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Korean Journal of Schizophrenia Research 2007;10(1):24-31.
정신분열병에서 인지적 병식과 신경인지기능, 심리적 방어의 관계: Beck Cognitive Insight Scale을 사용한 연구
Hyoun Jeong Kim, MD, Jin Hun Kim, MD, Sung-Hyouk Park, MD, An Gi Chang, MD, Eun Kee Chung, MD, PhD and Dong-Won Chang, MD, PhD
Objectives:An increasing number of studies have observed poor clinical insight to be a reflection of neurocognitive dysfunction in schizophrenia. We examined whether cognitive insight as well as clinical insight were associated with a neurocognitive or psychological defensiveness problem.
Methods:Forty-five participants with schizophrenia underwent an assessment of insight, psychotic symptoms, neurocognitive function and psychological defensiveness: the Korean version of the Beck Cognitive Insight Scale (BCIS-K), the Korean version of the Scale to Assess Unawareness of Mental Disorder (SUMD-K), PANSS, scales L (Lie) and K (Correction) from the Minnesota Multiphasic Personality Inventory (MMPI) and neuropsychological battery. MMPI scales L and K were presumed to be indicative of psychological defensiveness and denial of problems. Additionally, 29 participants with schizophrenia underwent a same assessment except neuropsychological battery. Additional cases were tested TMT B instead of neuropsychological battery.
Resultsshowed that BCIS-K was significantly correlated with MMPI scales L and K (BCIS-K composite index and MMPI L and K: r=-.460, p<.01;r=-.335, p<.01;BCIS-K self-reflectiveness and MMPI L and K: r=-.498, p<.01; r=-.521, p<.01;BCIS-K self-certainty and MMPI K: r=-.259, p<.05). No correlation between BCIS-K and TMT B was found.
Conclusion:These results suggest that in contrast with previous investigations using SUMD, cognitive insight correlates with psychological defensiveness. (Korean J Schizophr Res 2007;10:24-31)
Key Words: Cognitive insight,Beck cognitive insight scale,Neurocognition,Psychological defensiveness, Schizophrenia
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