0000000000188401
AUTHOR
Kati Aho-mustonen
Cognitive Insight, Clinical Insight, and Reasoning in Schizophrenia : A Pilot Study in a Forensic Setting
This pilot study of 20 chronically ill male inpatients with schizophrenia and a history of violence investigates the relationships between cognitive insight, clinical insight, reasoning, and symptoms in a forensic setting. The majority (75%) of the patients with schizophrenia made hasty decisions based on a small amount of information (the jumping-to-conclusion bias, JTC). In addition, the data suggested that the more information patients gather, the more clinical insight they have and the less distressed they are by their symptoms. However, neither cognitive nor clinical insight were found to be statistically significantly associated with symptoms. The Beck Cognitive Insight Scale (BCIS) s…
A Pilot Study of Group Administered Metacognitive Training (MCT) for Schizophrenia Patients in a High-Security Forensic Setting: Subjective Training Success and Health-Related Quality of Life
Metacognitive group training (MCT) for psychosis has showed promising effects on positive symptoms of schizophrenia, even in forensic settings. Its effect on health-related quality of life (HRQOL) or patient perspective of it has not been studied before in violent inpatients. This pilot study investigated the patient perspective of the MCT, assessed the intervention’s effects on HRQOL compared with the control group, and compared the patients’ HRQOL with that of the general population. Twenty male violent inpatients with schizophrenia participated and were randomized to the eight-session MCT or to treatment as usual. The participants’ HRQOL was assessed at baseline, at posttreatment, and 3 …