Can cognitive insight predict symptom remission in a first episode psychosis cohort?

Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between c...
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Autor*in:	O’Connor, Jennifer A. [verfasserIn] Ellett, Lyn Ajnakina, Olesya Schoeler, Tabea Kollliakou, Anna Trotta, Antonella Wiffen, Benjamin D. Falcone, Aurora M. Di Forti, Marta Murray, Robin M. Bhattacharyya, Sagnik David, Anthony S.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Symptom Outcome First Episode Psychosis Episode Psychosis Adult Mental Health Service Cognitive Insight

Anmerkung:	© The Author(s). 2017

Übergeordnetes Werk:	Enthalten in: BMC psychiatry - London : BioMed Central, 2001, 17(2017), 1 vom: 06. Feb.
Übergeordnetes Werk:	volume:17 ; year:2017 ; number:1 ; day:06 ; month:02

Links:	Volltext

DOI / URN:	10.1186/s12888-017-1210-9

Katalog-ID:	SPR027807509

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520			\|a Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research.
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allfields	10.1186/s12888-017-1210-9 doi (DE-627)SPR027807509 (SPR)s12888-017-1210-9-e DE-627 ger DE-627 rakwb eng O’Connor, Jennifer A. verfasserin aut Can cognitive insight predict symptom remission in a first episode psychosis cohort? 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213 Ellett, Lyn aut Ajnakina, Olesya aut Schoeler, Tabea aut Kollliakou, Anna aut Trotta, Antonella aut Wiffen, Benjamin D. aut Falcone, Aurora M. aut Di Forti, Marta aut Murray, Robin M. aut Bhattacharyya, Sagnik aut David, Anthony S. aut Enthalten in BMC psychiatry London : BioMed Central, 2001 17(2017), 1 vom: 06. Feb. (DE-627)331018799 (DE-600)2050438-X 1471-244X nnns volume:17 year:2017 number:1 day:06 month:02 https://dx.doi.org/10.1186/s12888-017-1210-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2017 1 06 02
spelling	10.1186/s12888-017-1210-9 doi (DE-627)SPR027807509 (SPR)s12888-017-1210-9-e DE-627 ger DE-627 rakwb eng O’Connor, Jennifer A. verfasserin aut Can cognitive insight predict symptom remission in a first episode psychosis cohort? 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213 Ellett, Lyn aut Ajnakina, Olesya aut Schoeler, Tabea aut Kollliakou, Anna aut Trotta, Antonella aut Wiffen, Benjamin D. aut Falcone, Aurora M. aut Di Forti, Marta aut Murray, Robin M. aut Bhattacharyya, Sagnik aut David, Anthony S. aut Enthalten in BMC psychiatry London : BioMed Central, 2001 17(2017), 1 vom: 06. Feb. (DE-627)331018799 (DE-600)2050438-X 1471-244X nnns volume:17 year:2017 number:1 day:06 month:02 https://dx.doi.org/10.1186/s12888-017-1210-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2017 1 06 02
allfields_unstemmed	10.1186/s12888-017-1210-9 doi (DE-627)SPR027807509 (SPR)s12888-017-1210-9-e DE-627 ger DE-627 rakwb eng O’Connor, Jennifer A. verfasserin aut Can cognitive insight predict symptom remission in a first episode psychosis cohort? 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213 Ellett, Lyn aut Ajnakina, Olesya aut Schoeler, Tabea aut Kollliakou, Anna aut Trotta, Antonella aut Wiffen, Benjamin D. aut Falcone, Aurora M. aut Di Forti, Marta aut Murray, Robin M. aut Bhattacharyya, Sagnik aut David, Anthony S. aut Enthalten in BMC psychiatry London : BioMed Central, 2001 17(2017), 1 vom: 06. Feb. (DE-627)331018799 (DE-600)2050438-X 1471-244X nnns volume:17 year:2017 number:1 day:06 month:02 https://dx.doi.org/10.1186/s12888-017-1210-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2017 1 06 02
allfieldsGer	10.1186/s12888-017-1210-9 doi (DE-627)SPR027807509 (SPR)s12888-017-1210-9-e DE-627 ger DE-627 rakwb eng O’Connor, Jennifer A. verfasserin aut Can cognitive insight predict symptom remission in a first episode psychosis cohort? 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213 Ellett, Lyn aut Ajnakina, Olesya aut Schoeler, Tabea aut Kollliakou, Anna aut Trotta, Antonella aut Wiffen, Benjamin D. aut Falcone, Aurora M. aut Di Forti, Marta aut Murray, Robin M. aut Bhattacharyya, Sagnik aut David, Anthony S. aut Enthalten in BMC psychiatry London : BioMed Central, 2001 17(2017), 1 vom: 06. Feb. (DE-627)331018799 (DE-600)2050438-X 1471-244X nnns volume:17 year:2017 number:1 day:06 month:02 https://dx.doi.org/10.1186/s12888-017-1210-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2017 1 06 02
allfieldsSound	10.1186/s12888-017-1210-9 doi (DE-627)SPR027807509 (SPR)s12888-017-1210-9-e DE-627 ger DE-627 rakwb eng O’Connor, Jennifer A. verfasserin aut Can cognitive insight predict symptom remission in a first episode psychosis cohort? 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213 Ellett, Lyn aut Ajnakina, Olesya aut Schoeler, Tabea aut Kollliakou, Anna aut Trotta, Antonella aut Wiffen, Benjamin D. aut Falcone, Aurora M. aut Di Forti, Marta aut Murray, Robin M. aut Bhattacharyya, Sagnik aut David, Anthony S. aut Enthalten in BMC psychiatry London : BioMed Central, 2001 17(2017), 1 vom: 06. Feb. (DE-627)331018799 (DE-600)2050438-X 1471-244X nnns volume:17 year:2017 number:1 day:06 month:02 https://dx.doi.org/10.1186/s12888-017-1210-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2017 1 06 02
