RELASHIONSHIP BETWEEN CLINICAL AND THERAPEUTICAL CARACTERISTICS AND INSIGHT IN SCHIZOPHRENIA

Schizophrenia is a chronic disease which affects 1% of world population and represents a major public health issue. It is often associated with a severe and persistent lack of awareness of the disorder. Our prospective study was carried out at the psychiatric service of Mohammed VI Academic Medical Center in Marrakech on 100 patients hospitalized between August 2012 and February 2013, for schizophrenia diagnosed according to DSM-IV R criteria. The aim of our study was to assess their insight, and identify clinical and therapeutic features associated with this insight. Insight has been assessed by Birchwood insight scale. The bivariate analysis has identified some significant results: poor insight was associated with unvoluntary commitment status and poor treatment adherence.In conclusion, lack of insight in schizophrenia is an important dimension that can have an impact on the therapeutic alliance, treatment adherence and prognosis.