Lentis Research, Groningen, The Netherlands.
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.
Clin Psychol Psychother. 2019 Nov;26(6):650-660. doi: 10.1002/cpp.2388. Epub 2019 Aug 8.
The degree to which a person recognizes their mental disorder, attributes symptoms to the disorder, and recognizes that treatment may be necessary is frequently referred to as clinical insight. The current study investigates whether clinical insight at baseline moderates the effects on metacognitive capacity of 40 sessions of metacognitive reflection and insight therapy among 35 participants with psychosis. Findings showed that clinical insight did not predict drop-out from therapy. Multilevel analyses provided support for our hypotheses that insight at baseline significantly moderates metacognitive gains at both postmeasurement and follow-up. Our findings demonstrate that lacking clinical insight substantially hampers the effect of this psychosocial intervention. We posit that research efforts should shift from developing interventions, which enhance clinical insight, to interventions, which are effective in absence of clinical insight.
一个人对其精神障碍的认知程度、将症状归因于该障碍以及认识到治疗的必要性，通常被称为临床洞察力。本研究调查了基线时的临床洞察力是否会影响 35 名精神病患者接受 40 次元认知反思和洞察治疗对元认知能力的影响。研究结果表明，临床洞察力并不能预测治疗的脱落率。多层次分析支持了我们的假设，即基线时的洞察力显著调节了后测和随访时的元认知收益。我们的研究结果表明，缺乏临床洞察力会极大地阻碍这种心理社会干预的效果。我们假设，研究工作应该从开发增强临床洞察力的干预措施转移到开发在缺乏临床洞察力的情况下仍然有效的干预措施。
