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Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia.

Authors :
de Jong S
Hasson-Ohayon I
van Donkersgoed RJM
Timmerman ME
van der Gaag M
Aleman A
Marieke Pijnenborg GH
Lysaker PH
Source :
Clinical psychology & psychotherapy [Clin Psychol Psychother] 2019 Nov; Vol. 26 (6), pp. 650-660. Date of Electronic Publication: 2019 Aug 08.
Publication Year :
2019

Abstract

The degree to which a person recognizes their mental disorder, attributes symptoms to the disorder, and recognizes that treatment may be necessary is frequently referred to as clinical insight. The current study investigates whether clinical insight at baseline moderates the effects on metacognitive capacity of 40 sessions of metacognitive reflection and insight therapy among 35 participants with psychosis. Findings showed that clinical insight did not predict drop-out from therapy. Multilevel analyses provided support for our hypotheses that insight at baseline significantly moderates metacognitive gains at both postmeasurement and follow-up. Our findings demonstrate that lacking clinical insight substantially hampers the effect of this psychosocial intervention. We posit that research efforts should shift from developing interventions, which enhance clinical insight, to interventions, which are effective in absence of clinical insight.<br /> (© 2019 John Wiley & Sons, Ltd.)

Details

Language :
English
ISSN :
1099-0879
Volume :
26
Issue :
6
Database :
MEDLINE
Journal :
Clinical psychology & psychotherapy
Publication Type :
Academic Journal
Accession number :
31270887
Full Text :
https://doi.org/10.1002/cpp.2388