Insight change in psychosis: relationship with neurocognition, social cognition, clinical symptoms and phase of illness

P. J. Quee*, L. van der Meer, L. Krabbendam, L. de Haan, W. Cahn, D. Wiersma, N. van Beveren, G. H. M. Pijnenborg, C. L. Mulder, R. Bruggeman, A. Aleman

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

20 Citaten (Scopus)


Objective: 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.

Method: One hundred and fifty-four patients with a psychotic disorder were assessed at baseline (T-0) and after three years (T-3) 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.

Results: 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.

Conclusion: Neurocognitive abilities may predict, in part, the development of insight in psychosis.

Originele taal-2English
Pagina's (van-tot)126-133
Aantal pagina's8
TijdschriftActa Psychiatrica Scandinavica
Nummer van het tijdschrift2
StatusPublished - feb.-2014

Citeer dit