GREENWOOD_Journal_Mental_Health_Feb_2021 .pdf (609.03 kB)
Clinical insight in First Episode Psychosis: the role of metacognition
journal contribution
posted on 2023-06-09, 23:13 authored by Abigail C Wright, Paul H Lysaker, David FowlerDavid Fowler, Kathryn GreenwoodKathryn GreenwoodBackground Poor clinical insight has been commonly reported in those with First Episode Psychosis (FEP) and thought to be influenced by a range of factors, including neurocognition and symptoms. Clinical insight may be compromised as a result of alterations in higher-level reflective processes, such as metacognitive ability and cognitive insight. Aims To explore whether metacognitive ability and cognitive insight are associated with clinical insight while controlling for IQ, depression, and symptoms in FEP. Methods 60 individuals with FEP completed measures for clinical insight, metacognitive ability, cognitive insight, positive and negative symptoms, depression, and IQ. Results Higher levels of metacognitive ability were associated with better clinical insight, even when controlling for IQ, depression, positive and negative symptoms, and medication. Integration subscale of metacognitive ability was most strongly associated with clinical insight. Cognitive insight was associated with clinical insight when controlling for covariates. However, when including metacognitive ability and cognitive insight in the predictive model, only metacognitive ability was significantly related to clinical insight. Discussion Metacognitive ability, specifically the ability to describe one’s evolving mental state to provide a coherent narrative, was significantly related to clinical insight, independent of covariates, and may be a potentially important target for intervention in FEP.
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Publication status
- Published
File Version
- Accepted version
Journal
Journal of Mental HealthISSN
0963-8237Publisher
Taylor & FrancisExternal DOI
Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2021-03-04First Open Access (FOA) Date
2022-05-18First Compliant Deposit (FCD) Date
2021-03-03Usage metrics
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