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Title: Insight, coping strategies and deficit syndrome in chronic schizophrenia
Authors: LI BINTAO
Keywords: schizophrenia; insight; deficit syndrome; coping; symptoms;factor analysis
Issue Date: 7-Mar-2007
Citation: LI BINTAO (2007-03-07). Insight, coping strategies and deficit syndrome in chronic schizophrenia. ScholarBank@NUS Repository.
Abstract: Lack of insight is an important symptom in schizophrenia. It has been reported that diminished insight appears characteristic of schizophrenic patients with the deficit syndrome. In this cross-sectional, case-control study, we interviewed 103 Chinese patients aged between 18 and 55 with chronic schizophrenia in Singapore, divided them into deficit and nondeficit groups by using the Schedule for the Deficit Syndrome, and assessed their symptoms, coping strategies and insight by the positive and Negative Syndrome Scale (PANSS), Ways of Coping Questionnaire (WCQ) and the Scale to Assess Unawareness of Mental Disorder (Abridged) (SUMDA).We found that deficit syndrome was related to negative coping strategies and poor insight, supporting the view that deficit syndrome is a separate disease within schizophrenia. We also replicated the five-factor model of PANSS and found the strong relationship between insight and seeking social support. The results of this study have the potential to develop psychotherapy skills to enhance treatment adherence of the patients.
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