Mapping Insight Dimensions and Symptom Dynamics in Schizophrenia: A Data-Driven Network Approach: Cartographie des dimensions d'insight et de la dynamique symptomatique dans la schizophrénie: une approche par réseau fondée sur les données.

IF 3.8 3区 医学 Q2 PSYCHIATRY
Jesse Rae, Katie M Lavigne, Geneviève Sauvé, Martin Lepage, Delphine Raucher-Chéné
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引用次数: 0

Abstract

ObjectivesPatients with schizophrenia spectrum disorders (SSD) present with cognitive, behavioral, and emotional difficulties. Affected individuals often exhibit poor insight into aspects of their illness, such as awareness of the illness itself or the need for treatment, which can hinder treatment adherence and complicate clinical outcomes. This study aimed to investigate the relationships between clinical symptoms and dimensions of insight in SSD using a network approach, which captures direct and indirect relationships among variables. We hypothesized that illness awareness would correlate negatively with positive symptoms and positively with depressive symptoms, and that positive symptoms would have the strongest influence on the network.MethodsData were collected from 142 individuals diagnosed with SSD. Insight was measured using the Birchwood Insight Scale (IS) across three dimensions: illness awareness, symptom re-labelling, and awareness of the need for treatment. Symptoms were evaluated using the Scale for the Assessment of Positive Symptoms, the Scale for the Assessment of Negative Symptoms, the Calgary Depression Scale and the Hamilton Anxiety Scale. Network analysis was employed to explore interconnections (edges) between variables (nodes) and identify influential variables through centrality measures (strength, betweenness, closeness).ResultsA significant positive connection was found between illness awareness and depressive symptoms. Anxiety and depressive symptoms were identified as the most central and influential variables within the network. Treatment awareness showed greater centrality than illness awareness, indicating this dimension's potential importance in influencing symptom dynamics in a clinical profile.ConclusionsAnalyzing a more extensive network that includes treatment adherence and cognitive domains affected in SSD could enhance and validate the understanding of the cascading effects of symptoms and insight dimensions, allowing for more tailored treatments.Plain Language Summary TitleInterconnections between levels of awareness and clinical symptoms in schizophrenia and related disorders.

描绘精神分裂症的洞察力维度和症状动态:一种数据驱动的网络方法。
目的:精神分裂症谱系障碍(SSD)患者存在认知、行为和情绪障碍。受影响的个体往往对其疾病的各个方面缺乏洞察力,例如对疾病本身或治疗需求的认识,这可能会阻碍治疗的坚持并使临床结果复杂化。本研究旨在利用网络方法探讨SSD的临床症状与洞察力维度之间的关系,该方法捕获变量之间的直接和间接关系。我们假设疾病意识与阳性症状负相关,与抑郁症状正相关,并且阳性症状对网络的影响最大。方法收集142例SSD患者的资料。洞察力使用Birchwood洞察力量表(IS)在三个方面进行测量:疾病意识,症状重新标记和治疗需求的意识。使用阳性症状评估量表、阴性症状评估量表、卡尔加里抑郁量表和汉密尔顿焦虑量表对症状进行评估。采用网络分析来探索变量(节点)之间的相互联系(边),并通过中心性度量(强度、中间度、亲密度)识别影响变量。结果疾病意识与抑郁症状呈显著正相关。焦虑和抑郁症状被确定为网络中最核心和最具影响力的变量。治疗意识比疾病意识表现出更大的中心性,表明这一维度在影响临床症状动态方面具有潜在的重要性。结论分析一个更广泛的网络,包括治疗依从性和SSD受影响的认知领域,可以增强和验证对症状级联效应和洞察力维度的理解,从而允许更有针对性的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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