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Clinical and cognitive factors associated to insight in first psychotic episodes

Published online by Cambridge University Press:  27 August 2024

T. Gonzalez Salvador ,
I. Cabello Rojano ,
S. Boi ,
R. Gutierrez Labrador  and
P. R. Capilla
T. Gonzalez Salvador*
Affiliation:
1Psiquiatría, Hospital Universitario Puerta de Hierro
I. Cabello Rojano
Affiliation:
2Medicina Interna, Hospital Infanta Sofía
S. Boi
Affiliation:
1Psiquiatría, Hospital Universitario Puerta de Hierro
R. Gutierrez Labrador
Affiliation:
3Psiquiatría, Hospital Universitario Infanta Sofía
P. R. Capilla
Affiliation:
4Psiquiatría, Hospital La Paz, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Insight is a field of interest in psychosis, due to its influence on the course and prognosis of the desease and as well as adherence to treatment.

Objectives

The present work aims to evaluate the influence of cognitive and psychopathological variables on awareness of illness in first psychotic episodes.

Methods

It is a cross-sectional study of a sample of 26 patients with diagnosis of a first psychotic episode admitted in a Brief Hospitalization Unit, who have been evaluated using the Positive and Negative Symptom Scale (PANSS), the Screening for Cognitive Impairment (SCIP) and the Scale of Non-awareness of Mental Disorder (SUMD).

Results

A positive correlation was found between SUMD and negative PANSS (the worse insight, the greater negative psychopathology) and between the level of cognitive performance and the awareness of having negative symptoms (affective blunting, anhedonia and associability) and their attribution to the desease.

Conclusions

This findings suggest the importance of addressing awareness of negative symptoms from the first episodes in psychoeducational family therapy and rehabilitation programs, taking into account that this process is hindered by the cognitive dysfunctions.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S746
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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