Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia.
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| Title: | Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia. |
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| Authors: | Jong, Steven (AUTHOR), Hasson‐Ohayon, Ilanit (AUTHOR), Donkersgoed, Rozanne J.M. (AUTHOR), Timmerman, Marieke E. (AUTHOR), Gaag, Mark (AUTHOR), Aleman, Andre (AUTHOR), Marieke Pijnenborg, G.H. (AUTHOR), Lysaker, Paul H. (AUTHOR) |
| Source: | Clinical Psychology & Psychotherapy. Nov2019, Vol. 26 Issue 6, p650-660. 11p. 1 Diagram, 3 Charts, 2 Graphs. |
| Subjects: | Schizophrenia, Schizophrenia treatment, Cognitive therapy, Health outcome assessment, Treatment effectiveness |
| Abstract: | The degree to which a person recognizes their mental disorder, attributes symptoms to the disorder, and recognizes that treatment may be necessary is frequently referred to as clinical insight. The current study investigates whether clinical insight at baseline moderates the effects on metacognitive capacity of 40 sessions of metacognitive reflection and insight therapy among 35 participants with psychosis. Findings showed that clinical insight did not predict drop‐out from therapy. Multilevel analyses provided support for our hypotheses that insight at baseline significantly moderates metacognitive gains at both postmeasurement and follow‐up. Our findings demonstrate that lacking clinical insight substantially hampers the effect of this psychosocial intervention. We posit that research efforts should shift from developing interventions, which enhance clinical insight, to interventions, which are effective in absence of clinical insight. [ABSTRACT FROM AUTHOR] |
| Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 140158507 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Jong%2C+Steven%22">Jong, Steven</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hasson‐Ohayon%2C+Ilanit%22">Hasson‐Ohayon, Ilanit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Donkersgoed%2C+Rozanne+J%2EM%2E%22">Donkersgoed, Rozanne J.M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Timmerman%2C+Marieke+E%2E%22">Timmerman, Marieke E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaag%2C+Mark%22">Gaag, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aleman%2C+Andre%22">Aleman, Andre</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marieke+Pijnenborg%2C+G%2EH%2E%22">Marieke Pijnenborg, G.H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lysaker%2C+Paul+H%2E%22">Lysaker, Paul H.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Nov2019, Vol. 26 Issue 6, p650-660. 11p. 1 Diagram, 3 Charts, 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Schizophrenia%22">Schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22Schizophrenia+treatment%22">Schizophrenia treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The degree to which a person recognizes their mental disorder, attributes symptoms to the disorder, and recognizes that treatment may be necessary is frequently referred to as clinical insight. The current study investigates whether clinical insight at baseline moderates the effects on metacognitive capacity of 40 sessions of metacognitive reflection and insight therapy among 35 participants with psychosis. Findings showed that clinical insight did not predict drop‐out from therapy. Multilevel analyses provided support for our hypotheses that insight at baseline significantly moderates metacognitive gains at both postmeasurement and follow‐up. Our findings demonstrate that lacking clinical insight substantially hampers the effect of this psychosocial intervention. We posit that research efforts should shift from developing interventions, which enhance clinical insight, to interventions, which are effective in absence of clinical insight. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=140158507 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/cpp.2388 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 650 Subjects: – SubjectFull: Schizophrenia Type: general – SubjectFull: Schizophrenia treatment Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Treatment effectiveness Type: general Titles: – TitleFull: Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Jong, Steven – PersonEntity: Name: NameFull: Hasson‐Ohayon, Ilanit – PersonEntity: Name: NameFull: Donkersgoed, Rozanne J.M. – PersonEntity: Name: NameFull: Timmerman, Marieke E. – PersonEntity: Name: NameFull: Gaag, Mark – PersonEntity: Name: NameFull: Aleman, Andre – PersonEntity: Name: NameFull: Marieke Pijnenborg, G.H. – PersonEntity: Name: NameFull: Lysaker, Paul H. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 10633995 Numbering: – Type: volume Value: 26 – Type: issue Value: 6 Titles: – TitleFull: Clinical Psychology & Psychotherapy Type: main |
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