title: Does the Beck Cognitive Insight Scale Predict Response to Cognitive Remediation in Schizophrenia?
abstract: Cognitive remediation therapy (CRT) has emerged as a viable treatment option for people diagnosed with schizophrenia presenting disabling cognitive deficits. However, it is important to determine which variables can influence response to CRT in order to provide cost-effective treatment. This study's aim was to explore cognitive insight as a potential predictor of cognitive improvement after CRT. Twenty patients with schizophrenia completed a 24-session CRT program involving 18 hours of computer exercises and 6 hours of group discussion to encourage generalization of cognitive training to everyday activities. Pre- and posttest assessments included the CogState Research Battery and the Beck Cognitive Insight Scale (BCIS). Lower self-certainty on the BCIS at baseline was associated with greater improvement in speed of processing (r s = -0.48; p < 0.05) and visual memory (r s = -0.46; p < 0.05). The results of this study point out potential associations between self-certainty and cognitive improvement after CRT, a variable that can easily be measured in clinical settings to help evaluate which patients may benefit most from the intervention. They also underline the need to keep investigating the predictors of good CRT outcomes, which can vary widely between patients.
authors: Prevention and Early Intervention Program for Psychoses (PEPP-Montreal), Douglas Mental Health University Institute, 6875 LaSalle Boulevard, Montreal, QC, Canada H4H 1R3; Psychology Department, UQAM, C.P. 8888 Succursale Centre-ville, Montreal, QC, Canada H3C 3P8.
authors: Audrey
authors: 0000-0002-0120-5046
authors: A
authors: Benoit
authors: Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, QC, Canada H3A 1A1.
authors: Philippe-Olivier
authors: PO
authors: Harvey
authors: PERFORM, Concordia University, 7200 Sherbrooke Street West, Montreal, QC, Canada H4B 1R6; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, 4545 Queen Mary Street, Montreal, QC, Canada H3W 1W4.
authors: Louis
authors: 0000-0003-2258-8194
authors: L
authors: Bherer
authors: Prevention and Early Intervention Program for Psychoses (PEPP-Montreal), Douglas Mental Health University Institute, 6875 LaSalle Boulevard, Montreal, QC, Canada H4H 1R3; Psychology Department, UQAM, C.P. 8888 Succursale Centre-ville, Montreal, QC, Canada H3C 3P8; Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, QC, Canada H3A 1A1.
authors: Martin
authors: 0000-0003-4345-6502
authors: M
authors: Lepage