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Cognitive insight in first-episode psychosis: Changes during Metacognitive Training

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Cognitive insight in first-episode psychosis: Changes during Metacognitive Training. / Birulés, Irene; Lopez-Carrilero, Raquel; Cuadras, Daniel; Pousa, Esther; Barrigon, Maria Luisa; Barajas, Ana; Lorente-Rovira, Ester; Gobzales-Higueras, Fermin; Grasa, Eva; Ruiz-Delgado, Isabel; Cid, Jordi; de Apraiz, Ana; Montserrat, Roger; Pelaez, Trinidad; Moritz, Steffen; The Spanish Metacognition Study Group; Ochoa, Susana.

In: J PERS MED, Vol. 10, No. 4, 27.11.2020, p. 253.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Birulés, I, Lopez-Carrilero, R, Cuadras, D, Pousa, E, Barrigon, ML, Barajas, A, Lorente-Rovira, E, Gobzales-Higueras, F, Grasa, E, Ruiz-Delgado, I, Cid, J, de Apraiz, A, Montserrat, R, Pelaez, T, Moritz, S, The Spanish Metacognition Study Group & Ochoa, S 2020, 'Cognitive insight in first-episode psychosis: Changes during Metacognitive Training', J PERS MED, vol. 10, no. 4, pp. 253. https://doi.org/10.3390/jpm10040253

APA

Birulés, I., Lopez-Carrilero, R., Cuadras, D., Pousa, E., Barrigon, M. L., Barajas, A., Lorente-Rovira, E., Gobzales-Higueras, F., Grasa, E., Ruiz-Delgado, I., Cid, J., de Apraiz, A., Montserrat, R., Pelaez, T., Moritz, S., The Spanish Metacognition Study Group, & Ochoa, S. (2020). Cognitive insight in first-episode psychosis: Changes during Metacognitive Training. J PERS MED, 10(4), 253. https://doi.org/10.3390/jpm10040253

Vancouver

Birulés I, Lopez-Carrilero R, Cuadras D, Pousa E, Barrigon ML, Barajas A et al. Cognitive insight in first-episode psychosis: Changes during Metacognitive Training. J PERS MED. 2020 Nov 27;10(4):253. https://doi.org/10.3390/jpm10040253

Bibtex

@article{e8bb2e2cd9ac44fd83c71a9dc7b9f613,
title = "Cognitive insight in first-episode psychosis: Changes during Metacognitive Training",
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.",
author = "Irene Birul{\'e}s and Raquel Lopez-Carrilero and Daniel Cuadras and Esther Pousa and Barrigon, {Maria Luisa} and Ana Barajas and Ester Lorente-Rovira and Fermin Gobzales-Higueras and Eva Grasa and Isabel Ruiz-Delgado and Jordi Cid and {de Apraiz}, Ana and Roger Montserrat and Trinidad Pelaez and Steffen Moritz and {The Spanish Metacognition Study Group} and Susana Ochoa",
year = "2020",
month = nov,
day = "27",
doi = "10.3390/jpm10040253",
language = "English",
volume = "10",
pages = "253",
journal = "J PERS MED",
issn = "2075-4426",
publisher = "MDPI Multidisciplinary Digital Publishing Institute",
number = "4",

}

RIS

TY - JOUR

T1 - Cognitive insight in first-episode psychosis: Changes during Metacognitive Training

AU - Birulés, Irene

AU - Lopez-Carrilero, Raquel

AU - Cuadras, Daniel

AU - Pousa, Esther

AU - Barrigon, Maria Luisa

AU - Barajas, Ana

AU - Lorente-Rovira, Ester

AU - Gobzales-Higueras, Fermin

AU - Grasa, Eva

AU - Ruiz-Delgado, Isabel

AU - Cid, Jordi

AU - de Apraiz, Ana

AU - Montserrat, Roger

AU - Pelaez, Trinidad

AU - Moritz, Steffen

AU - The Spanish Metacognition Study Group,

AU - Ochoa, Susana

PY - 2020/11/27

Y1 - 2020/11/27

N2 - 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.

AB - 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.

U2 - 10.3390/jpm10040253

DO - 10.3390/jpm10040253

M3 - SCORING: Journal article

VL - 10

SP - 253

JO - J PERS MED

JF - J PERS MED

SN - 2075-4426

IS - 4

ER -