Abstract:
Objectives:
The purpose of this study was to explore the relationship between illness insight in schizophrenia and the level of social adaptation, social support needs, and subjective life satisfaction, for consumers of community mental health support services.
Methods:
Samples (N=43) were recruited from community base independent service agencies providing case management services for mentally ill people in the western Berlin, Germany catchment area. Separate interviews were conducted with the case managers and their clients diagnosed with schizophrenia (ICD-10). Quantitative measurements were used to establish if there is a relationship between illness insight and the various psychosocial variables assessed in this study.
Results:
Low illness insight correlated with low levels of social adaptation. Low social adaptation correlated inversely with the case managers’ assessment of more social support needs for their client. The clients’ low subjective life satisfaction correlated with higher client rated social support needs. The client and case manager rated social support needs correlated strongly.
Conclusions:
Low illness insight may be an indicator of low social adaptation that might require increased case manager engagement to meet more client social support needs. For this further research is essential.
1. Introduction
"I am not mentally ill, and I don’t need any help"; is one variation of what many mental health professionals will hear from their clients with schizophrenia (Amador & Johanson, 2000). The professionals hearing this may often be those employed by community mental health support services to help these individuals claiming not to need any help. The fact that these clients are usually residents of supervised living programs makes their claim even more perplexing. When their case manager or key worker asks them why they are living here the worker usually receives an answer ranging from the delusional, "I’ve been placed here by aliens", to the more mundane, "where else should I live? I’ve no other place to go" (ibid).
Inhaltsverzeichnis (Table of Contents)
- Abstract
- Acknowledgements
- Abbreviations
- Tables and Figures
- Introduction
- Schizophrenia
- Diagnostic Characteristics of Schizophrenia
- Etiology
- Genetics
- Environment
- Neurobiology
- Summery of the Causes
- Treatment of Schizophrenia
- Antipsychotic Medications
- First Generation Antipsychotics
- 2nd Generation Antipsychotics
- Psychological Treatment
- Cognitive Behavioral Therapy for Schizophrenia
- Family Therapy - Psychoeducation
- Community Support System
- Case Management
- Clinical Case Management
- High Service Users with Poor Illness Insight
- Non-compliance with Medication
- Improving Insight and Compliance with Medication
- Schizophrenia
- Review of the Research Literature
- Illness Insight in Schizophrenia
- The Importance of Insight in the Study of Schizophrenia
- Defining Insight
- Cognitive Psychological Approach to Insight or the Unawareness of Illness
- Medical Science Understanding of Insight
- Neuropsychology of Insight
- Neurobehavioral
- Summary
- Cultural and Social Perspectives of Insight
- Stigma of Illness
- Cultural Construction
- Insight Measurement
- Insight Correlation Studies
- Current State of Research in Definition and Measurement
- Social Support and Health
- Conceptual Differences
- Social Support and Severe Mental Ilness
- Clinical Case Management Model of Social Support Intervention
- Social Support Needs
- Facilitating Health Through Social Support in Schizophrenia
- Measuring Social Support and Social Support Needs
- Perspectives of Social Support Measurement
- Social Support Measurements for Populations with Mental Illness
- Social Networks
- Social Interaction
- Measuring the perceived adequacy of social support
- Quality of Life in Mental Health
- Objective and Subjective Approaches to QoL
- Subjective Quality of Life as a Care and Treatment Outcome Indicator
- Illness Insight in Schizophrenia
- Study Rationale
- The Context of the Research Question
- Insight and Treatment Prognosis
- Insight and the Relationship to Treatment Outcomes for Schizophrenia
- Insights: Relationship to Psychosocial Variables
- Case Management
- Case Management in Mental Health Community Support Services
- The Effectiveness of Case Management Services in Mental Health
- Supportive Therapy and Biopsychosocial Treatment of Schizophrenia
- Supportive Therapy and Schizophrenia
- Treatment with Supportive Therapy
- Poor Illness Insight as an Obstacle to better Treatment Outcomes
- Poor Illness Insight and the Most Prevalent Treatments for Schizophrenia
- Poor Illness Insight and Therapeutic Goals
- Methods
- Study Design
- Sample Inclusion/Exclusion Criteria
- Sample Recruitment and Sample Size (N = 43)
- Measures and Instrument
- Description of the Measures and Instrument
- The Berliner Inventory
- Measurement Validation and Reliability
- Schedule of Assessing Insight
- Medication Compliance
- The Berliner Lebensqualitätsprofil
- Description of the Measures and Instrument
- Study Design
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
The thesis aims to explore the relationship between illness insight in schizophrenia, social adaptation, social support needs, and subjective quality of life for individuals receiving community-based case management mental health services. The study investigates the role of illness insight and its impact on treatment outcomes, as well as the influence of social factors on the well-being of individuals with schizophrenia.
- The impact of illness insight on treatment outcomes for schizophrenia.
- The relationship between illness insight, social adaptation, and social support needs.
- The role of community-based case management in supporting individuals with schizophrenia.
- The impact of social support on the subjective quality of life of individuals with schizophrenia.
- The influence of cultural and social perspectives on the understanding and management of illness insight in schizophrenia.
Zusammenfassung der Kapitel (Chapter Summaries)
- Introduction: This chapter introduces the topic of schizophrenia, its diagnostic characteristics, etiology, and treatment approaches. It also explores the concept of illness insight and its significance in the context of schizophrenia, as well as the role of community support systems, particularly case management, in providing support to individuals with the disorder.
- Review of the Research Literature: This chapter delves into the existing research on illness insight in schizophrenia, examining its definition, measurement, and relationship to various aspects of the disorder. It also explores the literature on social support, its importance for individuals with severe mental illness, and its role in facilitating health and well-being in schizophrenia. Finally, the chapter examines the concept of quality of life in mental health, particularly the subjective perspective.
- Study Rationale: This chapter provides the rationale for the research, outlining the context of the research question and the significance of investigating the relationship between illness insight, social adaptation, social support needs, and quality of life in schizophrenia. It discusses the importance of understanding these factors for improving treatment outcomes and enhancing the well-being of individuals with the disorder.
- Methods: This chapter outlines the methodology of the study, including the study design, sample inclusion and exclusion criteria, sample recruitment, and the measures and instruments used to collect data. It also discusses the procedures for data analysis.
Schlüsselwörter (Keywords)
The study focuses on the following key concepts: illness insight, schizophrenia, social adaptation, social support, social support needs, subjective quality of life, community-based case management, mental health services, treatment outcomes, and supportive therapy. It aims to explore the complex interplay of these factors in shaping the experiences and well-being of individuals with schizophrenia.
- Arbeit zitieren
- Scott Caton (Autor:in), 2007, The Relationship Between Illness Insight in Schizophrenia, München, GRIN Verlag, https://www.hausarbeiten.de/document/159868
