Yen Cheng-Fang, Yeh Ming-Li, Chen Cheng-Sheng, Chung Hsin-Hsin
Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang Hospital, Taipei County, Taiwan.
Compr Psychiatry. 2002 Nov-Dec;43(6):443-7. doi: 10.1053/comp.2002.35901.
This prospective study explores the predictive value of insight for suicide, violence, hospitalization, and social adjustment for a group of schizophrenic outpatients over 1 year. The Schedule of Assessment of Insight (SAI) and its expanded version (SAI-E) were used to provide a baseline insight score for 74 schizophrenic outpatients considered to be in remission or to have minimal psychopathology. Subjects were reassessed at the end of the period to determine the predictive value of initial insight rating by comparison. Insight into treatment was associated with less hospitalization and better social adjustment, but insight into mental illness or psychotic experience was not. It was also found that insight could neither predict suicidal behavior or violent tendencies. Therefore, some dimension of insight may predict hospitalization and social adjustment in schizophrenics, although its predictive efficacy for other clinical outcomes and behaviors may be limited.
这项前瞻性研究探讨了洞察力对一组精神分裂症门诊患者在1年时间内自杀、暴力行为、住院治疗及社会适应情况的预测价值。使用洞察力评估量表（SAI）及其扩展版（SAI-E）为74名被认为处于缓解期或精神病理学症状轻微的精神分裂症门诊患者提供基线洞察力评分。在该时间段结束时对受试者进行重新评估，通过比较来确定初始洞察力评分的预测价值。对治疗的洞察力与较少的住院治疗及更好的社会适应相关，但对精神疾病或精神病体验的洞察力则不然。研究还发现，洞察力既不能预测自杀行为，也不能预测暴力倾向。因此，洞察力的某些维度可能可以预测精神分裂症患者的住院治疗及社会适应情况，尽管其对其他临床结果和行为的预测效力可能有限。
