Cognitive insight in first-episode psychosis : changes during Metacognitive Training
Birulés, Irene (Departament de Cognició, Desenvolupament i Psicologia de l'Educació)
Pousa, Esther (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Barrigón, María Luisa (Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz)
Barajas Vélez, Ana (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Lorente-Rovira, Ester (Centro de Investigación Biomédica en Red de Salud Mental)
González-Higueras, Fermín (Servicio Andaluz de Salud. UGC Salud Mental de Jaén)
Grasa, Eva (Institut d'Investigació Biomèdica Sant Pau)
Ruiz-Delgado, Isabel (Servicio Andaluz de Salud. Unidad de Salud Mental Comunitaria Málaga Norte)
Cid Colom, Jordi (Institut d'Investigació Biomèdica de Girona)
de Apraiz, Ana (Parc Sanitari Sant Joan de Déu)
Montserrat, Roger (Universitat de Barcelona. Departament de Cognició, Desenvolupament i Psicologia de l'Educació)
Pélaez, Trinidad (Centro de Investigación Biomédica en Red de Salud Mental)
Moritz, Steffen (University Medical Center Hamburg. Department of Psychiatry and Psychotherapy)
Ochoa, Susana (Institut de Recerca Sant Joan de Déu)
López-Carrilero, Raquel (Departament de Cognició, Desenvolupament i Psicologia de l'Educació)
Cuadras, Daniel (Fundació Sant Joan de Déu. Departament d'Estadística)

Date:	2020
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.
Grants:	Instituto de Salud Carlos III PI11-01347 Instituto de Salud Carlos III PI14-00044
Note:	Altres ajuts: The project has been funded by the Instituto de Salud Carlos III (Spanish Government); by the Fondo Europeo de Desarrollo Regional (FEDER), Progress and Health Foundation of the Andalusian Regional Ministry of Health, grant PI-0634/2011; Obra Social La Caixa (RecerCaixa call 2013); and Obra Social Sant Joan de Déu (BML).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	First-episode psychosis ; Metacognitive training ; Cognitive insight ; Sessions ; Experiment
Published in:	Journal of personalized medicine, Vol. 10 Núm. 4 (2020) , p. 253, ISSN 2075-4426

DOI: 10.3390/jpm10040253
PMID: 33260823

13 p, 838.6 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles