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Insight, psychopathology and global functioning in schizophrenia in urban Malawi

St John of God Community Mental Health Services, Mzuzu, Malawi, and Stanley Research Unit, Cluain Mhuire Family Centre, St John of God Adult Psychiatric Service, Dublin, Ireland

Prince Samalani, DCM and Anthony Sefasi, RMN

St John of God Community Mental Health Services, Mzuzu, Malawi

Anthony Kinsella, FIS

Department of Mathematics, Dublin Institute of Technology, Dublin

Eadbhard O'Callaghan, MD, FRCPI, FRCPsych

DELTA/DETECT Early Intervention in Psychosis Services, Dublin, Department of Psychiatry, University College, and Stanley Research Unit, Cluain Mhuire Family Centre, St John of God Adult Psychiatric Service, Dublin, Ireland

Harris Chilale, MMedEd

St John of God Community Mental Health Services, Mzuzu, Malawi

Correspondence: Dr Niall Crumlish, St John of God Community Mental Health Services, PO Box 744, Mzuzu, Malawi. Tel: +265 133 2690 ext. 220; fax: +265 133 2413; email: niall.crumlish{at}gmail.com.

Declaration of interest None. Study funded by the Stanley Medical Research Institute.

Insight, psychopathology and functioning are related in schizophrenia, but it is unclear whether insight relates independently to functioning after controlling for psychopathology. Equally, any such relationship may vary culturally. We investigated the relationship between insight, psychopathology and functioning in 60 patients with schizophrenia in Mzuzu, a town in Malawi. After controlling for psychopathology, functioning was associated with the `symptom relabelling' dimension of insight (P=0.01). This preliminary finding suggests that symptom-focused psychoeducation might be appropriate for African patients with schizophrenia.

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