Abstract
Numbers of previous studies have shown that patients with schizophrenia have mostly poor insight. The poor insight causes a major obstacle in treatment compliance.
However, only a little attention has been paid to the relationship between insight into disease and rehabilitation of the patients. To develop an effective approach to rehabilitation, this study examined the relationship of insight into disease with personality trait, and work ability in mental hospital. The subjects were 65 patients with DSM-III-R diagnoses of schizophrenia, and hospitalized in a mental hospital.
Three phases of Insight into disease and work ability were evaluated by five steps. Personality trait was evaluated by MMPI. The scores of personality trait of patients with insight into disease were higher than those of patients with poor insight in neurotic and psychotic personality trait. Compared with patients with poor insight, patients with insight into disease seemed to be aware of their abnormal personality traits.
Patients with insight into disease also had higher level of work ability than patients with poor insight. These results suggest that the patients with insight into disease need supportive psychotherapy to keep them in work therapy and patients with poor insight require insight-oriented psychotherapy to encourage them to participate in work therapy.
