4.7 Article

Theory of mind correlates with clinical insight but not cognitive insight in patients with schizophrenia

Journal

PSYCHIATRY RESEARCH
Volume 237, Issue -, Pages 188-195

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2016.01.044

Keywords

Clinical insight; Cognitive insight; Theory of mind; Schizophrenia

Categories

Funding

  1. National Science Fund China Outstanding Investigator Award [81088001]
  2. Beijing Training Project for the Leading Talents in ST [Z151100000315020]
  3. Key Laboratory of Mental Health, Institute of Psychology
  4. CAS/SAFEA International Partnership Programme for Creative Research Teams [Y2CX131003]

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Research on the relationship between insight and social cognition, in particular Theory of Mind (ToM), in schizophrenia has yielded mixed findings to date. Very few studies, however, have assessed both clinical insight and cognitive insight when examining their relationships with ToM in schizophrenia. The current study thus investigated the relationship between clinical insight, cognitive insight, and ToM in a sample of 56 patients with schizophrenia and 30 healthy controls. Twenty-seven patients were classified as low in clinical insight according to their scores on the 'insight' item (G12) of the Positive and Negative Syndrome Scale (PANSS). Moreover, cognitive insight and ToM were assessed with the Beck Cognitive Insight Scale (BCIS) and the Yoni task, respectively. The results indicated that patients with poor clinical insight performed worse on taslcs of second-order cognitive and affective ToM, while the ToM performance of patients with high clinical insight was equivalent to that of healthy controls. Furthermore, while clinical insight was correlated with ToM and clinical symptoms, cognitive insight did not correlate with clinical insight, ToM, or clinical symptoms. Clinical insight thus appears to be an important factor related to ToM in schizophrenia. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

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