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Insight in psychosis: influence of cognitive ability and self-esteem.

机译:对精神病的洞察力:认知能力和自尊的影响。

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BACKGROUND: Insight in psychosis has previously been associated with both depression and cognitive ability. Some studies have found a curvilinear relationship between insight and cognitive ability, but the roles of self-esteem and depression have not been taken into account. AIMS: To investigate the relationships between insight and IQ, depression, and self-esteem. METHOD: Correlations between self-reported and observer-rated insight, and measures of IQ, depression and self-esteem were examined in 67 people with psychosis. RESULTS: Better self-reported insight was associated with higher IQ and poorer self-esteem, but not depression. There was some evidence for a curvilinear relationship between IQ and self-reported insight, specifically the ;awareness of illness' dimension, which survived correction for symptom variables. CONCLUSIONS: The relationship between insight and IQ might reflect both the basis of insight in intellectual ability and the influence of a psychological mechanism that preserves self-esteem.
机译:背景:精神病的洞察力以前与抑郁症和认知能力有关。一些研究发现洞察力和认知能力之间存在曲线关系,但自尊和抑郁的作用并未得到考虑。目的:研究洞察力与智商,抑郁和自尊之间的关系。方法:对67名精神病患者的自我报告和观察者评价的洞察力之间的相关性以及智商,抑郁和自尊的测量进行了研究。结果:更好的自我报告洞察力与较高的智商和较差的自尊有关,但与抑郁无关。有一些证据表明,智商与自我报告的洞察力之间存在曲线关系,特别是疾病维度的意识,在校正症状变量后仍然存在。结论:洞察力和智商之间的关系可能既反映了洞察力的基础,又反映了保持自尊的心理机制的影响。

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