Insight refers to a person’s understanding of themselves and the world around them. Recent literature has explored people’s insight into their substance use disorder (SUD) and how this is linked to treatment adherence, abstinence rates, and comorbid mental health symptoms. The aim of this systematic review was to synthesise and critically examine the existing literature on insight in SUD. Five academic databases (Medline, PsychINFO, SCOPUS, CINAHL, Web of Science) were searched for key terms related to insight and substance use. Included studies were on humans aged 18 years or over with SUD that examined the relationship between substance use and insight using a quantifiable measure of insight. Of 10,067 identified papers, 20 met the inclusion criteria, employing 13 different measures of insight. The most commonly used measure was the Hanil Alcohol Insight Scale (HAIS) which was the only measure designed for a substance use population and was specific to alcohol use. Based on a pooled sample from five studies (n = 585), 57% of participants had poor insight, 36% had fair insight, and 7% had good insight on the HAIS. Better insight was generally related to negative consequences from substance use, better treatment adherence and maintaining abstinence. Insight appears to be an important factor to consider within SUD. Exploring the most appropriate way to measure insight and assess its role in SUD has implications for intervention design, and engaging and maintaining people with SUD in treatment.

洞察力是指一个人对自己以及周围世界的理解。最近的文献已经探索了人们对他们的物质使用障碍（SUD）的见解，以及这与治疗依从性，戒酒率和精神疾病合并症状之间的联系。该系统评价的目的是综合和批判性地检查有关SUD洞察力的现有文献。搜索了五个学术数据库（Medline，PsychINFO，SCOPUS，CINAHL，Web of Science）以查找与洞察力和物质使用有关的关键术语。其中包括针对18岁以上SUD人群的研究，该研究使用可量化的见解量度方法研究了物质使用与见解之间的关系。在10,067篇确定的论文中，有20篇符合入选标准，采用了13种不同的洞察力度量。最常用的量度方法是“汉尼尔饮酒洞察量表”（HAIS），这是针对物质使用人群设计的唯一量度法，它专门针对饮酒者。根据来自五项研究（n = 585）的汇总样本，有57％的参与者对HAIS的洞察力较差，有36％的参与者有相当的洞察力，有7％的参与者有良好的洞察力。更好的见解通常与药物使用，更好的治疗依从性和戒酒的负面影响有关。洞察力似乎是在SUD中要考虑的重要因素。探索最合适的方法来衡量洞察力并评估其在SUD中的作用对干预设计，吸引和维持SUD患者进行治疗具有重要意义。根据来自五项研究（n = 585）的汇总样本，有57％的参与者对HAIS的洞察力较差，有36％的参与者有相当的洞察力，有7％的参与者有良好的洞察力。更好的见解通常与药物使用，更好的治疗依从性和戒酒的负面影响有关。洞察力似乎是在SUD中考虑的重要因素。探索最合适的方法来衡量洞察力并评估其在SUD中的作用对干预设计，吸引和维持SUD患者进行治疗具有重要意义。根据来自五项研究（n = 585）的汇总样本，有57％的参与者对HAIS的洞察力较差，有36％的参与者有相当的洞察力，有7％的参与者有良好的洞察力。更好的见解通常与药物使用，更好的治疗依从性和戒酒的负面影响有关。洞察力似乎是在SUD中要考虑的重要因素。探索最合适的方法来衡量洞察力并评估其在SUD中的作用对干预设计，吸引和维持SUD患者进行治疗具有重要意义。洞察力似乎是在SUD中要考虑的重要因素。探索最合适的方法来衡量洞察力并评估其在SUD中的作用对干预设计，吸引和维持SUD患者进行治疗具有重要意义。洞察力似乎是在SUD中要考虑的重要因素。探索最合适的方法来衡量洞察力并评估其在SUD中的作用对干预设计，吸引和维持SUD患者进行治疗具有重要意义。