Is Personal Recovery in Schizophrenia Predicted by Low Cognitive Insight?
Abstract
Recovery is a widely discussed concept in the field of research, treatment, and public policy regarding serious mental illness, and mainly schizophrenia. Aim of our study was to assess the relationship between personal recovery and prediction variables, as psychopathology, neurocognition, clinical and cognitive insight, and social functioning in inpatients affected by schizophrenia, with a special interest on cognitive insight. We assessed 76 inpatients affected by schizophrenia at their hospital discharge. Instruments included the Beck Cognitive Insight Scale, the Insight Scale and the Recovery Assessment Scale to assess the cognitive and clinical insight, and personal recovery. The neurocognitive assessment was represented by a single factor score produced by a principal components analysis of a neurocognitive test battery. Social functioning was measured also. Low self-reflectiveness of cognitive insight represented the best predictors of personal recovery. The relationship between cognitive insight and recovery found in this study may contribute to develop tailored interventions, taking into account the personal sense of recovery, despite the psychopathological evaluation.
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Greater levels of cognitive insight are linked to heightened levels of depression, lower self-reported subjective recovery, and lower subjective quality of life.
“Greater levels of cognitive insight have also been linked to heightened levels of depression 77,86 , as well as lower levels of self-reported subjective recovery 89 and subjective quality of life 90 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [89]
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- Authors
- Giusti, L., Ussorio, D., Tosone, A., Di Venanzio, C., Bianchini, V., Necozione, S., Casacchia, M., & Roncone, R.
- Affiliations
- University of L'Aquila (IT)
- Corresponding author
- Roncone, Rita
- Venue
- Community Mental Health Journal
- Published
- 2014-07-27
- Volume
- 51
- Issue
- 1
- Pages
- 30-37
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- OpenAlex
- W1976508606
- Cited by
- 44
- References
- 61
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 8 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 3 · 2015: 2
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- personal recovery, schizophrenia, cognitive insight, clinical insight, neurocognitive function, social functioning, hospitalized patients, predictors of recovery, self-reflection, hospital discharge
- MeSH terms
- Adult, Aged, Cognition, Female, Hospitals, Psychiatric, Humans, Inpatients, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Recovery of Function, Principal Component Analysis, Young Adult
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