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Exploring the relationship of insight with psychopathology and gender in individuals with schizophrenia spectrum disorders with structural equation modelling

dc.creatorCobo, Jesúses_ES
dc.creatorLabad, Javieres_ES
dc.creatorPousa, Estheres_ES
dc.creatorNieto, Lourdeses_ES
dc.creatorOchoa, Susanaes_ES
dc.creatorUsall, Judithes_ES
dc.creatorGarcía-Ribera, Carloses_ES
dc.creatorBaños, Irises_ES
dc.creatorGonzález, Beatrizes_ES
dc.creatorMassons, Carminaes_ES
dc.creatorRuiz, Isabeles_ES
dc.creatorRuiz, Ada I.es_ES
dc.date2020es_ES
dc.date.accessioned2022-07-07T16:26:35Z
dc.date.available2022-07-07T16:26:35Z
dc.date.issued2020es_ES
dc.identifierMGCI-220707-01es_ES
dc.identifier.issn1434-1816es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7548
dc.identifier.urihttps://doi.org/10.1007/s00737-020-01031-1
dc.descriptionTo model the influence of psychopathology on insight deficits in schizophrenia spectrum patients with a gender-stratified analysis. Five hundred sixteen patients (65.1% men) with schizophrenia spectrum disorders were evaluated in four centres of the metropolitan area of Barcelona (Catalonia). Psychopathological assessment was performed using different PANSS factors. Insight and its three main dimensions were assessed by means of the Scale of Unawareness of Mental Disorder: awareness of the disease (SUMD-1), of the effect of medication (SUMD-2) and of the social consequences of the disease (SUMD-3). Structural equation models (SEMs) were used to fix the model in the total sample and by gender. Additional analyses included age, duration of illness (DOI) and education status (ES). There were no significant differences between men and women in the three main dimensions of insight. The SEMs in the total sample showed a modest fitting capacity. Fitting improved after a gender-stratified analysis (particularly in women). In men, positive and excited symptoms were associated with poorer insight in all SUMD dimensions, whereas depressive symptoms were associated with better insight. ES in men was also associated with better SUMD-2 or SUMD-3. In contrast, in women, symptoms did not have a negative effect on SUMD-1 or SUMD-2. However, positive symptoms were associated with a poorer SUMD-3, whereas depressive symptoms were associated with better SUMD-3. Moreover, education level was also associated with a better SUMD-3. A gender approach improved the comprehension of the model, supporting the relevance of gender analysis in the study of insight.es_ES
dc.formatAdobe PDFes_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.relation23(5)643-655
dc.rightsAcceso Cerradoes_ES
dc.titleExploring the relationship of insight with psychopathology and gender in individuals with schizophrenia spectrum disorders with structural equation modellinges_ES
dc.typeArtículoes_ES
dc.contributor.affiliationMental Health Department. Corporació Sanitària Parc Taulí, Hospital Universitari – UAB – CIBERSAM, Parc Taulí, 1, 08208, Sabadell, Barcelona, Catalonia, Spain. Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Catalonia, Spain. Research Workgroup on Womens’ Mental Health, Catalan Society of Psychiatry & Mental Health, Barcelona, Catalonia, Spaines_ES
dc.contributor.emailjcobo@tauli.cat (Jesús Cobo)es_ES
dc.relation.jnabreviadoARCH WOMENS MENT HEALTHes_ES
dc.relation.journalArchives of Women's Mental Healthes_ES
dc.identifier.placeSwitzerlandes_ES
dc.date.published2020es_ES
dc.identifier.organizacionInstituo Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1435-1102es_ES
dc.identifier.doihttps://doi.org/10.1007/s00737-020-01031-1es_ES
dc.subject.kwPsychosises_ES
dc.subject.kwAwarenesses_ES
dc.subject.kwPositivees_ES
dc.subject.kwDepressiones_ES
dc.subject.kwWomenes_ES
dc.creator.tidOrcides_ES


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