Krankheitseinsicht – Eine Übersicht über das Konzept mit Fokus auf schizophrene Erkrankungen

 

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Zusammenfassung

Anliegen Das Konzept zur Krankheitseinsicht (KHE) ist in den letzten 10 Jahren wieder zunehmend ins wissenschaftliche Interesse gerückt. Konzeptuelle Erweiterungen zur KHE sowie Befunde zur Ätiologie, den Bedingungsfaktoren, zur Erfassung sowie Techniken zur Herbeiführung von KHE sollen dargestellt werden. Methode In einem Literaturüberblick werden neuere Befunde zu KHE berichtet. Ergebnisse KHE ist ein komplexes, vieldimensionales, stark kulturell eingebettetes Phänomen, das durch multiple Faktoren beeinflusst und in seiner Ätiologie nur unzureichend verstanden ist. Schlussfolgerungen Weitere Studien, insbesondere zur therapeutischen Herbeiführung von KHE, sind erforderlich.

Abstract

Objective Insight into illness is key to successful treatment. Poor insight, especially in schizophrenia, is, however, quite a frequent phenomenon that is also associated with poor adherence to treatment and a variety of unfavorable outcome parameters. On that background, the concept of insight into illness has gained new reseach interest during the last 10 years. The present review aims to report new findings regarding conceptual changes of insight, findings on the etiology, contributing factors as well as the assessment and methods to develop insight. Methods Based on a review of the literature, results from more recent studies on insight into illness will be presented. Results Insight into illness is a complex, multidimensional, strongly culturally embedded phenomenon that is influenced by a variety of factors. The etiology of insight still remains poorly understood but is likely to be multifactorial including psychological, neuropsychological and organic reasons. Conclusions Further research is needed, in particularly regarding therapeutical techniques to improve insight into illness.

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PD Dr. med. habil. Ronald Bottlender

Consultant Psychiatrist, East London NHS Foundation Trust, Department of Psychiatry, Newham Centre for Mental Health

Glen Road, Cherry Tree Way

London E13 8SP

United Kingdom

Email: Ronald.Bottlender@eastlondon.nhs.uk