1. Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training
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Fermín González-Higueras, Esther Pousa, Trinidad Pélaez, Roger Montserrat, Ana de Apraiz, Ana Barajas, Susana Ochoa, Daniel Cuadras, María Luisa Barrigón, Eva Grasa, Isabel Ruiz-Delgado, Ester Lorente-Rovira, Jordi Cid, Steffen Moritz, Irene Birulés, Raquel López-Carrilero, [Birulés I, Montserrat R] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. Departament de Cognició, Desenvolupament i Psicologia de l'Educació, Universitat de Barcelona, Barcelona, Spain. [López-Carrilero R] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III, Madrid, Spain. Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. Institut de Recerca en Salut Mental Sant Joan de Déu, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. [Cuadras D] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain. [Pousa E] Departament de Psiquiatria, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Consorci Corporació Sanitària Parc Taulí de Sabadell, Sabadell, Spain. [Barrigón ML] Servicio de Psiquiatría, Área de Gestión Sanitaria Sur, Granada, Spain. Departamento de Psiquiatría, Hospital IIS-Fundación Jiménez Díaz, Madrid, Spain. [Barajas A] Centre d’Higiene Mental Les Corts, Barcelona, Spain. Departament de Psicologia Clínica i de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Barcelona, Spain. [Lorente-Rovira E] Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III, Madrid, Spain. Servei de Psiquiatria, Hospital Clínic Universitari de València, València, Spain. [González-Higueras F] UGC Salud Mental de Jaén, Servicio Andaluz de Salud, Jaén, Spain. [Grasa E] Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III, Madrid, Spain. Departament de Psiquiatria, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Institut d’Investigació Biomèdica-Sant Pau (IIB-Sant Pau), Universitat Autònoma de Barcelona, Barcelona, Spain. [Ruiz-Delgado I] Unidad de Salud Mental Comunitaria Málaga Norte, UGC Salud Mental Carlos Haya, Servicio Andaluz de Salud, Málaga, Spain. [Cid J] Grup de Recerca en Salut Mental i Addiccions, Institut d'Investigació Biomèdica de Girona (IdiBGi), Institut d’Assistència Sanitària, Salt, Spain. [de Apraiz A] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. [Peláez T] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain. Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III, Madrid, Spain. [Moritz S] Department of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany. [Ochoa S] Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain. Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III, Madrid, Spain. Institut de Recerca en Salut Mental Sant Joan de Déu, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain, and Institut d'Assistència Sanitària
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Psychosis ,Metacognitive training ,Psicosi ,lcsh:Medicine ,Medicine (miscellaneous) ,Metacognition ,Sessions ,Article ,cognitive insight ,Experiment ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,First episode psychosis ,sessions ,Medicine ,Statistical analysis ,Session (computer science) ,first-episode psychosis ,trastornos mentales::espectro de la esquizofrenia y otros trastornos psicóticos::trastornos psicóticos [PSIQUIATRÍA Y PSICOLOGÍA] ,Cognitive insight ,experiment ,business.industry ,lcsh:R ,Repeated measures design ,Cognition ,First-episode psychosis ,medicine.disease ,metacognitive training ,Mental Disorders::Schizophrenia Spectrum and Other Psychotic Disorders::Psychotic Disorders [PSYCHIATRY AND PSYCHOLOGY] ,Tests psicològics ,030227 psychiatry ,disciplinas y actividades conductuales::pruebas psicológicas [PSIQUIATRÍA Y PSICOLOGÍA] ,Behavioral Disciplines and Activities::Psychological Tests [PSYCHIATRY AND PSYCHOLOGY] ,business ,030217 neurology & neurosurgery ,Clinical psychology - Abstract
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.
- Published
- 2020