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Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training
Background: Metacognitive training (MCT) has demonstrated its efficacy in psychosis. However, the effect of each MCT session has not been studied. The aim of the study was to assess changes in cognitive insight after MCT: (a) between baseline, post-treatment, and follow-up; (b) after each session of...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711871/ https://www.ncbi.nlm.nih.gov/pubmed/33260823 http://dx.doi.org/10.3390/jpm10040253 |
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author | Birulés, Irene López-Carrilero, Raquel Cuadras, Daniel Pousa, Esther Barrigón, Maria Luisa Barajas, Ana Lorente-Rovira, Ester González-Higueras, Fermín Grasa, Eva Ruiz-Delgado, Isabel Cid, Jordi de Apraiz, Ana Montserrat, Roger Pélaez, Trinidad Moritz, Steffen Ochoa, Susana |
author_facet | Birulés, Irene López-Carrilero, Raquel Cuadras, Daniel Pousa, Esther Barrigón, Maria Luisa Barajas, Ana Lorente-Rovira, Ester González-Higueras, Fermín Grasa, Eva Ruiz-Delgado, Isabel Cid, Jordi de Apraiz, Ana Montserrat, Roger Pélaez, Trinidad Moritz, Steffen Ochoa, Susana |
author_sort | Birulés, Irene |
collection | PubMed |
description | Background: Metacognitive training (MCT) has demonstrated its efficacy in psychosis. However, the effect of each MCT session has not been studied. The aim of the study was to assess changes in cognitive insight after MCT: (a) between baseline, post-treatment, and follow-up; (b) after each session of the MCT controlled for intellectual quotient (IQ) and educational level. Method: A total of 65 patients with first-episode psychosis were included in the MCT group from nine centers of Spain. Patients were assessed at baseline, post-treatment, and 6 months follow-up, as well as after each session of MCT with the Beck Cognitive Insight Scale (BCIS). The BCIS contains two subscales: self-reflectiveness and self-certainty, and the Composite Index. Statistical analysis was performed using linear mixed models with repeated measures at different time points. Results: Self-certainty decreased significantly (p = 0.03) over time and the effect of IQ was negative and significant (p = 0.02). From session 4 to session 8, all sessions improved cognitive insight by significantly reducing self-certainty and the Composite Index. Conclusions: MCT intervention appears to have beneficial effects on cognitive insight by reducing self-certainty, especially after four sessions. Moreover, a minimum IQ is required to ensure benefits from MCT group intervention. |
format | Online Article Text |
id | pubmed-7711871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77118712020-12-04 Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training Birulés, Irene López-Carrilero, Raquel Cuadras, Daniel Pousa, Esther Barrigón, Maria Luisa Barajas, Ana Lorente-Rovira, Ester González-Higueras, Fermín Grasa, Eva Ruiz-Delgado, Isabel Cid, Jordi de Apraiz, Ana Montserrat, Roger Pélaez, Trinidad Moritz, Steffen Ochoa, Susana J Pers Med Article Background: Metacognitive training (MCT) has demonstrated its efficacy in psychosis. However, the effect of each MCT session has not been studied. The aim of the study was to assess changes in cognitive insight after MCT: (a) between baseline, post-treatment, and follow-up; (b) after each session of the MCT controlled for intellectual quotient (IQ) and educational level. Method: A total of 65 patients with first-episode psychosis were included in the MCT group from nine centers of Spain. Patients were assessed at baseline, post-treatment, and 6 months follow-up, as well as after each session of MCT with the Beck Cognitive Insight Scale (BCIS). The BCIS contains two subscales: self-reflectiveness and self-certainty, and the Composite Index. Statistical analysis was performed using linear mixed models with repeated measures at different time points. Results: Self-certainty decreased significantly (p = 0.03) over time and the effect of IQ was negative and significant (p = 0.02). From session 4 to session 8, all sessions improved cognitive insight by significantly reducing self-certainty and the Composite Index. Conclusions: MCT intervention appears to have beneficial effects on cognitive insight by reducing self-certainty, especially after four sessions. Moreover, a minimum IQ is required to ensure benefits from MCT group intervention. MDPI 2020-11-27 /pmc/articles/PMC7711871/ /pubmed/33260823 http://dx.doi.org/10.3390/jpm10040253 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Birulés, Irene López-Carrilero, Raquel Cuadras, Daniel Pousa, Esther Barrigón, Maria Luisa Barajas, Ana Lorente-Rovira, Ester González-Higueras, Fermín Grasa, Eva Ruiz-Delgado, Isabel Cid, Jordi de Apraiz, Ana Montserrat, Roger Pélaez, Trinidad Moritz, Steffen Ochoa, Susana Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title | Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title_full | Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title_fullStr | Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title_full_unstemmed | Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title_short | Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training |
title_sort | cognitive insight in first-episode psychosis: changes during metacognitive training |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711871/ https://www.ncbi.nlm.nih.gov/pubmed/33260823 http://dx.doi.org/10.3390/jpm10040253 |
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