The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
Por:
Espinosa V, Naides, N., López-Carrilero R, Vila R, Colomer A, Barajas A, Maria Luisa Barrigon Estevez, Birulés-Muntané I, Butjosa A, Diaz L, del Cacho N, Frigola Capell, Eva, González Higueras, Fermín, Eva Maria Grasa Bello, Jose Alfonso Gutierrez Zotes, ESTHER LORENTE ROVIRA, Moreno Kustner, Berta, Peláez MT, Esther Pousa Tomas, Ruiz Delgado, Isabel, Serra C, Verdaguer M, Group Profep Spanish Metacognition Group, Usall J and Ochoa S
Publicada:
14 feb 2024
Ahead of Print:
1 feb 2024
Aceptada:
16 ene 2024
Resumen:
PurposePrevious studies have investigated the role of gender in clinical symptoms, social functioning, and neuropsychological performance in people with first-episode psychosis (FEP). However, the evidence of gender differences for metacognition in subjects with FEP is still limited and controversial. The aim of the present study was to explore gender differences in cognitive insight and cognitive biases in this population.MethodsCross-sectional study was carried out in a sample of 104 patients with FEP (35 females and 69 males) recruited from mental health services. Symptoms were assessed with the Positive and Negative Syndrome Scale, cognitive insight with the Beck Cognitive Insight Scale, and cognitive bias by the Cognitive Biases Questionnaire for Psychosis. The assessment also included clinical and sociodemographic characteristics.ResultsAfter controlling for potential confounders (level of education, marital status, and duration of psychotic illness) analysis of covariance revealed that males presented greater self-reflectiveness (p = 0.004) when compared to females. However, no significant differences were found in self-certainty and composite index of the cognitive insight scale, as in the cognitive biases assessed.ConclusionsGender was an independent influence factor for self-reflectiveness, being better for males. Self-reflectiveness, if shown to be relatively lacking in women, could contribute to the design of more gender-sensitive and effective psychotherapeutic treatments, as being able to self-reflect predicts to better treatment response in psychosis.
Filiaciones:
Parc Sanitari St Joan de Deu, Res & Dev Unit, Edifici St Rafael,Primera
Planta C Dr Pujades 42, Sant Boi De Llobregat, Barcelona, Spain
Fundacio St Joan de Deu, Esplugas de Llobregat, Barcelona, Spain
Inst Recerca St Joan Deu, Etiopatogenia Tractament Trastorns Mentals
Greus M, Esplugas de Llobregat, Barcelona, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid, Spain
Univ Autonoma Barcelona, Dept Psicol, Fac Psicol Clin Salut 1,
Cerdanyola Del Valles, Barcelona, Spain
Ctr Higiene Mental Corts, Dept Res, Barcelona, Spain
Univ Hosp Virgen Rocio, Dept Psychiat, Seville, Spain
Enfermera Area Gest Sanitaria Nordeste Granada, Granada, Spain
Univ Barcelona, Dept Cognicio Desenvolupament Psicol & Educ, Fac Psicol,
Barcelona, Spain
Univ Ramon Llull, Psychol Dept, FPCEE Blanquerna, Barcelona, Spain
Fundacio Inst Invest Biomed Girona Dr Josep Trueta, Mental Hlth & Addict
Res Grp, Girona, Spain
Inst Assistencia Sanitaria, Girona, Spain
Hosp Univ Jaen Serv Andaluz Salud, Jaen, Spain
Hosp Santa Creu & Sant Pau, Inst Invest Biomed St Pau IIB St Pau, Dept
Psychiat, Barcelona, Spain
Univ Rovira & Virgili, Hosp Univ Inst Pere Mata, Inst Invest Sanitaria
Pere Virgili, CERCA, Reus 43206, Spain
Hosp Clin Univ Valencia, Psychiat Serv, Valencia, Spain
IMABIS Fdn, Res Unit Dist Sanitario Malaga, Malaga, Spain
Unidad Salud Mental Comunitaria Malaga Norte, Malaga, Spain
Univ Barcelona, Barcelona, Spain
Univ Autonoma Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles
08193, Barcelona, Spain
FULL TEXT
 |
Accepted Version |
https://www.springer.com/gp/authors-editors/authorandreviewertutorials/open-access/copyright-and-license/10286528 |
|
|