language	English
source	Enthalten in BMC psychiatry 17(2017), 1 vom: 06. Feb. volume:17 year:2017 number:1 day:06 month:02
sourceStr	Enthalten in BMC psychiatry 17(2017), 1 vom: 06. Feb. volume:17 year:2017 number:1 day:06 month:02
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Symptom Outcome First Episode Psychosis Episode Psychosis Adult Mental Health Service Cognitive Insight
isfreeaccess_bool	true
container_title	BMC psychiatry
authorswithroles_txt_mv	O’Connor, Jennifer A. @@aut@@ Ellett, Lyn @@aut@@ Ajnakina, Olesya @@aut@@ Schoeler, Tabea @@aut@@ Kollliakou, Anna @@aut@@ Trotta, Antonella @@aut@@ Wiffen, Benjamin D. @@aut@@ Falcone, Aurora M. @@aut@@ Di Forti, Marta @@aut@@ Murray, Robin M. @@aut@@ Bhattacharyya, Sagnik @@aut@@ David, Anthony S. @@aut@@
publishDateDaySort_date	2017-02-06T00:00:00Z
hierarchy_top_id	331018799
id	SPR027807509
language_de	englisch
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Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. 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author	O’Connor, Jennifer A.
spellingShingle	O’Connor, Jennifer A. misc Symptom Outcome misc First Episode Psychosis misc Episode Psychosis misc Adult Mental Health Service misc Cognitive Insight Can cognitive insight predict symptom remission in a first episode psychosis cohort?
authorStr	O’Connor, Jennifer A.
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topic_title	Can cognitive insight predict symptom remission in a first episode psychosis cohort? Symptom Outcome (dpeaa)DE-He213 First Episode Psychosis (dpeaa)DE-He213 Episode Psychosis (dpeaa)DE-He213 Adult Mental Health Service (dpeaa)DE-He213 Cognitive Insight (dpeaa)DE-He213
topic	misc Symptom Outcome misc First Episode Psychosis misc Episode Psychosis misc Adult Mental Health Service misc Cognitive Insight
topic_unstemmed	misc Symptom Outcome misc First Episode Psychosis misc Episode Psychosis misc Adult Mental Health Service misc Cognitive Insight
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title	Can cognitive insight predict symptom remission in a first episode psychosis cohort?
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title_full	Can cognitive insight predict symptom remission in a first episode psychosis cohort?
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author_browse	O’Connor, Jennifer A. Ellett, Lyn Ajnakina, Olesya Schoeler, Tabea Kollliakou, Anna Trotta, Antonella Wiffen, Benjamin D. Falcone, Aurora M. Di Forti, Marta Murray, Robin M. Bhattacharyya, Sagnik David, Anthony S.
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author-letter	O’Connor, Jennifer A.
doi_str_mv	10.1186/s12888-017-1210-9
title_sort	can cognitive insight predict symptom remission in a first episode psychosis cohort?
title_auth	Can cognitive insight predict symptom remission in a first episode psychosis cohort?
abstract	Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. © The Author(s). 2017
abstractGer	Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. © The Author(s). 2017
abstract_unstemmed	Background The outcome of first episode psychosis (FEP) is highly variable and difficult to predict. Cognitive insight measured at illness onset has previously been found to predict psychopathology 12-months later. The aims of this study were to examine whether the prospective relationship between cognitive insight and symptom severity is evident at four-years following FEP and to examine some psychological correlates of cognitive insight. Methods FEP participants (n = 90) completed the Beck Cognitive Insight Scale (BCIS) at illness onset, and associations between BCIS scores with symptom severity outcomes (4-years after FEP) were assessed. The BCIS scales (self-reflectiveness and self-certainty) were examined as a composite score, and individually compared to other cognitive measures (IQ and jumping to conclusions (JTC) bias). Results Regression analyses revealed that the cognitive insight composite did not predict 4-year symptom remission in this study while the self-reflection subscale of the BCIS predicted severity of symptoms at 4-years. Self-certainty items of the BCIS were not associated with symptom severity. Significant correlations between the JTC bias, self-certainty and IQ were found, but self-reflection did not correlate with these other cognitive measures. Conclusions Self-reflective capacity is a more relevant and independent cognitive construct than self-certainty for predicting prospective symptom severity in psychosis. Improving self-reflection may be a useful target for early intervention research. © The Author(s). 2017
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title_short	Can cognitive insight predict symptom remission in a first episode psychosis cohort?
url	https://dx.doi.org/10.1186/s12888-017-1210-9
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author2	Ellett, Lyn Ajnakina, Olesya Schoeler, Tabea Kollliakou, Anna Trotta, Antonella Wiffen, Benjamin D. Falcone, Aurora M. Di Forti, Marta Murray, Robin M. Bhattacharyya, Sagnik David, Anthony S.
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