The University of Southampton
University of Southampton Institutional Repository

Insight into schizophrenia: the effects of cognitive behavioural therapy on the components of insight and association with sociodemographics—data on a previously published randomised controlled trial

Record type: Article

Insight in schizophrenia is an evolving concept with widespread use in clinical practice. Results are presented from a multicentre randomised trial in which patients with schizophrenia and carers received a short insight-focused Cognitive Behaviour Therapy (CBT) intervention from trained nurses in the community. The CBT group demonstrated significantly greater improvement in insight into compliance with treatment and the ability to re-label their psychotic symptoms as pathological compared with the control group at post-therapy assessment. Those participants who demonstrated improved insight into having a mental illness tended to become depressed. At the end of therapy and at 1-year follow-up, there was a statistically significantly increased dropout rate in African-Caribbean and Black African participants. The Black Caribbean group showed a significantly smaller change in insight compared to the white group. At 1-year follow-up, the result on total insight and compliance was durable. The change in insight in the Black African group was significantly lower compared to the white group. The study emphasizes the role of a short insight-focused CBT intervention in improving patients' insight into compliance and its implications. The results confirm previous findings of difficulties in engaging patients of Afro-Caribbean origin and their poor response to psychological therapies as currently delivered.

Full text not available from this repository.

Citation

Rathod, Shanaya, Kingdon, David, Smith, Peter and Turkington, Douglas (2005) Insight into schizophrenia: the effects of cognitive behavioural therapy on the components of insight and association with sociodemographics—data on a previously published randomised controlled trial Schizophrenia Research, 74, (2-3), pp. 211-219. (doi:10.1016/j.schres.2004.07.003).

More information

Published date: 2005
Keywords: insight, cognitive therapy, schizophrenia, patient compliance (treatment compliance: psychinfo), acceptance of illness, demographics

Identifiers

Local EPrints ID: 34765
URI: http://eprints.soton.ac.uk/id/eprint/34765
ISSN: 0920-9964
PURE UUID: 9cc8bedb-1853-426e-ab9d-fe98849cbef9
ORCID for Peter Smith: ORCID iD orcid.org/0000-0003-4423-5410

Catalogue record

Date deposited: 16 May 2006
Last modified: 17 Jul 2017 15:49

Export record

Altmetrics

Contributors

Author: Shanaya Rathod
Author: David Kingdon
Author: Peter Smith ORCID iD
Author: Douglas Turkington

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×