Cognitive insight in schizophrenia patients and their biological parents: A pilot study
Abstract
Background Clinical insight in schizophrenia patients is partly associated with familial environment but has been poorly studied to date. We aimed to explore (1) the relationship between parents' cognitive insight and their offspring's; (2) the relationship between parents' cognitive insight and their clinical insight into the disease of their offspring; and (3) the clinical and cognitive determinants of cognitive insight in parents.Methods Cognitive insight was assessed in 37 patient-biological parent pairs/dyads with the Beck Cognitive Insight Scale (BCIS). Other measures included the Scale to assess Unawareness of Mental Disorder and cognitive assessments.Results We found no significant association between parents' cognitive insight and their offspring's. Conversely, a positive association between parents' cognitive insight and parents' insight into their offspring's symptoms was found. Better awareness of their offspring's specific symptoms was associated with lower levels of overconfidence in one's beliefs and with BCIS total score. BCIS Self-Certainty and BCIS total score were associated with better executive functioning and verbal comprehension.Conclusions Better insight into their offspring's symptoms is associated with cognitive insight in biological parents of schizophrenia patients. Our results support the integration of cognitive intervention targeting parents' cognitive flexibility in family psychoeducational programs and provide an important first step towards developing a more refined understanding of the factors involved in insight into symptoms of illness in parents of schizophrenia patients.
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In parents of adult patients, better cognitive insight is related to better clinical insight in the patients themselves.
“Raffard et al 159 found that better cognitive insight in the parents of adult patients was related to better clinical insight in the patients themselves.”
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 [159]
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- Authors
- Raffard, S., Bortolon, C., Macgregor, A., Norton, J., Boulenger, J.-P., El Haj, M., & Capdevielle, D.
- Affiliations
- Université de Montpellier (FR)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Inserm (FR)
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 159
- Issue
- 2-3
- Pages
- 471-477
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2009767626
- Cited by
- 10
- References
- 48
- Citations by year
- 2019: 1 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 1
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- cognitive insight, schizophrenia
- MeSH terms
- Adult, Aged, Awareness, Cognition, Female, Humans, Male, Middle Aged, Parents, Pilot Projects, Schizophrenia, Comprehension, Young Adult, Executive Function
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