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KMID : 1007420100080010050
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Mood and Emotion
2010 Volume.8 No. 1 p.50 ~ p.57
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The Insight and Psychopathology in Patients with Bipolar Disorder
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Yoon Dae-Il
Bae Ahn
Shee Young-Hwa
Kim Yoon-Ki
Lee Kyung-Mi
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Abstract
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Objectives：The insight in patients with mental disorder is found to affect the long-term treatment outcome and prognosis significantly. Some studies have been done for patients with schizophrenia, but there have been few studies examining this topic in patients with bipolar disorder in Korea. Accordingly the aim of this study is to examine the correlation between the insight and psychopathology in patients with bipolar disorder.
Methods：Fifty-six patients who were diagnosed as bipolar disorder based on DSM-IV were recruited from inpatient or outpatient clinic. We used Young Mania Rating Scale (YMRS), Montgomery-Asberg Depression Rating Scale (MADRS), and Clinical Global Impression-Severity (CGI-S) to evaluate the psychopathology. Scale to Assess Unawareness of Mental Disorder (SUMD) and six level of insight were chosen to assess the insight.
Results：The severity of manic symptom and poor insight were correlated (r=0.543, p<0.001). The insight was also related with the general severity of illness (r=0.465, p<0.001). However, there was no association with depressive symptoms. In addition, SUMD and six level of insight were shown to have a high negative correlation (r=-0.741, p<0.001).
Conclusion：The insight of the patients with bipolar disorder is highly associated with the psychopathology, especially manic symptoms.
Thus, rapid recovery from illness may help to improve the level of insight.
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KEYWORD
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Bipolar disorder, Insight, Psychopathology
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