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The COGINS: A New Measure of Cognitive Insight in Obsessive-Compulsive and Related Disorders
Catherine Ouellet-Courtois1, Jean-Sébastien Audet2, Frederick Aardema3,4
1Mood and Anxiety Program, McGill University Health Centre, Montreal, QC, Canada.
Journal of Cognitive Psychotherapy
|April 17, 2024
Summary
A new scale, the Cognitive Obsessional Insight Scale (COGINS), effectively measures cognitive insight in obsessive-compulsive and related disorders (OCRDs). This tool aids in understanding how insight impacts treatment response for individuals with OCRDs.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Lower insight in obsessive-compulsive and related disorders (OCRDs) is linked to poorer cognitive behavioral therapy (CBT) outcomes.
- Existing literature shows inconsistencies in defining and measuring insight within OCRDs.
- Novel measurement tools are needed to clarify the role of cognitive insight in treatment response.
Purpose of the Study:
- To evaluate the psychometric properties of the Cognitive Obsessional Insight Scale (COGINS), a new self-report measure.
- To assess the reliability and validity of COGINS in a clinical population with OCRDs.
- To determine if COGINS can predict treatment response in individuals with OCRDs.
Main Methods:
- 166 participants diagnosed with obsessive-compulsive disorder or body dysmorphic disorder were recruited.
- Participants completed the COGINS and other questionnaires at baseline and posttreatment.
- Psychometric analyses included internal consistency, test-retest reliability, and convergent validity.
Main Results:
- The COGINS demonstrated strong internal consistency and test-retest reliability.
- Convergent validity was confirmed through associations with other insight measures and OCRD symptomatology.
- COGINS scores moderated the effect of treatment on symptom reduction.
Conclusions:
- The Cognitive Obsessional Insight Scale (COGINS) is a valid and reliable instrument for measuring cognitive insight in OCRDs.
- COGINS can aid in clarifying the role of cognitive insight in the treatment of OCRDs.
- This scale may help personalize treatment strategies for individuals with OCRDs based on their level of insight.
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