The relationship between cognitive insight and depression in psychosis and schizophrenia: a review and meta-analysis
The relationship between cognitive insight and depression in psychosis and schizophrenia: a review and meta-analysis
A literature search identified 17 relevant papers published between 2004 and 2014. Our analysis indicated that there was a small but significant positive correlation between the composite index (CI) of the Beck Cognitive Insight Scale (BCIS) and depression scores, but this was driven by a significant positive relationship between depression and the BCIS self-reflection (SR) sub-scale, where low mood was related to higher SR scores. There was no significant relationship between the self-certainty sub-scale and depression. Post-hoc analysis indicated that different depression scales did not significantly affect the relationship with SR.
Our results support the idea that cognitive insight is significantly related to mood in schizophrenia, and the effect size is similar to that between clinical insight and mood. Potential applications of this knowledge into treatment and rehabilitation are discussed and a model of cognitive insight is proposed.
261-268
Palmer, Emma C.
e96e8cb6-2221-4dc7-b556-603f2cf6b086
Gilleen, James G.
bbb8ded8-f1f0-4227-ad82-e59ce7388dbd
David, Anthony S.
9458b8f0-ff64-4589-ab68-8177f3e4b560
August 2015
Palmer, Emma C.
e96e8cb6-2221-4dc7-b556-603f2cf6b086
Gilleen, James G.
bbb8ded8-f1f0-4227-ad82-e59ce7388dbd
David, Anthony S.
9458b8f0-ff64-4589-ab68-8177f3e4b560
Palmer, Emma C., Gilleen, James G. and David, Anthony S.
(2015)
The relationship between cognitive insight and depression in psychosis and schizophrenia: a review and meta-analysis.
Schizophrenia Research, 166 (1-3), .
(doi:10.1016/j.schres.2015.05.032).
Abstract
A literature search identified 17 relevant papers published between 2004 and 2014. Our analysis indicated that there was a small but significant positive correlation between the composite index (CI) of the Beck Cognitive Insight Scale (BCIS) and depression scores, but this was driven by a significant positive relationship between depression and the BCIS self-reflection (SR) sub-scale, where low mood was related to higher SR scores. There was no significant relationship between the self-certainty sub-scale and depression. Post-hoc analysis indicated that different depression scales did not significantly affect the relationship with SR.
Our results support the idea that cognitive insight is significantly related to mood in schizophrenia, and the effect size is similar to that between clinical insight and mood. Potential applications of this knowledge into treatment and rehabilitation are discussed and a model of cognitive insight is proposed.
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Accepted/In Press date: 19 May 2015
e-pub ahead of print date: 19 June 2015
Published date: August 2015
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Local EPrints ID: 420561
URI: http://eprints.soton.ac.uk/id/eprint/420561
ISSN: 0920-9964
PURE UUID: 87a8d735-1557-4bbf-82a1-8944f7a2f7ad
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Date deposited: 10 May 2018 16:30
Last modified: 16 Mar 2024 04:36
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Author:
James G. Gilleen
Author:
Anthony S. David
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