Insight, dépression, estime de soi et satisfaction de vie chez des personnes souffrant de schizophrénie

Abstract: Recent studies on insight in schizophrenia, mainly english-speaking, have shown that denial of mental disorder (lack of insight) is connected with a less good compliancy with treatment. Consequently, therapies, which increase insight, develop currently (psychoeducation and information of patients, for instance). Nonetheless, certain studies concluded that awareness of mental disorder has a negative effect on psychological dimensions like humor, self-esteem and quality of life. So we realize a pilot-study on 20 schizophrenic subjects (DSM-IV) (15 men and five women including 13 full-time inpatients and 7 days in-patients) from 22 to 61 years (m = 41.75; σ =11.94). The aim of the study was to measure insight (IS and Q8), depressive experience (SCL90-R and CDSS), self-esteem (SEI) and satisfaction with life (SWLS), then to calculate correlation between insight and the three other dimensions. Data analysis confirmed a strong link between insight and deterioration of self-esteem (r = −0.6922; p =0.001) and with an increase of depressive experience (r = 0.8134; p =0.000 with SCL90-R and r = 0.6041; p =0.006 with CDSS). Satisfaction with life is not significantly correlated with insight (r = −0.2047; p =0.401). Those results show that clinicians must take into account the depressive effect of therapeutic strategies aiming at an increase in insight. [ABSTRACT FROM AUTHOR]