School of Psychological Sciences, University of Indianapolis, 1400 E Hanna Ave, Indianapolis, IN 46227, USA.
School of Psychological Sciences, University of Indianapolis, 1400 E Hanna Ave, Indianapolis, IN 46227, USA.
Psychiatry Res. 2015 Dec 30;230(3):839-45. doi: 10.1016/j.psychres.2015.10.014. Epub 2015 Nov 6.
Cognitive insight is implicated in the formation and maintenance of hallucinations and delusions. However, it is not yet known whether cognitive insight relates to broader outcome measures like quality of life. In the current study, we investigated whether the component elements of cognitive insight-self-certainty and self-reflectiveness-were related to quality of life for 43 outpatients with schizophrenia or schizoaffective disorder. Cognitive insight was assessed using the Beck Cognitive Insight Scale (BCIS) while quality of life was assessed with Quality of Life Scale (QLS). We tested whether this relationship was moderated by clinical insight and symptom severity using the Scale to Assess Unawareness of Mental Disorder (SUMD) and the Positive and Negative Syndrome Scale (PANSS). We found that self- reflectiveness had an unmoderated positive relationship with quality of life. Self-certainty was associated with better quality of life for people with more severe symptoms. Theoretical and clinical implications of these findings are discussed and areas of future research are proposed.
认知洞察力与幻觉和妄想的形成和维持有关。然而，目前尚不清楚认知洞察力是否与更广泛的结果衡量标准（如生活质量）有关。在本研究中，我们调查了认知洞察力的组成部分——自我确信和自我反思——是否与 43 名精神分裂症或分裂情感障碍患者的生活质量有关。使用贝克认知洞察力量表（BCIS）评估认知洞察力，使用生活质量量表（QLS）评估生活质量。我们使用精神障碍觉察量表（SUMD）和阳性和阴性综合征量表（PANSS）测试了这种关系是否受临床洞察力和症状严重程度的调节。我们发现，自我反思与生活质量呈正相关。对于症状更严重的人来说，自我确信与更好的生活质量有关。讨论了这些发现的理论和临床意义，并提出了未来研究的领域。
