Additional Commentary About the Interventions Aimed at Improving Insight
Additional Commentary About the Interventions Aimed at Improving Insight
复制标题
关于旨在提高洞察力的干预措施的补充评论
DOI：
10.1097/nmd.0000000000001186
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发表时间：
2020
影响因子：
1.9
通讯作者：
Ogawa Yasuhiro
中科院分区：
文献类型：
--
作者：
Kita Sachiko;Hayashi Mayu;Umeshita Kaori;Tobe Hiromi;Uehara Nana;Matsunaga Momoe;Kamibeppu Kiyoko;Ogawa Yasuhiro
通过半结构化访谈或/和自评量表评估的洞察力可能反映了患者对精神疾病的态度，而不是他们对疾病的洞察力（Hasson-Ohayon，2018）。洞察力差是精神分裂症临床结果差的重要原因，而更好的洞察力也与情绪困扰如抑郁症有关（Belvederi Murri et al.，2016）。元认知反射和洞察力疗法，由Lysaker等人开发。（2019年），旨在通过元认知训练促进精神疾病的康复过程。元认知反思和洞察力疗法的独特之处在于，干预并不明确地寻求提高洞察力。这种旨在间接改善自知力的干预措施可能会保护患者的心理健康，并导致更好的自知力。
Insight assessed by semistructured interviews or/and self-rated scales may reflect the attitude of the patient toward mental illness rather than their insight into illness (Hasson-Ohayon, 2018). Poor insight is a significant contributor to poor clinical outcomes in schizophrenia, whereas better insight has also been associated with emotional distress such as depression (Belvederi Murri et al., 2016). Metacognitive Reflection and Insight Therapy, developed by Lysaker et al.(2019), aims to promote the process of recovery from mental illness through metacognitive training. The uniqueness of Metacognitive Reflection and Insight Therapy is that the intervention does not explicitly seek to improve insight. Such interventions aimed at improving insight indirectly may protect the patient's mental health and lead to better insight.