The longitudinal course of cognitive insight and mood in bipolar disorder

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Bibliographic Details
Title: The longitudinal course of cognitive insight and mood in bipolar disorder
Authors: L. Van Camp, S. van den Ameele, B.G.C. Sabbe, J.F.E. Oldenburg
Contributors: Faculty of Psychology and Educational Sciences, Psychiatry, Clinical sciences
Source: Psychiatry research
Publisher Information: Elsevier BV, 2018.
Publication Year: 2018
Subject Terms: Adult, Male, Psychiatric Status Rating Scales, Bipolar Disorder, Middle Aged, Affect, 03 medical and health sciences, Cognition, 0302 clinical medicine, Belgium, Affect/physiology, Humans, Female, Human medicine, Longitudinal Studies, Metacognition, Belgium/epidemiology, Cognition/physiology, Bipolar Disorder/epidemiology, Metacognition/physiology
Description: Cognitive insight or the ability to be self-reflective and to retain from being over-confident in own beliefs is an upcoming topic in research regarding psychiatric disorders. In bipolar disorder investigations are scarce and an important lacuna is the unexamined longitudinal relationship between cognitive insight and mood. Therefore, in this study the level of cognitive insight, mania and depression were assessed in a total of 56 patients with bipolar disorder at baseline, four months and eight months follow-up. In addition, the cognitive insight of 35 healthy controls was assessed at baseline and at four months follow-up. The current research shows that self-reflectiveness and self-certainty remained stable over time in bipolar disorder. The improvement of mood did not affect the course of cognitive insight. However, at baseline higher levels of depression were correlated with more self-reflectiveness. In addition, self-reflectiveness was higher for bipolar disorder patients in comparison with the healthy controls. Our results could imply that higher levels of self-reflectiveness are a specific characteristic in bipolar disorder that is independent from an improvement in mood.
Document Type: Article
Language: English
ISSN: 0165-1781
DOI: 10.1016/j.psychres.2018.08.063
Access URL: https://pubmed.ncbi.nlm.nih.gov/30144670
https://www.sciencedirect.com/science/article/pii/S0165178118303251#!
https://www.sciencedirect.com/science/article/pii/S0165178118303251
https://www.ncbi.nlm.nih.gov/pubmed/30144670
https://hdl.handle.net/10067/1554500151162165141
https://biblio.vub.ac.be/vubir/the-longitudinal-course-of-cognitive-insight-and-mood-in-bipolar-disorder(547c30f5-f542-4c4f-9b1b-ddbeb830c083).html
https://hdl.handle.net/20.500.14017/547c30f5-f542-4c4f-9b1b-ddbeb830c083
https://doi.org/10.1016/j.psychres.2018.08.063
Rights: Elsevier TDM
Accession Number: edsair.doi.dedup.....f1ccd51077193b09e4f678e2ce32c7f6
Database: OpenAIRE
Description
Abstract:Cognitive insight or the ability to be self-reflective and to retain from being over-confident in own beliefs is an upcoming topic in research regarding psychiatric disorders. In bipolar disorder investigations are scarce and an important lacuna is the unexamined longitudinal relationship between cognitive insight and mood. Therefore, in this study the level of cognitive insight, mania and depression were assessed in a total of 56 patients with bipolar disorder at baseline, four months and eight months follow-up. In addition, the cognitive insight of 35 healthy controls was assessed at baseline and at four months follow-up. The current research shows that self-reflectiveness and self-certainty remained stable over time in bipolar disorder. The improvement of mood did not affect the course of cognitive insight. However, at baseline higher levels of depression were correlated with more self-reflectiveness. In addition, self-reflectiveness was higher for bipolar disorder patients in comparison with the healthy controls. Our results could imply that higher levels of self-reflectiveness are a specific characteristic in bipolar disorder that is independent from an improvement in mood.
ISSN:01651781
DOI:10.1016/j.psychres.2018.08.063