{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T05:14:19Z","timestamp":1740028459905,"version":"3.37.3"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"S1","license":[{"start":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T00:00:00Z","timestamp":1586908800000},"content-version":"unspecified","delay-in-days":2661,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:sec id=\"S0924933800115937_abst0001\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>Insight and treatment adherence in serious mental illness, namely psychotic disorders, are well recognized as strong predictors of prognosis; several psychometric instruments have been developed for their evaluation.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800115937_abst0002\" sec-type=\"other\"><jats:title>Objectives and aims<\/jats:title><jats:p>To analyze the relation between self and hetero-evaluated insight and treatment attitudes in a clinical sample of psychiatric patients, besides assessing it's clinical correlates and relevance.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800115937_abst0003\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>60 patients with serious mental illness (schizophrenia and bipolar disorder with psychotic features) were assessed using the Portuguese versions of the \u2018Insight Scale' (IS), \u2018Medication Adherence Rating Scale\u2019 (MARS) and \u2018Insight and Treatment Attitudes Questionnaire\u2019 (ITAQ). General psychopathology and functioning scales were also applied, such as the BPRS, BDI-II and FAST. Relevant sociodemographic and clinical variables were also obtained. Statistical analysis was conducted using SPSS version 19.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800115937_abst0004\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Self-reported insight using the IS was not correlated with the insight subscale of the ITAQ, a hetero-evaluation instrument. Similarly, we found no correlation regarding attitudes to treatment when comparing self-report (MARS) and hetero- evaluation (treatment attitudes subscale of the ITAQ). Nonetheless, patients with a history of medication non-compliance and worse clinical outcomes had significantly lower (p&lt; .05) scores in hetero-evaluation measures of insight and treatment attitudes (ITAQ), yet exhibited no differences in the self-evaluation measures of those dimensions.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800115937_abst0005\" sec-type=\"discussion\"><jats:title>Discussion and conclusions<\/jats:title><jats:p>Insight and treatment attitudes assessments can be valuable in clinical practice, contributing to decisions in both in- and outpatient settings involving treatment planning and level of monitoring. Clinician-rated instruments are probably more reliable, with clearer prognostic relevance.<\/jats:p><\/jats:sec>","DOI":"10.1016\/s0924-9338(13)76292-8","type":"journal-article","created":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T08:51:46Z","timestamp":1373273506000},"source":"Crossref","is-referenced-by-count":0,"title":["1211 \u2013 Self-report And Hetero-evaluation Of Insight And Medication Adherence In Severe Mental Illness - Correlation And Clinical Interest"],"prefix":"10.1017","volume":"28","author":[{"given":"N.","family":"Madeira","sequence":"first","affiliation":[]},{"given":"C.","family":"Roque","sequence":"additional","affiliation":[]},{"given":"A.T.","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"V.","family":"Nogueira","sequence":"additional","affiliation":[]},{"given":"M.J.","family":"Soares","sequence":"additional","affiliation":[]},{"given":"A.","family":"Macedo","sequence":"additional","affiliation":[]},{"given":"M.","family":"Marques","sequence":"additional","affiliation":[]},{"given":"J.","family":"Valente","sequence":"additional","affiliation":[]},{"given":"S.","family":"B\u00f3s","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2020,4,15]]},"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933813762928?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933813762928?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933800115937","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T12:56:46Z","timestamp":1739969806000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933800115937\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":0,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2013]]}},"alternative-id":["S0924933800115937"],"URL":"https:\/\/doi.org\/10.1016\/s0924-9338(13)76292-8","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"type":"print","value":"0924-9338"},{"type":"electronic","value":"1778-3585"}],"subject":[],"published":{"date-parts":[[2013]]},"article-number":"28-E580"}}