Insight change in psychosis: relationship with neurocognition, social cognition, clinical symptoms and phase of illness
Article first published online: 18 APR 2013
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Acta Psychiatrica Scandinavica
Volume 129, Issue 2, pages 126–133, February 2014
How to Cite
Insight change in psychosis: relationship with neurocognition, social cognition, clinical symptoms and phase of illness., , , , , , , , , , .
- Issue published online: 7 JAN 2014
- Article first published online: 18 APR 2013
- Manuscript Accepted: 22 MAR 2013
- Geestkracht programme of the Dutch Health Research Council. Grant Number: 10-000-1002
Impaired insight is an important and prevalent symptom of psychosis. It remains unclear whether cognitive disturbances hamper improvements in insight. We investigated the neurocognitive, social cognitive, and clinical correlates of changes in insight.
One hundred and fifty-four patients with a psychotic disorder were assessed at baseline (T0) and after three years (T3) with the Birchwood Insight Scale, the Positive And Negative Syndrome Scale, measures of neurocognition and social cognition. Linear regression analyses were conducted to examine to what extend neurocognition, social cognition, clinical symptoms and phase of illness could uniquely predict insight change. Subsequently, changes in these factors were related to insight change.
Better neurocognitive performance and fewer clinical symptoms at baseline explained insight improvements. The additional effect of clinical symptoms over and above the contribution of neurocognition was significant. Together, these factors explained 10% of the variance. Social cognition and phase of illness could not predict insight change. Changes in clinical symptoms, but not changes in neurocognitive performance were associated with insight change.
Neurocognitive abilities may predict, in part, the development of insight in psychosis.