Does the Beck Cognitive Insight Scale Predict Response to Cognitive Remediation in Schizophrenia?

TitleDoes the Beck Cognitive Insight Scale Predict Response to Cognitive Remediation in Schizophrenia?
Publication TypeJournal Article
Year of Publication2016
AuthorsBenoit A, Harvey P-O, Bherer L, Lepage M
JournalSchizophr Res Treatment
Volume2016
Pagination6371856
Date Published2016
ISSN2090-2085
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.

DOI10.1155/2016/6371856
Alternate JournalSchizophr Res Treatment
PubMed ID27516906
PubMed Central IDPMC4969539