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Autor/inn/enWaldorf, Manuel; Pruß, Linda; Wiedl, Karl H.
TitelIs There More to Insight into Illness in Schizophrenia than Cognition? A Study Applying the Dynamic Wisconsin Card Sorting Test
QuelleIn: Journal of Cognitive Education and Psychology, 16 (2017) 1, S.94-106 (13 Seiten)Infoseite zur Zeitschrift
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1945-8959
DOI10.1891/1945-8959.16.1.94
SchlagwörterSchizophrenia; Etiology; Abstract Reasoning; Cognitive Ability; Executive Function; Cognitive Tests; Patients; Predictor Variables; Metacognition; Wisconsin Card Sorting Test
AbstractImpaired insight is common in schizophrenia. Etiological models focusing on single determinants have not succeeded in explaining insight deficits. More complex models seem promising. This study tests Startup's (1996) model of insight and cognition, predicting a curvilinear relationship and specific insight-cognition configurations. Patients with schizophrenia diagnoses (N 248) were assessed with the Dynamic Wisconsin Card Sorting Test (WCSTdyn) and measures of psychopathology and premorbid intelligence. In a regression model connecting insight and WCSTdyn, the linear and quadratic term accounted for a small but significant proportion of variance. Cluster analysis yielded two cognitively high-functioning groups differing in insight and a group with impaired cognition and reduced insight. Results support Startup's framework of multiple barriers to insight. Cognitive deficits seem to be one insight-limiting factor, but motivational influences on insight cannot be excluded. Research on therapeutic interventions should take these different pathways into account. (As Provided).
AnmerkungenSpringer Publishing Company. 11 West 42nd Street 15th Floor, New York, NY 10036. Tel: 877-687-7476; Tel: 212-431-4370; Fax: 212-941-7842; e-mail: subscriptions@springerpub.com; Web site: http://www.springerpub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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