Evidence map›Paper›PMID 32529379›Full record

SynthesisThe Psychiatric quarterly2020

Poor Insight in Schizophrenia Patients in China: a Meta-Analysis of Observational Studies.

Wen Li, Hong-He Zhang, Yu Wang, Ling Zhang, Gabor S Ungvari, Teris Cheung, Yu-Tao Xiang

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in The Psychiatric quarterly, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Insight Paradox in Patients With Schizophrenia: A Concept Analysis.International journal of mental health nursing · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 4 countries.

Wen LiCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China.ORCID 0000-0002-6722-0804
Hong-He ZhangDepartment of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China.
Yu WangDepartment of Nursing, Chinese Academy of Medical Sciences - Peking Union Medical College, Peking Union Medical College Hospital, Beijing, China.
Ling ZhangThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
Gabor S UngvariDivision of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia.
Teris CheungSchool of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China.
Yu-Tao XiangCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China. xyutly@gmail.com.
University of Macau · MOCapital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHong Kong Polytechnic University · HKThe University of Western Australia · AUTianjin haihe hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poor insight exists in all phases of schizophrenia and is associated with poor clinical prognosis and adverse psychosocial functioning. This is a meta-analysis examining the prevalence of poor insight and its correlates in Chinese patients with schizophrenia. Both major international (PubMed, EMBASE, PsycINFO, and Web of Science) and Chinese (WANFANG and CNKI) databases were systematically searched. The pooled prevalence of poor insight was calculated using the random-effects model. A total of 19 studies with 3112 schizophrenia patients were included. The prevalence of poor insight was 43.4% (95%CI: 36.0%-51.2%). Subgroup and meta-regression analyses revealed that the higher prevalence of poor insight was significantly associated with single-site design, smaller sample size, inpatient status, acute illness phase, higher male proportion, younger age, shorter duration of illness, lower study quality, and earlier publication year. Poor insight is common in Chinese schizophrenia patients. Considering the negative outcomes of poor insight, regular screening and effective psychosocial interventions should be delivered for this vulnerable population.

Indexed as

SchizophreniaChinaDatabases, FactualHumansMaleMass ScreeningObservational Studies as TopicPrevalenceMeta-analysisPoor insightPrevalenceSchizophrenia

Identifiers

PMID32529379
OpenAlexW3035160637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.