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Schizophrenia Research and Treatment
Volume 2016, Article ID 6371856, 6 pages
http://dx.doi.org/10.1155/2016/6371856
Research Article

Does the Beck Cognitive Insight Scale Predict Response to Cognitive Remediation in Schizophrenia?

1Prevention and Early Intervention Program for Psychoses (PEPP-Montreal), Douglas Mental Health University Institute, 6875 LaSalle Boulevard, Montreal, QC, Canada H4H 1R3
2Psychology Department, UQAM, C.P. 8888 Succursale Centre-ville, Montreal, QC, Canada H3C 3P8
3Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, QC, Canada H3A 1A1
4PERFORM, Concordia University, 7200 Sherbrooke Street West, Montreal, QC, Canada H4B 1R6
5Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, 4545 Queen Mary Street, Montreal, QC, Canada H3W 1W4

Received 29 March 2016; Revised 7 June 2016; Accepted 20 June 2016

Academic Editor: Veena Kumari

Copyright © 2016 Audrey Benoit et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cognitive remediation therapy (CRT) has emerged as a viable treatment option for people diagnosed with schizophrenia presenting disabling cognitive deficits. However, it is important to determine which variables can influence response to CRT in order to provide cost-effective treatment. This study’s aim was to explore cognitive insight as a potential predictor of cognitive improvement after CRT. Twenty patients with schizophrenia completed a 24-session CRT program involving 18 hours of computer exercises and 6 hours of group discussion to encourage generalization of cognitive training to everyday activities. Pre- and posttest assessments included the CogState Research Battery and the Beck Cognitive Insight Scale (BCIS). Lower self-certainty on the BCIS at baseline was associated with greater improvement in speed of processing (; ) and visual memory (; ). The results of this study point out potential associations between self-certainty and cognitive improvement after CRT, a variable that can easily be measured in clinical settings to help evaluate which patients may benefit most from the intervention. They also underline the need to keep investigating the predictors of good CRT outcomes, which can vary widely between patients.