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Assessing the Relationship Between Schizophrenia Symptom Severity and Insight Using the Frankfurt Complaint Scale (FBS) and “My thoughts and feelings” Questionnaire

Published online by Cambridge University Press:  26 August 2025

W. Chojna
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
S. Rusinek
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
M. Laskowska
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
M. Bezeg
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
D. Piłat
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
K. Krysta*
Affiliation:
Department of Rehabilitation Psychiatry, Medical University of Silesia, Katowice, Poland
*
*Corresponding author.

Abstract

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Introduction

Schizophrenia remains a complex psychiatric disorder characterized by varying symptoms and levels of insight. The Frankfurt Complaint Scale (FBS) and the “My thoughts and feelings” questionnaire provide quantitative measures of symptom severity and insight, respectively. Previous literature has emphasized the importance of these tools in both clinical assessment and therapeutic planning.

Objectives

Exploring the Relationship Between Schizophrenia Symptom Severity and Insight based on the Frankfurt Scale and the “My thoughts and feelings” Questionnaire.

Methods

The study utilized data extracted from an Excel dataset comprising demographic information and specific scores from the FBS and the Insight questionnaire. The sample was divided into four subgroups based on their FBS scores, and the average Insight score for each subgroup was calculated.

Results

The study found the following average Insight scores across FBS-defined subgroups: Mild symptoms: 9.67, Moderate symptoms: 8.25, Severe symptoms: 8.22, Very severe symptoms: 9.29. The correlation analysis revealed a weak and non-significant correlation between FBS scores and Insight scores (r = -0.017, p = 0.925). The demographic analysis showed a prevalence of male patients (n=20), with the most common age group being 36-45 (n=11). Most participants resided in large cities (n=16), with the highest educational attainment being a Bachelor’s/Master’s degree (n=12), and the majority were single (n=21). The study group displayed diverse demographic characteristics,

with a significant male predominance and a concentration in urban environments. This demographic distribution may influence the generalizability of the findings and provides a context for interpreting the varied experiences and perceptions of illness within the group.

Conclusions

This study underscores the complexity of schizophrenia, where symptom severity does not straightforwardly correlate with insight into the illness. It highlights the importance of using a range of assessment tools to fully capture the multifaceted nature of patient experiences. Future studies should explore these relationships further to refine the tools used for assessments and to tailor intervention strategies effectively.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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