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Implicit and explicit self-related processing in relation to insight in patients with schizophrenia
Annerieke E de Vos1, Gerdina H M Pijnenborg, André Aleman
1a Department of Psychotic Disorders , GGZ Drenthe , Assen , the Netherlands.
Cognitive Neuropsychiatry
|May 29, 2015
Summary
Cognitive insight in schizophrenia patients is linked to how they process implicit and explicit feedback. Good cognitive insight improved working memory with positive cues, while poor insight worsened it.
Area of Science:
- Cognitive Neuroscience
- Psychiatry
Background:
- Self-related processing (SRP) is linked to clinical and cognitive insight.
- Investigated the relationship between implicit SRP (ISRP) and explicit SRP (ESRP) and insight in schizophrenia.
Purpose of the Study:
- Hypothesized impaired insight relates to how implicit feedback is incorporated into self-image and influences behavior.
- Hypothesized impaired insight relates to handling explicit feedback and guiding subsequent behavior.
Main Methods:
- 34 schizophrenia patients and 23 healthy controls assessed with insight scales.
- ISRP measured via a working memory two-back priming task.
- ESRP measured using an adapted Wisconsin Card Sorting Task with explicit feedback.
Main Results:
- Cognitive insight positively associated with ISRP after implicit positive cues.
- Both clinical and cognitive insight positively associated with adjusting performance based on explicit feedback.
- Cognitive insight more strongly associated with overall task performance.
Conclusions:
- Positive cues improved working memory in good cognitive insight patients, worsened in impaired insight patients.
- Adequate use of feedback appears to be a capacity related to insight.
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