Evidence map›Paper›PMID 37440902›Full record

ArticleAlpha psychiatry2023

Exploring the "Insight Paradox" in Treatment-Resistant Schizophrenia: Correlations Between Dimensions of Insight and Depressive Symptoms in Patients Receiving Clozapine.

Süleyman Dönmezler, Gizem İskender, Nurhan Fıstıkcı, Yavuz Altunkaynak, Sevinç Ulusoy, Tonguç Demir Berkol

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In one paragraph

Article in Alpha psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Insight Paradox in Patients With Schizophrenia: A Concept Analysis.International journal of mental health nursing · 2025
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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

6 authors at 4 institutions in 2 countries.

Süleyman DönmezlerDepartment of Psychiatry, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.ORCID 0000-0002-3210-0976
Gizem İskenderDepartment of Psychiatry, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, Turkey.ORCID 0000-0002-0902-6982
Nurhan FıstıkcıDepartment of Social Sciences, Gelişim University, Istanbul, Turkey.ORCID 0000-0003-4478-759X
Yavuz AltunkaynakDepartment of Neurology, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.ORCID 0000-0002-4921-1592
Sevinç UlusoyDepartment of Psychiatry, Neurology and Neurosurgery, Bakırköy Training and Research Hospital for Psychiatry, Istanbul, Turkey.ORCID 0000-0003-4300-2631
Tonguç Demir BerkolDepartment of Psychiatry, Neurology and Neurosurgery, Bakırköy Training and Research Hospital for Psychiatry, Istanbul, Turkey.ORCID 0000-0003-4341-6826
Istanbul Metropolitan Municipality · TRMinistry of Health · TRIstanbul Eye Hospital · TRİstanbul Gelişim Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: There remains a lack of clarity as to the possible cross talk of insight into illness and depressive symptoms in treatment-resistant schizophrenia. We therefore set our primary aim to evaluate relationship between insight dimensions and depressive symptoms in patients with treatment-resistant schizophrenia receiving clozapine. Methods: This was a cross-sectional, non-interventional study, conducted in daily clinical practice conditions. Patients in outpatient clinics between March 2020 and May 2020 with treatment-resistant schizophrenia (based on Treatment Response and Resistance in Psychosis), with no comorbid psychiatric disorder, and with no body mass index greater than 40.0 kg/m Results: The final analysis sample comprised 55 patients with treatment-resistant schizophrenia, with a mean age of 42.48 (SD = 9.18) years and a predominance of the male sex (n = 42, 76.9%). Model 1 [Calgary Depression Score for Schizophrenia ~ (Schedule for Assessment of Insight + Positive and Negative Syndrome Scale)] displayed that 48% of the variation in the Calgary Depression Score for Schizophrenia can be explained by Schedule for Assessment of Insight-composite and Positive and Negative Syndrome Scale-composite ( Conclusion: The treatment compliance part of insight was not one of the significant explanatory variables of depressive symptoms, but it explained the variance in functioning, in contrast to the illness recognition dimension of insight. If our findings were replicated in treatment-resistant schizophrenia, they would suggest that promoting treatment compliance dimension of insight instead of recognition of illness could not increase depressive symptoms.

Indexed as

depressive symptomsfunctionalityinsightSchizophreniatreatment-resistant schizophrenia

Identifiers

PMID37440902
PMCPMC10334689
OpenAlexW4378830996

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.