Mood Emot 2018 Jul; 16(2): 103-107  
Relationship between Insight and Manic Symptoms in Stable Patients with Chronic Schizophrenia
Eui Seok Lee, MD, Narei Hong, MD, PhD, Myung Hun Jung, MD, PhD, Hyun Joo Hong, MD, PhD and Duk-In Jon, MD, PhD
Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea
Correspondence to: 전덕인, 14068 경기도 안양시 동안구 관평로170번길 22 한림대학교 성심병원 정신건강의학과 전화 : (031) 380-3750·전송 : (031) 381-3753 E-mail : cogni@naver.com
Received: June 21, 2018; Revised: June 28, 2018; Accepted: July 4, 2018; Published online: July 30, 2018.
© Korean Society for Affective Disorders. All rights reserved.

Abstract
Objectives : Patient insight is a very important factor in the management of schizophrenia. Manic symptoms can occasionally be identified by the patient, even in cases of schizophrenia. The aim of this study is to examine the relationship among patient insight, the psychotic and manic symptoms, and the demographic clinical variables.
Methods : Seventy-four participants (male 44, female 30) with chronic schizophrenia in community mental health facilities were evaluated according to the Korean version of the Scale to assess Unawareness of Mental Disorder (SUMD-K), the Korean version of Mood Disorder Questionnaire (K-MDQ), and the Brief Psychiatric Rating Scale (BPRS).
Results : The mean number of previous admissions was 3.85. The mean CGI-S score was 3.8 and a significant negative correlation (r=0.26) was shown with “awareness of mental disorder”. Thirty-five percent of subjects were K-MDQ positive (cutoff point=7 or more). Among the SUMD-K, “awareness of effect of medication” showed a significant negative correlation (r=-0.33) with the total K-MDQ score, but not with the total BPRS score. The negative correlation was more obvious in participants with negative K-MDQ (total K-MDQ score 6 or less, r=-0.31).
Conclusion : A possible relationship was observed between these manic symptoms and patient insight. Identification of manic symptoms in schizophrenia would be considerable in a clinical setting.
Keywords: Schizophrenia ㆍInsight ㆍManic symptom.

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