Abstract

Insight and awareness of disorder are an important domain for research and practice in psychiatry. Several instruments to measure insight are currently used. We present here a short scale (eight items) easy and quick to use. In a sample of 100 psychiatric inpatients (DSM-III diagnosis) it shows that the degree of awareness is different according to the type of hospitalization (insight is significantly higher in free and volontary hospitalizations compared to compulsory hospitalizations), in mood disorders compared to schizophrenia, in married patients compared to single patients. Finally, insight is significantly better if cognitive functions are higher (MMSE score). Awareness must be taken into account in all major mental disorders. Therapeutic alliance, treatment compliance, prognosis and risk of relapes depend largely on this dimension.

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