European Centre for Clinical Social Work

The Relationship Between Illness Insight in Schizophrenia: Social Adaptation, Social Support Needs, and the Subjective Quality of Life for Consumers of Community Based Case Management Mental Health Services

AutorInnen:

M.A. Klinische Sozialarbeit - Certified Clinical Social Worker Scott Caton

Bibliographische Angabe:

Caton, S. (2007): The Relationship Between Illness Insight in Schizophrenia: Social Adaptation, Social Support Needs, and the Subjective Quality of Life for Consumers of Community Based Case Management Mental Health Services. . München: GRIN Verlag.

Master Thesis: The purpose of this study was to explore the relationship between illness insight in schizophrenia and the level of social adaptation, social support needs, and subjective life satisfaction, for consumers of community mental health support services. Methods: Samples (N=43) were recruited from community based independent service agencies providing case management services for mentally ill people in the West Berlin catchment area in Germany. Separate interviews were conducted with the case managers and their clients diagnosed with schizophrenia (ICD-10). Quantitative measurements were used to establish if there is a relationship between illness insight and the various psychosocial variables measured in this study. Results: Low illness insight correlated with low levels of social adaptation. Low social adaptation correlated inversely with the case managers' assessment of more social support needs for their client. The clients' low subjective life satisfaction correlated with higher client rated social support needs. The client and case manager rated social support needs correlated strongly. Conclusions: Low illness insight may be an indicator of low social adaptation that might require increased case manager engagement to meet more client social support needs.