Cognitive insight: A systematic review
Cognitive insight is the ability to re-evaluate thoughts and beliefs in order to make thoughtful conclusions. It differs from clinical insight, as it focuses on more general metacognitive processes. Therefore, it could be relevant to diverse disorders and non-clinical subjects. There is a growing bo...
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| Veröffentlicht in: | Clinical psychology review 2017-07, Vol.55, p.12-24 |
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| creator | Van Camp, L.S.C. Sabbe, B.G.C. Oldenburg, J.F.E. |
| description | Cognitive insight is the ability to re-evaluate thoughts and beliefs in order to make thoughtful conclusions. It differs from clinical insight, as it focuses on more general metacognitive processes. Therefore, it could be relevant to diverse disorders and non-clinical subjects. There is a growing body of research on cognitive insight in individuals with and without psychosis. This review has summarised the current state of the art regarding this topic. We conclude that while cognitive insight in its current form seems valid for use in individuals with psychosis, it is less so for individuals without psychosis. Additionally, higher cognitive insight not always leads to better psychological functioning. For instance, higher levels of self-reflection are often associated with depressive mood. We therefore recommend the sub-components of cognitive insight to be studied separately. Also, it is unclear what position cognitive insight takes within the spectrum of metacognitive processes and how it relates to other self-related concepts that have been defined previously in literature. Combining future and past research on cognitive insight and its analogue concepts will help in the formation of a uniform definition that fits all subjects discussed here.
•There is a growth in research on cognitive insight in a variety of subjects.•In individuals without psychosis, studies on cognitive insight show mixed results.•Higher cognitive insight is not always psychologically more healthy.•Sub-components of cognitive insight should be studied separately.•Analogue concepts should be included when re-considering this concept. |
| doi_str_mv | 10.1016/j.cpr.2017.04.011 |
| format | Article |
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•There is a growth in research on cognitive insight in a variety of subjects.•In individuals without psychosis, studies on cognitive insight show mixed results.•Higher cognitive insight is not always psychologically more healthy.•Sub-components of cognitive insight should be studied separately.•Analogue concepts should be included when re-considering this concept.</description><identifier>ISSN: 0272-7358</identifier><identifier>EISSN: 1873-7811</identifier><identifier>DOI: 10.1016/j.cpr.2017.04.011</identifier><identifier>PMID: 28478270</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Beck Cognitive Insight Scale ; Cognitive insight ; Humans ; Metacognition - physiology ; Overconfidence ; Psychotic Disorders - physiopathology ; Schizophrenia - physiopathology ; Self Concept ; Self-certainty ; Self-reflectiveness ; Thinking - physiology ; Thinking styles</subject><ispartof>Clinical psychology review, 2017-07, Vol.55, p.12-24</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-65808ab425a601a2df165b83591b6fcc7b8008da45ae51b45a278496734927ae3</citedby><cites>FETCH-LOGICAL-c396t-65808ab425a601a2df165b83591b6fcc7b8008da45ae51b45a278496734927ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0272735816301283$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65308</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28478270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Camp, L.S.C.</creatorcontrib><creatorcontrib>Sabbe, B.G.C.</creatorcontrib><creatorcontrib>Oldenburg, J.F.E.</creatorcontrib><title>Cognitive insight: A systematic review</title><title>Clinical psychology review</title><addtitle>Clin Psychol Rev</addtitle><description>Cognitive insight is the ability to re-evaluate thoughts and beliefs in order to make thoughtful conclusions. It differs from clinical insight, as it focuses on more general metacognitive processes. Therefore, it could be relevant to diverse disorders and non-clinical subjects. There is a growing body of research on cognitive insight in individuals with and without psychosis. This review has summarised the current state of the art regarding this topic. We conclude that while cognitive insight in its current form seems valid for use in individuals with psychosis, it is less so for individuals without psychosis. Additionally, higher cognitive insight not always leads to better psychological functioning. For instance, higher levels of self-reflection are often associated with depressive mood. We therefore recommend the sub-components of cognitive insight to be studied separately. Also, it is unclear what position cognitive insight takes within the spectrum of metacognitive processes and how it relates to other self-related concepts that have been defined previously in literature. Combining future and past research on cognitive insight and its analogue concepts will help in the formation of a uniform definition that fits all subjects discussed here.
