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While recent explanatory accounts mostly focus on neuro-, social-, or meta-cognitive deficits, a complementary model from phenomenological psychopathology suggests that impaired insight in schizophrenia is tied to fundamental alterations to the structure of subjectivity, viz. self-disorders affecting the conditions for self-reflection, that usually precede psychotic experiences and persist temporally beyond state-psychopathology. In line with this account, we hypothesized that self-disorders would be associated with impaired insight independently of shared associations with other forms of psychopathology and general intelligence. A sample of 67 patients with a diagnosis of schizophrenia or non-affective psychosis in non-acute phase of illness underwent comprehensive psychopathological examination including the Examination of Anomalous Self-Experiences (EASE) for assessment of self-disorders and the Positive and Negative Syndrome Scale (PANSS). PANSS item G12 was used as measure of insight. The group with impaired insight was characterized by a significantly higher level of self-disorders than the group with good insight, but there were no significant between-group differences regarding positive, negative, or depressive symptoms. In simple linear regression analysis only self-disorders were significantly associated with impaired insight, and multiple linear regression showed similar results. Our findings support the theoretical claim that self-disorders are linked to poor insight in schizophrenia. If corroborated this may have implications for early intervention and treatment.<\/jats:p>","DOI":"10.1007\/s00406-025-02035-7","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T07:56:54Z","timestamp":1748937414000},"page":"1001-1008","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Poor insight and self-disorders in schizophrenia: an empirical study"],"prefix":"10.1007","volume":"276","author":[{"given":"Lars Siersb\u00e6k","family":"Nilsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Nordgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mads Gram","family":"Henriksen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Parnas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas Ros\u00e9n","family":"Rasmussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"2035_CR1","doi-asserted-by":"publisher","DOI":"10.56021\/9780801857751","volume-title":"General psychopathology","author":"K Jaspers","year":"1997","unstructured":"Jaspers K (1997) General psychopathology. 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