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We assessed the role of satisfaction with social support as a mediating factor in the relationship between insight and depression in psychosis. Forty inpatients with schizophrenia-spectrum disorders self-completed measures of insight, social support, and depression. Results showed a curvilinear relationship between insight and satisfaction with support: those with high and low insight tended to have higher satisfaction with support than those with moderate insight. Satisfaction also had a negative relationship with depression. We found no direct relationship between insight and depression. This was consistent with satisfaction with social support mediating the relationship between global insight and depression.

Purpose of Review: This article will evaluate the rationale and feasibility of detecting psychosis and schizophrenia earlier than is currently the case., Recent Findings: Schizophrenia incidence may vary more than has been believed previously. Early detection studies fall into two groups. Firstly, operational criteria now exist for prodromal or at risk mental states which predict transition to psychosis of 20-40% over 1 year. The first randomized trials of antipsychotic drug and psychological interventions aimed at reducing this transition rate have shown promising results. Secondly, duration of untreated psychosis in the first episode seems genuinely to be associated with clinical outcome but how much of the association is truly causal remains disputed., Summary: Shortening duration of untreated psychosis by early detection of full psychosis appears feasible but its benefits are not yet unequivocally demonstrated.