Insight, psychosis, and depression in Africa

a cross-sectional survey from an in-patient in Ghana

N.A. Poole, Jim Crabb, Akwasi Osei, Peter Hughes, David Young

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Few studies of the relationship of insight to psychopathology have been conducted in non-Western populations. This study examined the relationships between insight and depression, anxiety, and positive and negative symptoms on patients with schizophrenia resident in a psychiatric hospital in Ghana. A sample of 49 participants, (37 men and 12 women), with DSM-IV defined schizophrenia took part in semistructured interviews consisting of the Hamilton Rating Scales for Depression (HAM-D) and Anxiety (HAM-A); the Schedule for the Assessment of Insight - Expanded Version (SAI-E) and the Positive and Negative Syndrome Scale (PANSS). Bivariate correlations between variables were examined and those significantly correlated with an insight domain were included in multiple regression models. Variables associated with the total insight score were age, gender, anxiety symptoms, depression symptoms, and treatment compliance. In the final model, HAM-D positively predicted total SAI-E score, whilst PANSS-pos was negatively associated with total SAI-E score. The results are broadly consistent with those found in Western samples regarding insight and depressive symptoms. Implications of these results for competing theories of insight in psychoses are discussed. Patients able to identify themselves as ill may be aware of their affective symptoms.
Original languageEnglish
Pages (from-to)433-441
Number of pages9
JournalTranscultural Psychiatry
Volume50
Issue number3
Early online date5 Jun 2013
DOIs
Publication statusPublished - 2013

Fingerprint

Ghana
psychosis
Psychotic Disorders
Cross-Sectional Studies
Depression
schizophrenia
anxiety
Appointments and Schedules
Anxiety
Schizophrenia
psychiatric hospital
psychopathology
rating scale
Affective Symptoms
Psychiatric Hospitals
Psychopathology
Diagnostic and Statistical Manual of Mental Disorders
resident
regression
gender

Keywords

  • depression
  • Africa
  • insight
  • psychosis
  • cross-cultural
  • survey
  • in-patient unit
  • ghana

Cite this

Poole, N.A. ; Crabb, Jim ; Osei, Akwasi ; Hughes, Peter ; Young, David. / Insight, psychosis, and depression in Africa : a cross-sectional survey from an in-patient in Ghana. In: Transcultural Psychiatry. 2013 ; Vol. 50, No. 3. pp. 433-441.
@article{dfabee9bd77e465db55439c76b8eb401,
title = "Insight, psychosis, and depression in Africa: a cross-sectional survey from an in-patient in Ghana",
abstract = "Few studies of the relationship of insight to psychopathology have been conducted in non-Western populations. This study examined the relationships between insight and depression, anxiety, and positive and negative symptoms on patients with schizophrenia resident in a psychiatric hospital in Ghana. A sample of 49 participants, (37 men and 12 women), with DSM-IV defined schizophrenia took part in semistructured interviews consisting of the Hamilton Rating Scales for Depression (HAM-D) and Anxiety (HAM-A); the Schedule for the Assessment of Insight - Expanded Version (SAI-E) and the Positive and Negative Syndrome Scale (PANSS). Bivariate correlations between variables were examined and those significantly correlated with an insight domain were included in multiple regression models. Variables associated with the total insight score were age, gender, anxiety symptoms, depression symptoms, and treatment compliance. In the final model, HAM-D positively predicted total SAI-E score, whilst PANSS-pos was negatively associated with total SAI-E score. The results are broadly consistent with those found in Western samples regarding insight and depressive symptoms. Implications of these results for competing theories of insight in psychoses are discussed. Patients able to identify themselves as ill may be aware of their affective symptoms.",
keywords = "depression, Africa, insight, psychosis, cross-cultural, survey, in-patient unit, ghana",
author = "N.A. Poole and Jim Crabb and Akwasi Osei and Peter Hughes and David Young",
year = "2013",
doi = "10.1177/1363461513483263",
language = "English",
volume = "50",
pages = "433--441",
journal = "Transcultural Psychiatry",
issn = "1363-4615",
number = "3",

}

Insight, psychosis, and depression in Africa : a cross-sectional survey from an in-patient in Ghana. / Poole, N.A.; Crabb, Jim; Osei, Akwasi ; Hughes, Peter; Young, David.

In: Transcultural Psychiatry, Vol. 50, No. 3, 2013, p. 433-441.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Insight, psychosis, and depression in Africa

T2 - a cross-sectional survey from an in-patient in Ghana

AU - Poole, N.A.

AU - Crabb, Jim

AU - Osei, Akwasi

AU - Hughes, Peter

AU - Young, David

PY - 2013

Y1 - 2013

N2 - Few studies of the relationship of insight to psychopathology have been conducted in non-Western populations. This study examined the relationships between insight and depression, anxiety, and positive and negative symptoms on patients with schizophrenia resident in a psychiatric hospital in Ghana. A sample of 49 participants, (37 men and 12 women), with DSM-IV defined schizophrenia took part in semistructured interviews consisting of the Hamilton Rating Scales for Depression (HAM-D) and Anxiety (HAM-A); the Schedule for the Assessment of Insight - Expanded Version (SAI-E) and the Positive and Negative Syndrome Scale (PANSS). Bivariate correlations between variables were examined and those significantly correlated with an insight domain were included in multiple regression models. Variables associated with the total insight score were age, gender, anxiety symptoms, depression symptoms, and treatment compliance. In the final model, HAM-D positively predicted total SAI-E score, whilst PANSS-pos was negatively associated with total SAI-E score. The results are broadly consistent with those found in Western samples regarding insight and depressive symptoms. Implications of these results for competing theories of insight in psychoses are discussed. Patients able to identify themselves as ill may be aware of their affective symptoms.

AB - Few studies of the relationship of insight to psychopathology have been conducted in non-Western populations. This study examined the relationships between insight and depression, anxiety, and positive and negative symptoms on patients with schizophrenia resident in a psychiatric hospital in Ghana. A sample of 49 participants, (37 men and 12 women), with DSM-IV defined schizophrenia took part in semistructured interviews consisting of the Hamilton Rating Scales for Depression (HAM-D) and Anxiety (HAM-A); the Schedule for the Assessment of Insight - Expanded Version (SAI-E) and the Positive and Negative Syndrome Scale (PANSS). Bivariate correlations between variables were examined and those significantly correlated with an insight domain were included in multiple regression models. Variables associated with the total insight score were age, gender, anxiety symptoms, depression symptoms, and treatment compliance. In the final model, HAM-D positively predicted total SAI-E score, whilst PANSS-pos was negatively associated with total SAI-E score. The results are broadly consistent with those found in Western samples regarding insight and depressive symptoms. Implications of these results for competing theories of insight in psychoses are discussed. Patients able to identify themselves as ill may be aware of their affective symptoms.

KW - depression

KW - Africa

KW - insight

KW - psychosis

KW - cross-cultural

KW - survey

KW - in-patient unit

KW - ghana

UR - http://www.scopus.com/inward/record.url?scp=84881259812&partnerID=8YFLogxK

U2 - 10.1177/1363461513483263

DO - 10.1177/1363461513483263

M3 - Article

VL - 50

SP - 433

EP - 441

JO - Transcultural Psychiatry

JF - Transcultural Psychiatry

SN - 1363-4615

IS - 3

ER -