The relationship between clinical characteristics, metacognitive appraisals, and cognitive insight
in patients with obsessive-compulsive disorder
Engelsk titel: The relationship between clinical characteristics, metacognitive appraisals, and cognitive insight
in patients with obsessive-compulsive disorder
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Författare:
Ekinci, Okan
;
Ekinci, Asli
Email: drokanekinci@yahoo.com
Språk: Eng
Antal referenser: 48
Dokumenttyp:
Artikel
UI-nummer: 16123692
Sammanfattning
Background: Cognitive insight, a recently developed insight measure, refers to metacognitive
processes
of the re-evaluation and correction of distorted beliefs and misinterpretations. However, to the best of
the authors’ knowledge, no study has specifically examined cognitive insight, demographics,
psychopathological
variables, and distorted beliefs in OCD.
Aim: The aim of this research was to examine links between cognitive insight and demographics,
clinical
factors, and distorted beliefs among patients with OCD.
Method: Eighty-four consecutive outpatients with a diagnosis of OCD underwent a detailed clinical
assessment for OCD, including the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck
Cognitive
Insight Scale (BCIS), Thought-Action Fusion Scale (TAFS), White Bear Thought Suppression Inventory,
Metacognition Questioniarre-30 (MCQ-30), and a sociodemographic questionnaire. In addition, 82
control
subjects matched for age, education, and gender were tested.
Results: BCIS-self-certainty scores were all substantially higher in subjects with remitted and
unremitted
OCD than in healthy comparison subjects, while BCIS-composite scores were significantly lower in
both
patient groups than controls. Obsession and compulsion severity had significant effects on BCIS
scores.
In addition, it was found that the specific symptoms were linked to self-certainty scores. Self-
reflectiveness
and composite scores had positive correlations with the sub-scale scores of the MCQ-30, while the
TAF-morality score was positively correlated with self-certainty scores.
Conclusion: The results demonstrated poor cognitive insight among remitted and unremitted OCD
patients. In addition, the present study suggested significant associations between
sociodemographic
and clinical features and dysfunctional appraisals. Cognitive-behavioural techniques aimed at
enhancing
cognitive insight may be beneficial for patients with OCD, particularly patients who have prominent
dysfunctional beliefs.