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.
Schlüsselwörter
Krankheitseinsicht - Schizophrenie - Ätiologie - Kultur
Keywords
insight into illness - schizophrenia - etiology - culture
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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
