Decreasing self-reported cognitive biases and increasing clinical insight through meta-cognitive training in patients with chronic schizophrenia

Gawęda, Łukasz; Krężołek, Martyna; Olbryś, Joanna; Turska, Agnieszka; Kokoszka, Andrzej

doi:10.1016/j.jbtep.2015.02.002

Cited by 45 publications

(40 citation statements)

References 29 publications

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“…Consistent with work on the role of metacognition in general reflectivity and insight, there has also been increasing interest in metacognitive-oriented psychotherapies to promote insight [123][124][125][126][127][128][129]. Although there are similarities with REFLEX in that many of the same issues are addressed, metacognitive-oriented therapies more directly target metacognitive deficits.…”

Section: Emerging Interventions For Impaired Insight In Schizophreniamentioning

confidence: 98%

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An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Vohs

George

Leonhardt

et al. 2016

Expert Review of Neurotherapeutics

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Introduction: Poor insight, or unawareness of some major aspect of mental illness, is a major barrier to wellness when it interferes with persons seeking out treatment or forming their own understanding of the challenges they face. One barrier to addressing impaired insight is the absence of a comprehensive model of how poor insight develops. Areas covered: To explore this issue we review how poor insight is the result of multiple phenomena which interfere with the construction of narrative accounts of psychiatric challenges, rather than a single social or biological cause.Expert Commentary: We propose an integrative model of poor insight in schizophrenia which involves the interaction of symptoms, deficits in neurocognition, social cognition, metacognition, and stigma. Emerging treatments for poor insight including therapies which focus on the development of metacognition are discussed.

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Section: Emerging Interventions For Impaired Insight In Schizophreniamentioning

confidence: 98%

“…Another study recently showed the targeting metacognition could decrease cognitive biases and improve clinical insight [124]. To date, however, metacognitive training has yet been linked specifically to improved cognitive insight.…”

Section: Emerging Interventions For Impaired Insight In Schizophreniamentioning

confidence: 99%

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Vohs

George

Leonhardt

et al. 2016

Expert Review of Neurotherapeutics

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“…Gaweda et al 178 reported that MCT led to significant improvements in clinical insight compared with treatment as usual, despite a lack of effects on psychotic symptoms, reasoning bias and theory of mind.…”

Section: Metacognitive Training Can Affect Insightmentioning

confidence: 99%

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

et al. 2018

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Poor insight in schizophrenia is prevalent across cultures and phases of illness. In this review, we examine the recent research on the relationship of insight with behavior, mood and perceived quality of life, on its complex roots, and on the effects of existing and emerging treatments. This research indicates that poor insight predicts poorer treatment adherence and therapeutic alliance, higher symptom severity and more impaired community function, while good insight predicts a higher frequency of depression and demoralization, especially when coupled with stigma and social disadvantage. This research also suggests that poor insight may arise in response to biological, experiential, neuropsychological, social-cognitive, metacognitive and socio-political factors. Studies of the effects of existing and developing treatments indicate that they may influence insight. In the context of earlier research and historical models, these findings support an integrative model of poor insight. This model suggests that insight requires the integration of information about changes in internal states, external circumstances, others' perspectives and life trajectory as well as the multifaceted consequences and causes of each of those changes. One implication is that treatments should, beyond providing education, seek to assist persons with schizophrenia to integrate the broad range of complex and potentially deeply painful experiences which are associated with mental illness into their own personally meaningful, coherent and adaptive picture.

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“…We added the data of Aghotor et al (2010); Moritz et al (2011) and Gaweda et al (2015). We found the data in the meta-analysis of Eichner (2015), a PhD student of Moritz, who was kind enough to provide the data via Research Gate.…”

Section: Studies Omittedmentioning

confidence: 99%

“…The three studies with the highest baseline delusion scores were So et al (2015), and van Oosterhout et al (2014). Taking these three studies, the effect size is 0.49, while studies with the lowest delusion scores at baseline (Moritz et al 2011a(Moritz et al ,b, 2013Briki et al 2014;Gaweda et al 2015) have a pooled effect size of 0.25 on delusions. So the empirical evidence rather suggests that patients with highest baseline scores of paranoia in general benefit most from therapy.…”

Section: Evolution Of Mctmentioning

confidence: 99%

Letter to the Editor: Should we focus on quality or quantity in meta-analyses?

Oosterhout¹,

Smit

Krabbendam³

et al. 2016

Psychol. Med.

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Decreasing self-reported cognitive biases and increasing clinical insight through meta-cognitive training in patients with chronic schizophrenia

Cited by 45 publications

References 29 publications

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

Letter to the Editor: Should we focus on quality or quantity in meta-analyses?

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