RT Journal Article
T1 Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training.
A1 Birulés, Irene
A1 López-Carrilero, Raquel
A1 Cuadras, Daniel
A1 Pousa, Esther
A1 Barrigón, Maria Luisa
A1 Barajas, Ana
A1 Lorente-Rovira, Ester
A1 González-Higueras, Fermín
A1 Grasa, Eva
A1 Ruiz-Delgado, Isabel
A1 Cid, Jordi
A1 de Apraiz, Ana
A1 Montserrat, Roger
A1 Pélaez, Trinidad
A1 Moritz, Steffen
A1 The Spanish Metacognition Study Group, 
A1 Ochoa, Susana
K1 cognitive insight
K1 experiment
K1 first-episode psychosis
K1 metacognitive training
K1 sessions
AB 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. 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. 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. 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.
SN 2075-4426
YR 2020
FD 2020-11-27
LK https://hdl.handle.net/10668/24592
UL https://hdl.handle.net/10668/24592
LA en
DS RISalud
RD Apr 5, 2025