• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Psychiatry >Can cognitive insight predict symptom remission in a first episode psychosis cohort?
【24h】

Can cognitive insight predict symptom remission in a first episode psychosis cohort?

机译：认知洞察力能否预测首发性精神病队列中的症状缓解？

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

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.
机译：背景首次精神病（FEP）的结果变化很大，难以预测。先前已发现在疾病发作时测量的认知洞察力可以预测12个月后的精神病理学。这项研究的目的是检查认知能力和症状严重程度之间的前瞻性关系在FEP后的四年是否明显，并研究认知能力的一些心理相关性。方法FEP参与者（n =？90）在疾病发作时完成了贝克认知洞察量表（BCIS），并评估了BCIS评分与症状严重程度结果（FEP后4年）之间的关联。将BCIS量表（自我反省和自我确定）作为综合得分进行检查，并分别与其他认知指标（IQ和跳跃至结论（JTC）偏见）进行比较。结果回归分析表明，认知洞察力复合材料不能预测该研究的4年症状缓解，而BCIS的自我反映量表可以预测4年的症状严重程度。 BCIS的自确性项目与症状严重程度无关。发现JTC偏见，自我确定性和智商之间存在显着相关性，但自我反省与这些其他认知指标无关。结论自反射能力是预测精神病前瞻性症状严重程度的一种比自确定性更相关和独立的认知结构。改善自我反省可能是早期干预研究的有用目标。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号