Beck Cognitive Insight Scale

Beck, Aaron T.; Baruch, Edward; Balter, Jordan M.; Steer, Robert A.; Warman, Debbie M.

doi:10.1037/t12283-000

Cited by 8 publications

(22 citation statements)

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“…Only one study has reported changes in white matter tracts in relation to clinical insight [Antonius et al, 2011], while another study failed to find any correlation of cognitive insight and white matter integrity [Orfei et al, 2013]. Note that cognitive insight refers to "the evaluation and reinterpretation of distorted beliefs and appraisals" and seems to measure a different construct than clinical insight [Beck et al, 2004;van der Meer et al, 2013]. For clarity, if not otherwise specified, "insight" refers to the clinical insight.…”

Section: Introductionmentioning

confidence: 94%

“…The severity of symptoms was assessed using the PANSS scale [Kemp and David, 1997]. Clinical insight was determined using the Schedule of assessment of insightExpanded (SAI-E) [Kemp and David, 1997] and cognitive insight with Beck's cognitive insight scale (BCIS) [Beck et al, 2004]. The SAI-E interview consisted of twelve items, of which only the first nine items were used for this study (the last three items were not available for all the patients-they refer to notes of the treating clinician).…”

Section: Participantsmentioning

confidence: 99%

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Insight and psychosis: Functional and anatomical brain connectivity and self‐reflection in Schizophrenia

Ćurčić‐Blake

Meer

Pijnenborg

et al. 2015

Human Brain Mapping

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Impaired insight into illness, associated with worse treatment outcome, is common in schizophrenia. Insight has been related to the self-reflective processing, centred on the medial frontal cortex. We hypothesized that anatomical and functional routes to and from the ventromedial prefrontal cortex (vmPFC) would differ in patients according to their degree of impaired insight. Forty-five schizophrenia patients and 19 healthy subjects performed a self-reflection task during fMRI, and underwent diffusion tensor imaging. Using dynamic causal modelling we observed increased effective connectivity from the posterior cingulate cortex (PCC), inferior parietal lobule (IPL), and dorsal mPFC (dmPFC) towards the vmPFC with poorer insight and decrease from vmPFC to the IPL. Stronger connectivity from the PCC to vmPFC during judgment of traits related to self was associated with poorer insight. We found small-scale significant changes in white matter integrity associated with clinical insight. Self-reflection may be influenced by synaptic changes that lead to the observed alterations in functional connectivity accompanied by the small-scale but measurable alterations in anatomical connections. Our findings may point to a neural compensatory response to an impairment of connectivity between self-processing regions. Similarly, the observed hyper-connectivity might be a primary deficit linked to inefficiency in the component cognitive processes that lead to impaired insight. We suggest that the stronger cognitive demands placed on patients with poor insight is reflected in increased effective connectivity during the task in this study.

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Section: Introductionmentioning

confidence: 94%

Section: Participantsmentioning

confidence: 99%

Insight and psychosis: Functional and anatomical brain connectivity and self‐reflection in Schizophrenia

Ćurčić‐Blake

Meer

Pijnenborg

et al. 2015

Human Brain Mapping

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“…Beck and collaborators [10,11] have recently suggested a conceptual dissociation between clinical insight and cognitive insight. Clinical insight is denoted by a lack of awareness of a mental illness requiring treatment, whereas cognitive insight refers to the capacity to distance one-self from and re-evaluate distorted beliefs and misinterpretations.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical insight is denoted by a lack of awareness of a mental illness requiring treatment, whereas cognitive insight refers to the capacity to distance one-self from and re-evaluate distorted beliefs and misinterpretations. To assess the thinking styles and cognitive distortions negatively affecting cognitive insight, Beck and colleagues have developed a brief self-report scale termed the Beck Cognitive Insight Scale (BCIS) [10]. The BCIS is comprised of two factors, labeled Self-Reflectiveness, which evaluates various abilities pertaining to the capacity to reflect on previous experiences (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…The subtraction of the individual's Self-Certainty score from his/her Self-Reflectiveness score yields a Composite Index for the BCIS. In the report by Beck et al [10], a significant correlation was observed between the general item of the Scale to assess Unawareness of Mental Disorder (SUMD) (awareness of mental illness), a well-known measure of clinical insight [5,7], and the Composite Index of the BCIS suggesting some convergent validity with the former.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive insight and verbal memory in first episode of psychosis

Lepage¹,

Buchy²,

Bodnar³

et al. 2008

Eur. psychiatr.

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Beck and collaborators have proposed a distinction between clinical insight and cognitive insight and have developed a tool for the assessment of the latter, namely the Beck Cognitive Insight Scale (BCIS). The present study explored in 51 patients with a first episode of psychosis the neurocognitive correlates of cognitive insight as assessed with the BCIS. Global measures for seven domains of cognition including verbal learning and memory, visual learning and memory, working memory, speed of processing, reasoning and problem solving, attention, and social cognition were examined. Secondly, we examined whether two clinical insight measures, the Scale to assess Unawareness of Mental Disorder (SUMD) and the insight item from the Positive and Negative Symptoms Scale (PANSS), could produce similar or different patterns of association with neurocognitive functions as those identified with the BCIS. Correlational analyses revealed significant associations between the BCIS Composite Index and the verbal learning and memory. No significant associations were observed between any of the neurocognitive domains and the PANSS or SUMD clinical insight measures, despite high inter-correlations among the three insight measures. These results suggest that cognitive insight, but not clinical insight, may rely on memory processes whereby current experiences are appraised based on previous ones.

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Effectiveness of Nonsuicidal Self-Injury Interventions among Incarcerated Women in Correctional Facilities and Secure Settings: An Integrative Review

Ekanem

Woods

2021

Issues in Mental Health Nursing

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In presenting this thesis/dissertation in partial fulfilment of the requirements for a Postgraduate degree from the University of Saskatchewan, I agree that the Libraries of this University may make it freely available for inspection. I further agree that permission for copying of this thesis/dissertation in any manner, in whole or in part, for scholarly purposes may be granted by the professor or professors who supervised my thesis/dissertation work or, in their absence, by the Head of the Department or the Dean of the College in which my thesis work was done. It is understood that any copying or publication or use of this thesis/dissertation or parts thereof for financial gain shall not be allowed without my written permission. It is also understood that due recognition shall be given to me and to the University of Saskatchewan in any scholarly use which may be made of any material in my thesis/dissertation.

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Beck Cognitive Insight Scale

Cited by 8 publications

References 0 publications

Insight and psychosis: Functional and anatomical brain connectivity and self‐reflection in Schizophrenia

Insight and psychosis: Functional and anatomical brain connectivity and self‐reflection in Schizophrenia

Cognitive insight and verbal memory in first episode of psychosis

Effectiveness of Nonsuicidal Self-Injury Interventions among Incarcerated Women in Correctional Facilities and Secure Settings: An Integrative Review

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