Fauzi, Radziah Mohd and Ismail, Hasanah Che
(2004)
Insight and attitude of illness in relation to the relapse rate
among schizophrenic patients in Hospital Universiti Sains and Hospital Kota Bharu.
Insight and attitude of illness in relation to the relapse rate among schizophrenic patients in Hospital Universiti Sains and Hospital Kota Bharu.
(Submitted)
Abstract
Background: Lack of insight in schizophrenia has p~en increasingly in focus. It is
frequently reported that schizophrenic patients have poor insight towards their
illness. Several rating scales were developed to measure the -insight in relation to
the different important aspects.
Objectives: This cross-sectional study was conducted to determine the
relationship between the level of insight and attitude of illness to the relapse rataamong
schizophrenic patients in Hospital Universiti Sains Malaysia and Hospital.
Kota Bharu.
Methods: . A total of 409 schizophrenic patients who were in· stable condition
involved in this cross-sectional study. Various aspects of insight towards illness
need for treatment and attribution of the symptom' were assessed with our new
scale: Insight and Attitude Scale of Schizophrenia (lASS). The measurement of
insight has been based on this new self-administer~d questionnaire.
Results: Insight and Attitude Scale of Schizopprenia (lASS) is presented, and
evidence in support of its reliability and validity is provided. The result found there
is significant corr.elation between patients' insight and relapse rate. Patients with
high insight are more likely to have ·less relapses compared to patients with low
insight.
Conclusion: The scale is a quick and acceptable measure for insight among our
population. Patients_ with high insight ~co:e were significantly less likely to have
relapse compared w1th those with low 1nsight scoore suggesting that insight may
influence the relapse rate among schizophremc patients in the study population.
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