INTRODUCTION: A major subgroup of @entity1 with acute @entity161 lacks awareness of having a @entity146 . The aim of this study was to investigate the association of self- and expert-rated insight into illness with subjective quality of life (QOL). It was hypothesised that @entity1 with greater self- and expert-rated insight into illness report lower QOL compared to @entity1 with poor insight. METHOD: For the present study, @entity1 with @entity161 or @entity914 were investigated during in- @entity1 treatment. Insight into illness was measured by the scale to assess unawareness of a @entity146 (SUMD), the insight scale and the PANSS. QOL was assessed with the modular system of quality of life (MSQoL). Results Fifty-nine @entity1 entered the study. Self- and expert-rated illness insight were associated with poor QOL. @entity1 with good insight into illness reported significantly lower physical health (p < 0.05), vitality (p < 0.01), psychosocial (p < 0.01), affective (p < 0.01) and general QOL (p < 0.001) compared to @entity1 with poor insight. Good insight was significantly associated with other parameters of clinical and social functioning and @entity308 . DISCUSSION: The results indicate that @entity1 with acute @entity161 and greater insight realise their restrictions more clearly, which contribute to poor QOL, but were stronger integrated in social networks. The inclusion of modules focussing on QOL related aspects of treatment from the beginning as well as a greater awareness of the physician for these questions and a strengthening of the therapeutic alliance might help improving insight without the risk of deteriorating mood and QOL.

The dilemma of insight into illness in XXXX : self- and expert-rated insight and quality of life.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depressive symptoms'] @entity146 :: ('MESH:D001523', 'Disease') :: ['mental disorder'] @entity914 :: ('MESH:D011618', 'Disease') :: ['schizoaffective disorders'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia']
@entity161 :: (MESH:D012559,Disease) :: ['schizophrenia']
