Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?
Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical a...
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description | Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation. |
doi_str_mv | 10.1007/s10597-014-9767-y |
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Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-014-9767-y</identifier><identifier>PMID: 25064088</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; Cognition ; Cognitive ability ; Community and Environmental Psychology ; Environmental science ; Female ; Hospitals, Psychiatric ; Humans ; Inpatients ; Male ; Medicine ; Medicine & Public Health ; Memory ; Mental disorders ; Middle Aged ; Neurobiology ; Neuropsychological Tests ; Original Paper ; Principal Component Analysis ; Principal components analysis ; Psychiatric Status Rating Scales ; Psychiatry ; Psychopathology ; Recovery of Function ; Remission (Medicine) ; Schizophrenia ; Schizophrenia - therapy ; Schizophrenic Psychology ; Young Adult</subject><ispartof>Community mental health journal, 2015-01, Vol.51 (1), p.30-37</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-fa87d1a4b401a78ec4f7bdb62c3f1fb3e8726d79f1645044cdd06f4834f21a423</citedby><cites>FETCH-LOGICAL-c508t-fa87d1a4b401a78ec4f7bdb62c3f1fb3e8726d79f1645044cdd06f4834f21a423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10597-014-9767-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10597-014-9767-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12837,27335,27915,27916,30990,33765,41479,42548,51310</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25064088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giusti, Laura</creatorcontrib><creatorcontrib>Ussorio, Donatella</creatorcontrib><creatorcontrib>Tosone, Adele</creatorcontrib><creatorcontrib>Di Venanzio, Chiara</creatorcontrib><creatorcontrib>Bianchini, Valeria</creatorcontrib><creatorcontrib>Necozione, Stefano</creatorcontrib><creatorcontrib>Casacchia, Massimo</creatorcontrib><creatorcontrib>Roncone, Rita</creatorcontrib><title>Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation.</description><subject>Adult</subject><subject>Aged</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Community and Environmental Psychology</subject><subject>Environmental science</subject><subject>Female</subject><subject>Hospitals, Psychiatric</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Neurobiology</subject><subject>Neuropsychological Tests</subject><subject>Original Paper</subject><subject>Principal Component Analysis</subject><subject>Principal components analysis</subject><subject>Psychiatric Status Rating 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Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>51</volume><issue>1</issue><spage>30</spage><epage>37</epage><pages>30-37</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25064088</pmid><doi>10.1007/s10597-014-9767-y</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Cognition Cognitive ability Community and Environmental Psychology Environmental science Female Hospitals, Psychiatric Humans Inpatients Male Medicine Medicine & Public Health Memory Mental disorders Middle Aged Neurobiology Neuropsychological Tests Original Paper Principal Component Analysis Principal components analysis Psychiatric Status Rating Scales Psychiatry Psychopathology Recovery of Function Remission (Medicine) Schizophrenia Schizophrenia - therapy Schizophrenic Psychology Young Adult |
title | Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight? |
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