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Poor Insight in Schizophrenia Patients in China: a Meta-Analysis of Observational Studies
Li,Wen1; Zhang,Hong He2; Wang,Yu3; Zhang,Ling4; Ungvari,Gabor S.5,6; Cheung,Teris7; Xiang,Yu Tao1
Source PublicationPsychiatric Quarterly

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.

KeywordMeta-analysis Poor Insight Prevalence Schizophrenia
URLView the original
Indexed BySSCI
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000539890600001
Scopus ID2-s2.0-85086461385
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Cited Times [WOS]:6   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorXiang,Yu Tao
Affiliation1.Center for Cognition and Brain Sciences,University of Macau,Macao
2.Department of Psychiatry,Xiamen Xianyue Hospital,Xiamen,China
3.Department of Nursing,Chinese Academy of Medical Sciences - Peking Union Medical College,Peking Union Medical College Hospital,Beijing,China
4.The 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
5.Division of Psychiatry,School of Medicine,University of Western Australia,Perth,Australia
6.University of Notre Dame Australia,Fremantle,Australia
7.School of Nursing,Hong Kong Polytechnic University,Hong Kong
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Li,Wen,Zhang,Hong He,Wang,Yu,et al. Poor Insight in Schizophrenia Patients in China: a Meta-Analysis of Observational Studies[J]. Psychiatric Quarterly,2020,91(4):1017-1031.
APA Li,Wen,Zhang,Hong He,Wang,Yu,Zhang,Ling,Ungvari,Gabor S.,Cheung,Teris,&Xiang,Yu Tao.(2020).Poor Insight in Schizophrenia Patients in China: a Meta-Analysis of Observational Studies.Psychiatric Quarterly,91(4),1017-1031.
MLA Li,Wen,et al."Poor Insight in Schizophrenia Patients in China: a Meta-Analysis of Observational Studies".Psychiatric Quarterly 91.4(2020):1017-1031.
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