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Poor insight increases relapse and re-admission to hospital in people with non-affective psychosis

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Does insight influence prognosis in people with non-affective psychosis?

Drake RJ, Dunn G, Tarrier N, et al. Insight as a predictor of the outcome of first-episode nonaffective psychosis in a prospective cohort study in England. J Clin Psychiatry 2007;68:81–6.


Embedded ImageDesign:

Prospective cohort study.

Embedded ImageSetting:

Day patient and in-patient units in three geographical areas in England; July 1996 to September 1998.

Embedded ImagePopulation:

257 people aged 16–65 years with first admission for DSM-IV schizophrenia, schizophreniform disorder, schizoaffective disorder, delusional disorder or psychotic disorder not otherwise specified.

Embedded ImagePrognostic factors:

Insight at baseline assessed using the Birchwood Insight Scale (BIS; higher score indicates greater insight, score range 0–16). Analyses were stratified by centre, and adjusted for potential confounders (age, gender, ethnic group, diagnosis, years in full-time education, substance misuse, duration of untreated psychosis, overall and negative symptoms at baseline, social functioning …

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  • Source of funding: Medical Research Council, London, UK.


  • Competing interests: None.