Moderators of cognitive insight outcome in metacognitive training for first-episode psychosis
| Autor: | Ana Barajas, Esther Lorente-Rovira, Esther Setien-Suero, Raquel López-Carrilero, Jordi Cid, Esther Pousa, María Luisa Barrigón, Eva Grasa, César González-Blanch, Rosa Ayesa-Arriola, Fermín González-Higueras, Irene Birulés, Isabel Ruiz-Delgado, Susana Ochoa |
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| Rok vydání: | 2021 |
| Předmět: |
Psychosis
Metacognitive training medicine.medical_treatment Psychological intervention Metacognition law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law First episode psychosis medicine Psychoeducation Humans Biological Psychiatry Gender Cognitive Behavioral Therapy Cognitive insight Moderators Cognition First-episode psychosis medicine.disease 030227 psychiatry Psychiatry and Mental health Treatment Outcome Psychotic Disorders Female Age of onset Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | JOURNAL OF PSYCHIATRIC RESEARCH r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| ISSN: | 0022-3956 1879-1379 |
| Popis: | Metacognitive training (MCT) is a promising treatment for improving cognitive insight associated with delusional beliefs in individuals with psychotic disorders. The aim of this study was to examine potential moderators of cognitive insight in individuals with first-episode psychosis (FEP) who received either MCT or psychoeducation. The present study was based on data from a randomized control trial comparing MCT to psychoeducation. Baseline sociodemographic and clinical characteristics in a sample of 122 patients with FEP were examined as potential moderators of the self-reflectiveness and self-certainty dimensions of cognitive insight using the SPSS PROCESS macro. The only variable that moderated self-reflectiveness at the post-treatment evaluation was age of onset (b = -0.27, p = .025). The effect of MCT in reducing self-certainty was stronger in women (b = -3.26, p = .018) and in individuals with average or above average baseline self-esteem (b = -0.30, p = .007). Overall, our findings support the generalization of MCT to a variety of sociodemographic and clinical profiles. While some patient profiles may require targeted interventions such as MCT to improve cognitive insight, others may do equally as well with less demanding interventions such as a psychoeducational group. |
| Databáze: | OpenAIRE |
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