{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T04:14:35Z","timestamp":1768623275967,"version":"3.49.0"},"reference-count":53,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2008,12,18]],"date-time":"2008-12-18T00:00:00Z","timestamp":1229558400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:sec id=\"S0033291708004868_sec_001\"><jats:title>Background<\/jats:title><jats:p>The correlates of insight in early-onset psychosis have received little previous attention.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291708004868_sec_a002\"><jats:title>Method<\/jats:title><jats:p>We studied clinical correlates of insight in a sample of 110 adolescent recent-onset psychosis patients (mean age 15.53 years; psychotic symptoms present for &lt;6 months). Insight was measured with the Scale to Assess Unawareness of Mental Disorder (SUMD) at baseline, 6 months and 12 months follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291708004868_sec_a003\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Insight improved over the early phases of the illness, in parallel with psychopathological improvement. Poor insight at baseline and 6 months correlated with poor functioning at 6 and 12 months respectively. Schizophrenia patients had poorer insight than patients with bipolar disorder at 6 and 12 months but not at baseline. Logistic and linear regressions were used to predict 12-month diagnoses and functioning based on insight measurements. Baseline awareness of illness was a significant predictor for diagnosis [odds ratio (OR) 1.4, 95% confidence interval (CI) 1.05\u20131.97]. Treatment compliance at 6 months did not correlate with baseline SUMD subscores, but correlated with insight into having a disorder (Spearman's \u03c1=0.21,<jats:italic>p<\/jats:italic>=0.039), its consequences (Spearman's \u03c1=0.28,<jats:italic>p<\/jats:italic>=0.006) and the need for treatment (Spearman's \u03c1=0.26,<jats:italic>p<\/jats:italic>=0.012) at 6 months. The \u2018attribution of symptoms\u2019 dimension of insight is poorly correlated with other insight dimensions and with other clinical variables.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291708004868_sec_a004\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Poor insight correlates with symptom severity and global functioning but also has some trait value for schizophrenia, which is apparent once acute psychotic symptomatology is not prominent. A multi-dimensional approach to the assessment of insight is necessary, as different dimensions are influenced by different factors.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291708004868","type":"journal-article","created":{"date-parts":[[2008,12,18]],"date-time":"2008-12-18T09:33:37Z","timestamp":1229592817000},"page":"1433-1445","source":"Crossref","is-referenced-by-count":45,"title":["Insight correlates in child- and adolescent-onset first episodes of psychosis: results from the CAFEPS study"],"prefix":"10.1017","volume":"39","author":[{"given":"M.","family":"Parellada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Fraguas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Bomb\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Otero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Castro-Fornieles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Baeza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Gonzalez-Pinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Graell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Soutullo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Paya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Arango","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2008,12,18]]},"reference":[{"key":"S0033291708004868_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(01)00383-8"},{"key":"S0033291708004868_ref037","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(94)90093-0"},{"key":"S0033291708004868_ref024","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/13.2.261"},{"key":"S0033291708004868_ref06a","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"S0033291708004868_ref042","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199906000-00007"},{"key":"S0033291708004868_ref031","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198901000-00008"},{"key":"S0033291708004868_ref048","unstructured":"Soutullo C (1999). 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