Huang Yueqi, Weng Yazhu, Lan Lan, Zhu Cheng, Shen Ting, Tang Wenxin, Lai Hsin-Yi
Department of Psychiatry, Affiliated Mental Health Center and Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou 310007, China.
Fourth Clinical School of Zhejiang Chinese Medical University, Hangzhou 310053, China.
Psychoradiology. 2023 Nov 8;3:kkad025. doi: 10.1093/psyrad/kkad025. eCollection 2023.
Obsessive-compulsive disorder (OCD) is a chronic disabling disease with often unsatisfactory therapeutic outcomes. The fifth edition of the (DSM-5) has broadened the diagnostic criteria for OCD, acknowledging that some OCD patients may lack insight into their symptoms. Previous studies have demonstrated that insight can impact therapeutic efficacy and prognosis, underscoring its importance in the treatment of mental disorders, including OCD. In recent years, there has been a growing interest in understanding the influence of insight on mental disorders, leading to advancements in related research. However, to the best of our knowledge, there is dearth of comprehensive reviews on the topic of insight in OCD. In this review article, we aim to fill this gap by providing a concise overview of the concept of insight and its multifaceted role in clinical characteristics, neuroimaging mechanisms, and treatment for OCD.
强迫症（OCD）是一种慢性致残性疾病，治疗效果往往不尽人意。《精神疾病诊断与统计手册》第五版（DSM-5）拓宽了强迫症的诊断标准，承认一些强迫症患者可能对自己的症状缺乏洞察力。先前的研究表明，洞察力会影响治疗效果和预后，凸显了其在包括强迫症在内的精神障碍治疗中的重要性。近年来，人们对了解洞察力对精神障碍的影响越来越感兴趣，推动了相关研究的进展。然而，据我们所知，关于强迫症中洞察力这一主题缺乏全面的综述。在这篇综述文章中，我们旨在通过简要概述洞察力的概念及其在强迫症的临床特征、神经影像学机制和治疗中的多方面作用来填补这一空白。
