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Jornal Brasileiro de Psiquiatria

versão impressa ISSN 0047-2085


SILVA, Rafael de Assis da; MOGRABI, Daniel C.; LANDEIRA-FERNANDEZ, J.  e  CHENIAUX, Elie. Insight in bipolar disorder: a systematic review. J. bras. psiquiatr. [online]. 2014, vol.63, n.3, pp.242-254. ISSN 0047-2085.


To conduct a systematic review to understand which factors are related to insight in bipolar disorder (BD), how insight varies depending on affective state and to establish a comparison between BD and other mental disorders.


We performed a systematic review of the scientific literature on insight in BD patients. Clinical studies on the topic were searched in the Medline, SciELO and ISI databases. The search terms used were: “insight” OR “Awareness” AND “bipolar“ OR “mania”.


Fifty-five articles were selected. Insight in BD is more compromised than in unipolar depression, but less than in schizophrenia. A lower level of insight is related to the presence of psychotic symptoms and cognitive disorders. Moreover, insight impairment is associated with lower adherence to treatment. On the other hand, a greater preservation of insight may be associated with increased suicidal ideation. Finally, the manic phase is characterized by a lower level of insight than the depressive phase or euthymia.


Insight is greatly impaired in BD, especially during mania. Several clinical factors seem to influence the level of insight.

Palavras-chave : Insight; bipolar disorder; mania; mood.

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