Mj. Cuesta et al., IS POOR INSIGHT IN PSYCHOTIC DISORDERS ASSOCIATED WITH POOR PERFORMANCE ON THE WISCONSIN CARD SORTING TEST, The American journal of psychiatry, 152(9), 1995, pp. 1380-1382
Objective: The purpose of this study was to test whether poor insight
in patients with psychotic disorders is correlated with their performa
nce on the Wisconsin Card Sorting Test. Method: The subjects included
52 psychotic patients (35 of whom had schizophrenia) given diagnoses a
ccording to DSM-III-R criteria. Their scores on the Wisconsin Card Sor
ting Test (number of categories and perseverative responses) were comp
ared with those on three items measuring poor insight: lack of feeling
ill, lack of insight, and uncooperativeness. Results: None of the six
correlations between scores on the two measures of the neuropsycholog
ical test and the three items measuring insight was significant. Concl
usions: In spite of its limitations, this study suggests that poor ins
ight may not be associated with poor performance on the Wisconsin Card
Sorting Test.