TY - JOUR
T1 - Moderators of cognitive insight outcome in metacognitive training for first-episode psychosis
AU - González-Blanch, César
AU - Birulés, Irene
AU - Pousa, Esther
AU - Barrigon, María Luisa
AU - López-Carrilero, Raquel
AU - Lorente-Rovira, Esther
AU - Ayesa-Arriola, Rosa
AU - Setien-Suero, Esther
AU - Barajas, Ana
AU - Grasa, Eva M.
AU - Ruiz-Delgado, Isabel
AU - González-Higueras, Fermín
AU - Cid, Jordi
AU - Ochoa, Susana
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/9
Y1 - 2021/9
N2 - Metacognitive training (MCT) is a promising treatment for improving cognitive insight associated with delusional beliefs in individuals with psychotic disorders. The aim of this study was to examine potential moderators of cognitive insight in individuals with first-episode psychosis (FEP) who received either MCT or psychoeducation. The present study was based on data from a randomized control trial comparing MCT to psychoeducation. Baseline sociodemographic and clinical characteristics in a sample of 122 patients with FEP were examined as potential moderators of the self-reflectiveness and self-certainty dimensions of cognitive insight using the SPSS PROCESS macro. The only variable that moderated self-reflectiveness at the post-treatment evaluation was age of onset (b = −0.27, p = .025). The effect of MCT in reducing self-certainty was stronger in women (b = −3.26, p = .018) and in individuals with average or above average baseline self-esteem (b = −0.30, p = .007). Overall, our findings support the generalization of MCT to a variety of sociodemographic and clinical profiles. While some patient profiles may require targeted interventions such as MCT to improve cognitive insight, others may do equally as well with less demanding interventions such as a psychoeducational group.
AB - Metacognitive training (MCT) is a promising treatment for improving cognitive insight associated with delusional beliefs in individuals with psychotic disorders. The aim of this study was to examine potential moderators of cognitive insight in individuals with first-episode psychosis (FEP) who received either MCT or psychoeducation. The present study was based on data from a randomized control trial comparing MCT to psychoeducation. Baseline sociodemographic and clinical characteristics in a sample of 122 patients with FEP were examined as potential moderators of the self-reflectiveness and self-certainty dimensions of cognitive insight using the SPSS PROCESS macro. The only variable that moderated self-reflectiveness at the post-treatment evaluation was age of onset (b = −0.27, p = .025). The effect of MCT in reducing self-certainty was stronger in women (b = −3.26, p = .018) and in individuals with average or above average baseline self-esteem (b = −0.30, p = .007). Overall, our findings support the generalization of MCT to a variety of sociodemographic and clinical profiles. While some patient profiles may require targeted interventions such as MCT to improve cognitive insight, others may do equally as well with less demanding interventions such as a psychoeducational group.
KW - Cognitive insight
KW - First-episode psychosis
KW - Gender
KW - Metacognitive training
KW - Moderators
UR - http://www.scopus.com/inward/record.url?scp=85108703468&partnerID=8YFLogxK
U2 - 10.1016/j.jpsychires.2021.06.040
DO - 10.1016/j.jpsychires.2021.06.040
M3 - Article
C2 - 34186271
AN - SCOPUS:85108703468
SN - 0022-3956
VL - 141
SP - 104
EP - 110
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
ER -