Comparisons of insight in schizophrenia, bipolar I disorder, and depressive disorders with and without comorbid alcohol use disorder
Version of Record online: 24 NOV 2008
© 2008 The Authors. Journal compilation © 2008 Japanese Society of Psychiatry and Neurology
Psychiatry and Clinical Neurosciences
Volume 62, Issue 6, pages 685–690, December 2008
How to Cite
Yen, C.-F., Chen, C.-C., Cheng, C.-P., Yen, C.-N., Lin, H.-C., Ko, C.-H., Yen, J.-Y. and Chen, C.-S. (2008), Comparisons of insight in schizophrenia, bipolar I disorder, and depressive disorders with and without comorbid alcohol use disorder. Psychiatry and Clinical Neurosciences, 62: 685–690. doi: 10.1111/j.1440-1819.2008.01870.x
- Issue online: 24 NOV 2008
- Version of Record online: 24 NOV 2008
- Received 22 January 2008; revised 3 August 2008; accepted 12 August 2008.
- alcohol use disorder;
- bipolar disorder;
- depressive disorder;
Aims: To compare the level of insight among six groups of patients with psychiatric disorders, including those with schizophrenia (SZ), bipolar I disorder (BP), or depressive disorders (DD) who had or did not have comorbid alcohol use disorder (AUD).
Methods: A total of 285 outpatients meeting the aforementioned criteria were recruited into the study. The Schedule of Assessment of Insight–Expanded version (SAI-E) was used to measure subjects' insight. Analysis of covariance (ancova) was used to compare the levels of insight among the six groups of subjects.
Results: Regardless of whether patients had comorbid AUD or not, patients with DD had higher levels of insight than did patients with SZ. Comorbid AUD had independent effects on the differences in the level of insight between patients with DD and BP and between patients with BP and SZ. No statistically significant difference in insight was found between patients with the same psychiatric diagnosis with and without comorbid AUD.
Conclusions: In addition to psychotic features and clinical states, comorbid AUD should be taken into consideration when comparing the level of insight among patients with different psychiatric diagnoses.