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Examining the relationship between cognitive factors and insight in panic disorder before and during treatment.

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Title: Examining the relationship between cognitive factors and insight in panic disorder before and during treatment.
Authors: Halaj, Asala (AUTHOR), Strauss, Asher Y. (AUTHOR), Zalaznik, Dina (AUTHOR), Fradkin, Isaac (AUTHOR), Zlotnick, Elad (AUTHOR), Andersson, Gerhard (AUTHOR), Ebert, David Daniel (AUTHOR), Huppert, Jonathan D. (AUTHOR)
Source: Cognitive Behaviour Therapy. Jul2023, Vol. 52 Issue 4, p331-346. 16p. 3 Charts.
Subjects: Cognitive therapy, Panic disorders, Cognitive flexibility, Metacognition
Abstract: Individuals with Panic Disorder (PD) often have impaired insight, which can impede their willingness to seek treatment. Cognitive processes, including metacognitive beliefs, cognitive flexibility, and jumping to conclusions (JTC) may influence the degree of insight. By understanding the relationship between insight and these cognitive factors in PD, we can better identify individuals with such vulnerabilities to improve their insight. The aim of this study is to examine the relationships between metacognition, cognitive flexibility, and JTC with clinical and cognitive insight at pretreatment. We investigate the association among those factors' changes and changes in insight over treatment. Eighty-three patients diagnosed with PD received internet-based cognitive behavior therapy. Analyses revealed that metacognition was related to both clinical and cognitive insight, and cognitive flexibility was related to clinical insight at pre-treatment. Greater changes in metacognition were correlated with greater changes in clinical insight. Also, greater changes in cognitive flexibility were related to greater changes in cognitive insight. The current study extends previous studies suggesting potential relationships among insight, metacognition, and cognitive flexibility in PD. Determining the role of cognitive concepts in relation to insight may lead to new avenues for improving insight and can have implications for engagement and treatment-seeking behaviors. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd 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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  Data: Examining the relationship between cognitive factors and insight in panic disorder before and during treatment.
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  Data: <searchLink fieldCode="AR" term="%22Halaj%2C+Asala%22">Halaj, Asala</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strauss%2C+Asher+Y%2E%22">Strauss, Asher Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zalaznik%2C+Dina%22">Zalaznik, Dina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fradkin%2C+Isaac%22">Fradkin, Isaac</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zlotnick%2C+Elad%22">Zlotnick, Elad</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andersson%2C+Gerhard%22">Andersson, Gerhard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ebert%2C+David+Daniel%22">Ebert, David Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huppert%2C+Jonathan+D%2E%22">Huppert, Jonathan D.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Cognitive+Behaviour+Therapy%22">Cognitive Behaviour Therapy</searchLink>. Jul2023, Vol. 52 Issue 4, p331-346. 16p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Panic+disorders%22">Panic disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+flexibility%22">Cognitive flexibility</searchLink><br /><searchLink fieldCode="DE" term="%22Metacognition%22">Metacognition</searchLink>
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  Data: Individuals with Panic Disorder (PD) often have impaired insight, which can impede their willingness to seek treatment. Cognitive processes, including metacognitive beliefs, cognitive flexibility, and jumping to conclusions (JTC) may influence the degree of insight. By understanding the relationship between insight and these cognitive factors in PD, we can better identify individuals with such vulnerabilities to improve their insight. The aim of this study is to examine the relationships between metacognition, cognitive flexibility, and JTC with clinical and cognitive insight at pretreatment. We investigate the association among those factors' changes and changes in insight over treatment. Eighty-three patients diagnosed with PD received internet-based cognitive behavior therapy. Analyses revealed that metacognition was related to both clinical and cognitive insight, and cognitive flexibility was related to clinical insight at pre-treatment. Greater changes in metacognition were correlated with greater changes in clinical insight. Also, greater changes in cognitive flexibility were related to greater changes in cognitive insight. The current study extends previous studies suggesting potential relationships among insight, metacognition, and cognitive flexibility in PD. Determining the role of cognitive concepts in relation to insight may lead to new avenues for improving insight and can have implications for engagement and treatment-seeking behaviors. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd 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=164198930
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        Value: 10.1080/16506073.2023.2179539
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              Text: Jul2023
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