Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?
Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?
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DOI：
10.1007/s10597-014-9767-y
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发表时间：
2015-01-01
影响因子：
2.7
通讯作者：
Roncone, Rita
中科院分区：
文献类型：
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作者：
Giusti, Laura;Ussorio, Donatella;Roncone, Rita
康复是一个广泛讨论的概念，在研究，治疗和公共政策领域的严重精神疾病，主要是精神分裂症。我们的研究的目的是评估个人恢复和预测变量之间的关系，如精神病理学，神经认知，临床和认知洞察力，社会功能的住院精神分裂症患者的影响，特别是对认知洞察力。我们评估了76例精神分裂症患者出院时的情况。工具包括Beck认知自知力量表、自知力量表和恢复评估量表，以评估认知和临床自知力以及个人恢复。神经认知评估由神经认知测试组合的主成分分析产生的单因素得分表示。社会功能也被测量。认知洞察力的低自我反省是个人康复的最佳预测因子。在这项研究中发现的认知洞察力和恢复之间的关系可能有助于制定量身定制的干预措施，考虑到个人的感觉恢复，尽管精神病理学评价。
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.