Abstract：
BACKGROUND:The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. METHODS:FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). RESULTS:Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. CONCLUSIONS:Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
O'Connor JA,Ellett L,Ajnakina O,Schoeler T,Kollliakou A,Trotta A,Wiffen BD,Falcone AM,Di Forti M,Murray RM,Bhattacharyya S,David ASdoi
10.1186/s12888-017-1210-9subject
Has Abstractpub_date
2017-02-06 00:00:00pages
54issue
1issn
1471-244Xpii
10.1186/s12888-017-1210-9journal_volume
17pub_type
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