title: Differential associations of cognitive insight components with pretreatment characteristics in first-episode psychosis.
abstract: An increasing number of studies have focused on cognitive insight (i.e. awareness of one's own thinking) in psychotic disorders. However, little is known about the premorbid and pretreatment correlates of cognitive insight in the early course of psychosis. One hundred and three patients experiencing first-episode psychosis (FEP) were assessed shortly after treatment initiation for cognitive insight. Pretreatment and baseline clinical, functional and neurocognitive characteristics were examined. The self-reflectiveness dimension of cognitive insight was independently associated with clinical insight and executive functioning, whereas self-certainty was associated with premorbid IQ, premorbid academic adjustment and clinical insight. The amount of variance explained by the independent variables was small to moderate. Self-reflectiveness and self-certainty have differential pretreatment correlates in FEP and may reflect separate cognitive processes which require targeted interventions.
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain. Electronic address: cesar.gonzalezblanch@scsalud.es.
authors.forename: César
authors.initials: C
authors.lastname: González-Blanch
authors.affiliation: Orygen Youth Health Research Center, Center for Youth Mental Health, University of Melbourne, Melbourne, Australia.
authors.forename: Mario
authors.initials: M
authors.lastname: Álvarez-Jiménez
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain; CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Madrid, Spain.
authors.forename: Rosa
authors.initials: R
authors.lastname: Ayesa-Arriola
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain.
authors.forename: Obdulia
authors.initials: O
authors.lastname: Martínez-García
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain.
authors.forename: Gema
authors.initials: G
authors.lastname: Pardo-García
authors.affiliation: CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Madrid, Spain; Section of Psychiatry and Psychological Medicine, Department of Medicine, University of Valencia Medical School, Valencia, Spain.
authors.forename: Vicent
authors.initials: V
authors.lastname: Balanzá-Martínez
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain; CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Madrid, Spain.
authors.forename: Paula
authors.initials: P
authors.lastname: Suárez-Pinilla
authors.affiliation: Psychiatry Research Unit of Cantabria, IFIMAV, University Hospital "Marqués de Valdecilla", Santander, Spain; CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Madrid, Spain.
authors.forename: Benedicto
authors.initials: B
authors.lastname: Crespo-Facorro
mesh_terms: D000328:Adult; D001364:Awareness; D003071:Cognition; D003430:Cross-Sectional Studies; D056344:Executive Function; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D011618:Psychotic Disorders / Q000523:psychology*; D012649:Self Concept; D012917:Social Adjustment; D055815:Young Adult
keywords: First-episode psychosis; Insight; Neurocognition; Pre-morbid; Schizophrenia