Mechanisms of insight in schizophrenia and impact of cognitive remediation therapy
| Autor: | Pascal Cacot, Laëtitia Houet, Elodie Moreau, Marie-Laure Grillon, Maria Lalova, Pascale Piolino, Francis Rouam, Franck Baylé |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Psychotherapist lcsh:RC435-571 Metacognition Neuropsychological Tests Young Adult lcsh:Psychiatry medicine Humans Psychiatric Status Rating Scales Analysis of Variance Cognitive Behavioral Therapy Autobiographical memory Cognition Awareness Mental illness medicine.disease Psychiatry and Mental health Clinical Psychology Cognitive remediation therapy Schizophrenia Regression Analysis Female Schizophrenic Psychology Psychology Attribution Psychosocial Clinical psychology |
| Zdroj: | Comprehensive Psychiatry, Vol 54, Iss 4, Pp 369-380 (2013) |
| Popis: | The origins of poor insight in schizophrenia are still unclear. We contrasted the changes in clinical insight, basic cognitive processes, autobiographical memory and metacognition in 63 outpatients with schizophrenia pseudo-randomly assigned to one of three cognitive remediation groups: one targeting basic cognitive processes (RECOS), a second autobiographical memory (REMAu), and a third metacognitive deficits (MBCT). Three dimensions of insight (awareness of: mental illness, benefit of treatment, psychosocial consequences) improved after treatment, regardless of the group. In addition, the REMAu and MBCT showed an improvement on other dimensions of insight (symptomatic awareness and symptomatic attribution, respectively). Poor insight and its improvement after treatment were best predicted by a combination of basic cognitive, autobiographical and metacognitive measures. This study supports a multidimensional conception of insight and recommends the combination of remediation therapies to improve clinical insight in schizophrenia. |
| Databáze: | OpenAIRE |
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