•There is a growth in research on cognitive insight in a variety of subjects.•In individuals without psychosis, studies on cognitive insight show mixed results.•Higher cognitive insight is not always psychologically more healthy.•Sub-components of cognitive insight should be studied separately.•Analogue concepts should be included when re-considering this concept.</description><subject>Beck Cognitive Insight Scale</subject><subject>Cognitive insight</subject><subject>Humans</subject><subject>Metacognition - physiology</subject><subject>Overconfidence</subject><subject>Psychotic Disorders - physiopathology</subject><subject>Schizophrenia - physiopathology</subject><subject>Self Concept</subject><subject>Self-certainty</subject><subject>Self-reflectiveness</subject><subject>Thinking - physiology</subject><subject>Thinking styles</subject><issn>0272-7358</issn><issn>1873-7811</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAYRS0EglJ4ABaUCbEkfJ_jv8BUVfxJlVhgthzHKa6apNhpUd-eVC2MTHc590r3EHKFkCGguFtkdhUyCigzYBkgHpERKpmnUiEekxFQSVOZc3VGzmNcAAAqhqfkjComFZUwIjfTbt763m9c4tvo55_9fTJJ4jb2rjG9t0lwG---L8hJbZbRXR5yTD6eHt-nL-ns7fl1OpmlNi9EnwquQJmSUW4EoKFVjYKXKucFlqK2VpYKQFWGceM4lkNQqVghZM4KKo3Lx-R2v7sK3dfaxV43Plq3XJrWdeuoURWCIRcUBxT3qA1djMHVehV8Y8JWI-idHr3Qgx6906OB6UHP0Lk-zK_LxlV_jV8fA_CwB9xwcjgedLTetdZVPjjb66rz_8z_ABMocw0</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Van Camp, L.S.C.</creator><creator>Sabbe, B.G.C.</creator><creator>Oldenburg, J.F.E.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Cognitive insight: A systematic review</title><author>Van Camp, L.S.C. ; Sabbe, B.G.C. ; Oldenburg, J.F.E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-65808ab425a601a2df165b83591b6fcc7b8008da45ae51b45a278496734927ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Beck Cognitive Insight Scale</topic><topic>Cognitive insight</topic><topic>Humans</topic><topic>Metacognition - physiology</topic><topic>Overconfidence</topic><topic>Psychotic Disorders - physiopathology</topic><topic>Schizophrenia - physiopathology</topic><topic>Self Concept</topic><topic>Self-certainty</topic><topic>Self-reflectiveness</topic><topic>Thinking - physiology</topic><topic>Thinking styles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Camp, L.S.C.</creatorcontrib><creatorcontrib>Sabbe, B.G.C.</creatorcontrib><creatorcontrib>Oldenburg, J.F.E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical psychology review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Camp, L.S.C.</au><au>Sabbe, B.G.C.</au><au>Oldenburg, J.F.E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive insight: A systematic review</atitle><jtitle>Clinical psychology review</jtitle><addtitle>Clin Psychol Rev</addtitle><date>2017-07</date><risdate>2017</risdate><volume>55</volume><spage>12</spage><epage>24</epage><pages>12-24</pages><issn>0272-7358</issn><eissn>1873-7811</eissn><abstract>Cognitive insight is the ability to re-evaluate thoughts and beliefs in order to make thoughtful conclusions. It differs from clinical insight, as it focuses on more general metacognitive processes. Therefore, it could be relevant to diverse disorders and non-clinical subjects. There is a growing body of research on cognitive insight in individuals with and without psychosis. This review has summarised the current state of the art regarding this topic. We conclude that while cognitive insight in its current form seems valid for use in individuals with psychosis, it is less so for individuals without psychosis. Additionally, higher cognitive insight not always leads to better psychological functioning. For instance, higher levels of self-reflection are often associated with depressive mood. We therefore recommend the sub-components of cognitive insight to be studied separately. Also, it is unclear what position cognitive insight takes within the spectrum of metacognitive processes and how it relates to other self-related concepts that have been defined previously in literature. Combining future and past research on cognitive insight and its analogue concepts will help in the formation of a uniform definition that fits all subjects discussed here.
•There is a growth in research on cognitive insight in a variety of subjects.•In individuals without psychosis, studies on cognitive insight show mixed results.•Higher cognitive insight is not always psychologically more healthy.•Sub-components of cognitive insight should be studied separately.•Analogue concepts should be included when re-considering this concept.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>28478270</pmid><doi>10.1016/j.cpr.2017.04.011</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Beck Cognitive Insight Scale Cognitive insight Humans Metacognition - physiology Overconfidence Psychotic Disorders - physiopathology Schizophrenia - physiopathology Self Concept Self-certainty Self-reflectiveness Thinking - physiology Thinking styles |
| title | Cognitive insight: A systematic review |
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