Predictors of Perceived Need for Medical Care in an Inpatient Rehabilitation Unit: An Update
Limited awareness of illness, or poor insight, has been associated with poor treatment outcomes and prognoses in both psychiatric and medical populations. We examined predictors of insight in a sample of 403 patients in an inpatient rehabilitation unit at a Midwest Veterans Affairs Medical Center. A...
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| Veröffentlicht in: | Journal of clinical psychology in medical settings 2011-03, Vol.18 (1), p.91-98 |
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| container_title | Journal of clinical psychology in medical settings |
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| creator | Drag, Lauren L. Chen, Elvina W. Bieliauskas, Linas A. |
| description | Limited awareness of illness, or poor insight, has been associated with poor treatment outcomes and prognoses in both psychiatric and medical populations. We examined predictors of insight in a sample of 403 patients in an inpatient rehabilitation unit at a Midwest Veterans Affairs Medical Center. A multiple regression analysis revealed that age, depression, IQ, and a measure of judgment were significant predictors of acknowledgement of illness. Younger age, higher IQ, better judgment, and depression were associated with better insight. By identifying risk factors for poor insight, these findings have significant clinical implications for healthcare providers. |
| doi_str_mv | 10.1007/s10880-011-9222-y |
| format | Article |
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We examined predictors of insight in a sample of 403 patients in an inpatient rehabilitation unit at a Midwest Veterans Affairs Medical Center. A multiple regression analysis revealed that age, depression, IQ, and a measure of judgment were significant predictors of acknowledgement of illness. Younger age, higher IQ, better judgment, and depression were associated with better insight. By identifying risk factors for poor insight, these findings have significant clinical implications for healthcare providers.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - psychology</subject><subject>Awareness</subject><subject>Chronic Disease - psychology</subject><subject>Chronic Disease - rehabilitation</subject><subject>Delirium</subject><subject>Denial (Psychology)</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>Executive function</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Health care</subject><subject>Health Psychology</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Judgment</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory</subject><subject>Mental depression</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Neuropsychology</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Schizophrenia</subject><subject>Sick Role</subject><subject>Skilled Nursing Facilities</subject><subject>Subacute care</subject><subject>Surveys and Questionnaires</subject><subject>Variables</subject><subject>Veterans - psychology</subject><issn>1068-9583</issn><issn>1573-3572</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1rGzEQhkVJaZy0PyCXIMghp01HnyvnZkyaBNLWlPpWENrVbKKw1jrSuuB_XxnnAwK9zLxinnlHvIScMLhgAPXXzMAYqICxaso5r7YfyISpWlRC1fygaNCmmiojDslRzo8AMDWCfyKHnAldpJyQP4uEPrTjkDIdOrrA1GL4i57-wFK6IdHvu7nr6dwlpCFSF-ltXLsxYBzpL3xwTejDWN5DpMsYxks6K2Lt3YifycfO9Rm_PPdjsvx29Xt-U939vL6dz-6qVnAxVq1itRdeiU513HApDW-41Aal1LXWDGpomOxUI7Qy7bT1vgFsuHACdOecF8fkfO-7TsPTBvNoVyG32Pcu4rDJ1qhaGiZrXcizd-TjsEmxfM5yAxIUZ5oViu2pNg05J-zsOoWVS1vLwO6St_vkbUne7pK327Jz-uy8aVboXzdeoi4A3wO5jOI9prfT_3f9BxIbjNQ</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Drag, Lauren L.</creator><creator>Chen, Elvina W.</creator><creator>Bieliauskas, Linas A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Predictors of Perceived Need for Medical Care in an Inpatient Rehabilitation Unit: An Update</title><author>Drag, Lauren L. ; 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| subjects | Adult Age Aged Aged, 80 and over Anxiety - diagnosis Anxiety - psychology Awareness Chronic Disease - psychology Chronic Disease - rehabilitation Delirium Denial (Psychology) Depression - diagnosis Depression - psychology Executive function Family Medicine Female General Practice Health care Health Psychology Health Services Needs and Demand Humans Illnesses Judgment Male Medicine Medicine & Public Health Memory Mental depression Michigan Middle Aged Neuropsychology Patients Rehabilitation Rehabilitation Centers Schizophrenia Sick Role Skilled Nursing Facilities Subacute care Surveys and Questionnaires Variables Veterans - psychology |
| title | Predictors of Perceived Need for Medical Care in an Inpatient Rehabilitation Unit: An Update |
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