Beyond the cognitive insight paradox: Self-reflectivity moderates the relationship between depressive symptoms and general psychological distress in psychosis

García‐Mieres, Helena; Jesús-Romero, Robinson De; Ochoa, Susana; Feixas, Guillem

doi:10.1016/j.schres.2020.05.027

Cited by 19 publications

(25 citation statements)

References 58 publications

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“…Females in the Cognitive Bias pro le scored higher in depression than the other two pro les. This presentation seems consistent with the insight paradox [25], a phenomenon in which more self-re ectivity is positively associated with depression and selfesteem [31].…”

Section: Discussionsupporting

confidence: 85%

“…Clinical insight has been related to treatment compliance, quality of life, depression, and symptoms among others [12,[24][25][26]] but seems to be independent of neurocognition [27]. Attributional style has a clear in uence in paranoia and persecutory delusions [28][29][30], and cognitive insight is related to depressive symptoms [31], and treatment compliance, symptoms and quality of life [12].…”

mentioning

confidence: 99%

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Men and Women With First Episode Psychosis Present Distinct Profiles of Social Cognition and Metacognition

Ferrer-Quintero¹,

Fernández²,

López-Carrilero³

et al. 2021

Preprint

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Deficits in social cognition and metacognition impact the course of psychosis. Gender differences in social cognition and metacognition could explain heterogeneity in psychosis. 174 (58 females) patients with first-episode psychosis completed a clinical, neuropsychological, social cognitive and metacognitive assessment. Subsequent latent profile analysis split by gender yielded 2 clusters common to both genders, a specific male profile characterized by presenting jumping to conclusions and a specific female profile characterized by cognitive biases. Males and females in the homogeneous profile seem to have a more benign course of illness. Males with jumping to conclusions had more clinical symptoms and more neuropsychological deficits. Females with cognitive biases were younger and had less self-esteem. These results suggest that males and females may benefit from specific targeted treatment and highlights the need to consider gender when planning interventions.

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Section: Discussionsupporting

confidence: 85%

mentioning

confidence: 99%

Men and Women With First Episode Psychosis Present Distinct Profiles of Social Cognition and Metacognition

Ferrer-Quintero¹,

Fernández²,

López-Carrilero³

et al. 2021

Preprint

Self Cite

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“…The results revealed that self-certainty positively correlated with the total score of positive symptoms of SOPS, while self-reflectiveness and composite index positively correlated with the total score of negative symptoms, which is consistent with previous studies. Previous studies have reported that cognitive insight was closely associated with psychological symptomatology ( 38 , 43 – 45 ). Self-certainty was reported to be associated with delusional beliefs ( 38 , 45 ), while self-reflectiveness was reported to be associated with depressive symptomatology ( 43 , 46 ).…”

Section: Discussionmentioning

confidence: 94%

“…Previous studies have reported that cognitive insight was closely associated with psychological symptomatology ( 38 , 43 – 45 ). Self-certainty was reported to be associated with delusional beliefs ( 38 , 45 ), while self-reflectiveness was reported to be associated with depressive symptomatology ( 43 , 46 ). However, this study may only suggest potential correlations between cognitive insight and clinical symptoms, because the power values were relatively low (0.52–0.65).…”

Section: Discussionmentioning

confidence: 94%

“…Moreover, the results on the relationships between self-reflectiveness/composite index and negative symptoms are consistent with previous studies. Several studies have reported that self-reflectiveness was closely associated with negative affect, such as depression and anxiety (43,46,(48)(49)(50)(51), which have strong associations with negative symptoms (52)(53)(54). Sagayadevan et al (55) also reported that psychiatric outpatients with higher self-reflectiveness scored higher on the environment domain but lower on the social relationships domain of quality of life.…”

Section: Discussionmentioning

confidence: 99%

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Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attenuated Psychotic Symptoms in High-Risk Individuals

Zhang

Wang³

et al. 2021

Front. Psychiatry

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Background: This study examines whether cognitive insight is impaired in high-risk individuals with attenuated psychotic symptoms (APS) and explores the relationship between cognitive and clinical insight at different durations of untreated attenuated psychotic symptoms (DUAPS).Methods: The Structured Interview for Psychosis high-risk Syndrome (SIPS) was used to identify APS individuals. APS (n = 121) and healthy control (HC, n = 87) subjects were asked to complete the Beck Cognitive Insight Scale (BCIS). Clinical insight of APS individuals was evaluated using the Schedule for Assessment of Insight (SAI). APS individuals were classified into four subgroups based on DUAPS, including 0–3, 4–6, 7–12, and >12 months. Power analysis for significant correlation was conducted using the WebPower package in R.Results: Compared with HC subjects, APS individuals showed poorer cognitive insight, with lower scores on BCIS self-reflectiveness and composite index (BCIS self-reflectiveness minus BCIS self-certainty). Only when DUAPS was longer than 12 months did the significant positive correlation between cognitive and clinical insight obtain the power about 0.8, including the associations between self-reflectiveness and awareness of illness, self-reflectiveness and the total clinical insight, and composite index and awareness of illness. The positive associations of composite index with awareness of illness within 0–3 months DUAPS and with the total score of SAI when DUAPS > 12 months were significant but failed to obtain satisfactory power.Conclusions: APS individuals may have impaired cognitive insight, demonstrating lower self-reflectiveness. The correlation between cognitive and clinical insight is associated with the duration of untreated attenuated psychotic symptoms.

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Deconstructing emotion regulation in schizophrenia: the nature and consequences of abnormalities at the identification stage

Raugh

Strauss

2021

Eur Arch Psychiatry Clin Neurosci

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Beyond the cognitive insight paradox: Self-reflectivity moderates the relationship between depressive symptoms and general psychological distress in psychosis

Cited by 19 publications

References 58 publications

Men and Women With First Episode Psychosis Present Distinct Profiles of Social Cognition and Metacognition

Men and Women With First Episode Psychosis Present Distinct Profiles of Social Cognition and Metacognition

Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attenuated Psychotic Symptoms in High-Risk Individuals

Deconstructing emotion regulation in schizophrenia: the nature and consequences of abnormalities at the identification stage

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