Delusions are associated with low self-reflectiveness in first-episode psychosis.
Previous work on chronic psychosis patients has suggested that low self-reflectiveness and overconfidence in judgments may be associated with delusions. In the present study we evaluated whether this extends to a first-episode psychosis sample. Thirteen actively delusional and 53 non-delusional participants with a first-episode psychosis completed the Beck Cognitive Insight Scale. Relative to non-delusional participants, delusional participants endorsed greater self-reflectiveness, though their confidence in their judgments was the same as non-delusional participants. These results suggest that the capacity to self-reflect and refrain from overconfidence may interact with delusions differentially across multiple phases of psychosis. The cognitive system involved in self-reflectiveness may be important for delusional thinking during a first-episode psychosis.
Brain Imaging Group, Douglas Mental Health University Institute, 6875 LaSalle Blvd., Verdun, Quebec, Canada,
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L
Buchy
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Malla
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Joober
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Lepage
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D003702:Delusions / Q000209:etiology / Q000523:psychology*; D006801:Humans; D009483:Neuropsychological Tests; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000150:complications / Q000523:psychology*; D012565:Schizophrenic Psychology; D012649:Self Concept; D055815:Young Adult