Social cognitive group treatment for impaired insight in psychosis

Autor: Johan Arends, M. van der Gaag, André Aleman, Marieke E. Timmerman, L. van der Meer, B. E. Sportel, A. E. de Vos, Gerdina H. M. Pijnenborg, E. M. Koopmans
Přispěvatelé: Clinical Psychology and Experimental Psychopathology, Psychometrics and Statistics, Perceptual and Cognitive Neuroscience (PCN), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Neuropsychology, Clinical Cognitive Neuropsychiatry Research Program (CCNP), Clinical Psychology, APH - Mental Health
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Social Stigma
Psychological intervention
law.invention
Cognition
0302 clinical medicine
Randomized controlled trial
law
SCHIZOPHRENIA
MENTAL-ILLNESS
SCALE
Depression
Cognitive flexibility
Middle Aged
Awareness
SELF-STIGMA
Clinical trial
Psychiatry and Mental health
QUICK INVENTORY
Cognitive remediation therapy
Psychotherapy
Group
Female
Schizophrenic Psychology
Psychosocial
Social cognitive theory
Clinical psychology
Adult
IMPAIRMENTS
03 medical and health sciences
REPORT QIDS-SR
SDG 3 - Good Health and Well-being
INTERNALIZED STIGMA
medicine
Humans
POOR INSIGHT
Social Behavior
Self-stigma
Biological Psychiatry
Psychiatric Status Rating Scales
business.industry
Self-reflection
Mental illness
medicine.disease
Cognitive Remediation
Self Concept
030227 psychiatry
INDIVIDUALS
Psychotic Disorders
Quality of Life
Schizophrenia
business
Perspective taking
030217 neurology & neurosurgery
Zdroj: Pijnenborg, G H M, de Vos, A E, Timmerman, M E, Van der Gaag, M, Sportel, B E, Arends, J, Koopmans, E M, Van der Meer, L & Aleman, A 2019, ' Social cognitive group treatment for impaired insight in psychosis : A multicenter randomized controlled trial ', Schizophrenia Research, vol. 206, pp. 362-369 . https://doi.org/10.1016/j.schres.2018.10.018
Schizophrenia Research, 206, 362-369. ELSEVIER SCIENCE BV
Schizophrenia Research, 206, 362-369. Elsevier
ISSN: 0920-9964
DOI: 10.1016/j.schres.2018.10.018
Popis: Purpose: The majority of people with schizophrenia has impaired insight, which is related to a poorer outcome. In this study, we evaluate a new psychosocial intervention 'REFLEX' aimed at improving insight in people with schizophrenia. REFLEX focuses on targeting stigma-sensitivity, perspective taking and self-reflection in people with schizophrenia and low insight. Primary objective is to improve insight and subsequently to improve functional outcome and symptoms.Method: A total of 121 people diagnosed with schizophrenia according to DSM IV criteria with impaired insight was included in 2012-2015 from seven sites in a multicenter randomized controlled trial. REFLEX was compared to an active control condition consisting of group-wise simplified cognitive remediation training. Primary outcome of the study were the preconditions of insight: internalized stigma, self-reflection, mental flexibility and perspective taking. Clinical insight and cognitive insight were secondary outcomes.Results: Although perspective taking, self-reflection, mental flexibility and stigma sensitivity remained unchanged after the intervention, results showed a significant improvement of clinical insight in both conditions directly after treatment (SAI-E Rater, p Conclusion: Though insight improved in both conditions, REFLEX was not superior to simplified drill-and-practice cognitive remediation training. Nevertheless, this study indicates that structured interventions can significantly improve insight. Further research on the underlying mechanisms of both conditions is needed, as insight is unlikely to improve spontaneously in chronic patients. (C) 2018 Published by Elsevier B.V.
Databáze: OpenAIRE
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