The neuropsychological correlates of cognitive insight in healthy participants

Abstract

Cognitive insight is the ability to monitor and correct one's own erroneous convictions. The Beck Cognitive Insight Scale (BCIS) assesses two sub-dimensions of cognitive insight: self-reflectiveness (SR), which is the attitude of questioning one's own judgments; and self-certainty (SC), which is the unwillingness to modify and correct one's own convictions. There is little information about cognitive insight in healthy participants (HP). Here we investigated the socio-demographic and neuropsychological correlates of cognitive insight in 50 HP who were administered the BCIS and a comprehensive neuropsychological battery. The global BCIS R-C index correlated positively with age and WCST perseverative errors. SR correlated positively with age. These data support the hypothesis that a less self-reflective and more self-confident style is cognitively functional in HP. Thus, what has been found malfunctioning in mental illnesses is adaptive in HP. Future studies should consider a wider range of factors that might affect this complex construct.

The relationship between cognitive insight and depression in psychosis and schizophrenia: A review and meta-analysis

“…Correlation Scale Granholm et al (2005) −0.04 HDRS Pedrelli et al (2004) −0.04 HDRS Gilleen et al (2011) 0 BDI-II Lepage et al (unpublished) 0.01 CDS González-Blanch et al (2014) 0.101 CDS Tastet et al (2012) 0.155 BDI-II Beck et al (2004) 0.17 BDI-II Greenberger and Serper (2010) 0.18 CDS Wiffen (2011) 0.18 PANSS Colis et al (2006) 0.192 BDI-II Warman et al (2007) 0.194 BDI-II Mass et al (2012) 0.23 BDI-II Ekinci et al (2012b) 0.267 CDS Raffard et al (2013) 0.274 BDI-II Misdrahi et al (2014) 0.35 BDI-II Kao et al (2011) 0.378 BDI-II considering decisions to a greater degree than when mood is not low or elevated (Takano and Tanno, 2009;Orfei et al, 2011). In support of this is the notion that individuals with low mood are more likely to adopt a systematic thinking style that relies on attention to the details at hand rather than pre-existing knowledge, whereas those with elevated mood are more likely to use pre-existing beliefs and self-knowledge Schwarz, 2000;Schwarz and Clore, 1996).…”

Psychometric assessment of the Generic Conspiracist Beliefs Scale

“…These subscales derive from the observation that individuals with psychotic disorders (vs. psychiatric patients who did not have psychosis) are less self-reflective (e.g., reluctant to accept the possibility that they are wrong) and more assertive about their own conclusions. Researchers have used the BCIS with general samples to assess differences in critical thinking [2,63].…”

Untitled

“…Хотя когнитивный инсайт рассматривается А. Беком как протективный фактор и мишень для работы при тяжелых психических расстройствах, где мысли и чувства человека могут совершенно не соответствовать действительной ситуации и чувствительность к мнению окружающих крайне важна, эта способность является центральной для когнитивной терапии в целом. Ряд исследований показывает, что в норме когнитивный инсайт может выполнять иные функции, нежели в патологии (Orfei et al, 2011), и связан с готовностью обращения за психологической помощью (Рассказова, Плужников, 2013).…”