Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals

Background: This study examines whether cognitive insight is impaired in high-risk individuals with attenuated psychotic symptoms (APS) and explores the relationship between cognitive and clinical insight at different durations of untreated attenuated psychotic symptoms (DUAPS).Methods: The Structur...

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Autores principales:	LiHua Xu, Mei Zhang, ShuQing Wang, YanYan Wei, HuiRu Cui, ZhenYing Qian, YingChan Wang, XiaoChen Tang, YeGang Hu, YingYing Tang, TianHong Zhang, JiJun Wang
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	cognitive insight clinical insight clinical high risk for psychosis schizophrenia spectrum disorders duration of untreated attenuated psychotic symptoms Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/3f29628c26ee4653bda8b6e67ca13c17
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spelling	oai:doaj.org-article:3f29628c26ee4653bda8b6e67ca13c172021-11-18T12:35:50ZRelationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals1664-064010.3389/fpsyt.2021.753130https://doaj.org/article/3f29628c26ee4653bda8b6e67ca13c172021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.753130/fullhttps://doaj.org/toc/1664-0640Background: This study examines whether cognitive insight is impaired in high-risk individuals with attenuated psychotic symptoms (APS) and explores the relationship between cognitive and clinical insight at different durations of untreated attenuated psychotic symptoms (DUAPS).Methods: The Structured Interview for Psychosis high-risk Syndrome (SIPS) was used to identify APS individuals. APS (n = 121) and healthy control (HC, n = 87) subjects were asked to complete the Beck Cognitive Insight Scale (BCIS). Clinical insight of APS individuals was evaluated using the Schedule for Assessment of Insight (SAI). APS individuals were classified into four subgroups based on DUAPS, including 0–3, 4–6, 7–12, and >12 months. Power analysis for significant correlation was conducted using the WebPower package in R.Results: Compared with HC subjects, APS individuals showed poorer cognitive insight, with lower scores on BCIS self-reflectiveness and composite index (BCIS self-reflectiveness minus BCIS self-certainty). Only when DUAPS was longer than 12 months did the significant positive correlation between cognitive and clinical insight obtain the power about 0.8, including the associations between self-reflectiveness and awareness of illness, self-reflectiveness and the total clinical insight, and composite index and awareness of illness. The positive associations of composite index with awareness of illness within 0–3 months DUAPS and with the total score of SAI when DUAPS > 12 months were significant but failed to obtain satisfactory power.Conclusions: APS individuals may have impaired cognitive insight, demonstrating lower self-reflectiveness. The correlation between cognitive and clinical insight is associated with the duration of untreated attenuated psychotic symptoms.LiHua XuMei ZhangShuQing WangYanYan WeiHuiRu CuiZhenYing QianYingChan WangXiaoChen TangYeGang HuYingYing TangTianHong ZhangJiJun WangJiJun WangJiJun WangFrontiers Media S.A.articlecognitive insightclinical insightclinical high risk for psychosisschizophrenia spectrum disordersduration of untreated attenuated psychotic symptomsPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognitive insight clinical insight clinical high risk for psychosis schizophrenia spectrum disorders duration of untreated attenuated psychotic symptoms Psychiatry RC435-571
spellingShingle	cognitive insight clinical insight clinical high risk for psychosis schizophrenia spectrum disorders duration of untreated attenuated psychotic symptoms Psychiatry RC435-571 LiHua Xu Mei Zhang ShuQing Wang YanYan Wei HuiRu Cui ZhenYing Qian YingChan Wang XiaoChen Tang YeGang Hu YingYing Tang TianHong Zhang JiJun Wang JiJun Wang JiJun Wang Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
description	Background: This study examines whether cognitive insight is impaired in high-risk individuals with attenuated psychotic symptoms (APS) and explores the relationship between cognitive and clinical insight at different durations of untreated attenuated psychotic symptoms (DUAPS).Methods: The Structured Interview for Psychosis high-risk Syndrome (SIPS) was used to identify APS individuals. APS (n = 121) and healthy control (HC, n = 87) subjects were asked to complete the Beck Cognitive Insight Scale (BCIS). Clinical insight of APS individuals was evaluated using the Schedule for Assessment of Insight (SAI). APS individuals were classified into four subgroups based on DUAPS, including 0–3, 4–6, 7–12, and >12 months. Power analysis for significant correlation was conducted using the WebPower package in R.Results: Compared with HC subjects, APS individuals showed poorer cognitive insight, with lower scores on BCIS self-reflectiveness and composite index (BCIS self-reflectiveness minus BCIS self-certainty). Only when DUAPS was longer than 12 months did the significant positive correlation between cognitive and clinical insight obtain the power about 0.8, including the associations between self-reflectiveness and awareness of illness, self-reflectiveness and the total clinical insight, and composite index and awareness of illness. The positive associations of composite index with awareness of illness within 0–3 months DUAPS and with the total score of SAI when DUAPS > 12 months were significant but failed to obtain satisfactory power.Conclusions: APS individuals may have impaired cognitive insight, demonstrating lower self-reflectiveness. The correlation between cognitive and clinical insight is associated with the duration of untreated attenuated psychotic symptoms.
format	article
author	LiHua Xu Mei Zhang ShuQing Wang YanYan Wei HuiRu Cui ZhenYing Qian YingChan Wang XiaoChen Tang YeGang Hu YingYing Tang TianHong Zhang JiJun Wang JiJun Wang JiJun Wang
author_facet	LiHua Xu Mei Zhang ShuQing Wang YanYan Wei HuiRu Cui ZhenYing Qian YingChan Wang XiaoChen Tang YeGang Hu YingYing Tang TianHong Zhang JiJun Wang JiJun Wang JiJun Wang
author_sort	LiHua Xu
title	Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
title_short	Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
title_full	Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
title_fullStr	Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
title_full_unstemmed	Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals
title_sort	relationship between cognitive and clinical insight at different durations of untreated attentional psychotic symptoms in high-risk individuals
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/3f29628c26ee4653bda8b6e67ca13c17
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Relationship Between Cognitive and Clinical Insight at Different Durations of Untreated Attentional Psychotic Symptoms in High-Risk Individuals

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