisherUniversidad de Zaragoza: Facultad de Medicina, Departamento de Psiquiatría
dc.subject.otherInsight
dc.subject.otherFirst episode psychosis
dc.subject.otherReview
dc.titleInsight in first episode psychosis: conceptual and clinical considerationsen
dc.typejournal article
oaire.citation.endPage86
oaire.citation.issue2
oaire.citation.startPage78
oaire.citation.titleEuropean Journal of Psychiatry
oaire.citation.volume24
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc/4.0/
oaire.versionVoR
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