The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis

PurposePrevious studies have investigated the role of gender in clinical symptoms, social functioning, and neuropsychological performance in people with first-episode psychosis (FEP). However, the evidence of gender differences for metacognition in subjects with FEP is still limited and controversia...

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Autores: Espinosa, V., Naides, N., López, R., Vila, R., Colomer, A., Barajas, A., Barrigon, M., Birulés, I., Butjosa, A., Diaz, L., del Cacho, N., Frigola Capell, Eva, González Higueras, Fermín, Grasa, E., Gutierrez, J., Lorente, E., Moreno Kustner, Berta, Peláez, M., Pousa, E., Ruiz Delgado, Isabel, Serra, C., Verdaguer, M., Group Profep Spanish Metacognition Group, Usall, J., Ochoa, S.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p25337
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=25337
Access Level:acceso abierto
Palabra clave:Metacognition
Cognitive bias
Cognitive insight
First-episode psychosis
Gender differences
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spelling The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysisEspinosa, V.Naides, N.López, R.Vila, R.Colomer, A.Barajas, A.Barrigon, M.Birulés, I.Butjosa, A.Diaz, L.del Cacho, N.Frigola Capell, EvaGonzález Higueras, FermínGrasa, E.Gutierrez, J.Lorente, E.Moreno Kustner, BertaPeláez, M.Pousa, E.Ruiz Delgado, IsabelSerra, C.Verdaguer, M.Group Profep Spanish Metacognition GroupUsall, J.Ochoa, S.MetacognitionCognitive biasCognitive insightFirst-episode psychosisGender differencesPurposePrevious studies have investigated the role of gender in clinical symptoms, social functioning, and neuropsychological performance in people with first-episode psychosis (FEP). However, the evidence of gender differences for metacognition in subjects with FEP is still limited and controversial. The aim of the present study was to explore gender differences in cognitive insight and cognitive biases in this population.MethodsCross-sectional study was carried out in a sample of 104 patients with FEP (35 females and 69 males) recruited from mental health services. Symptoms were assessed with the Positive and Negative Syndrome Scale, cognitive insight with the Beck Cognitive Insight Scale, and cognitive bias by the Cognitive Biases Questionnaire for Psychosis. The assessment also included clinical and sociodemographic characteristics.ResultsAfter controlling for potential confounders (level of education, marital status, and duration of psychotic illness) analysis of covariance revealed that males presented greater self-reflectiveness (p = 0.004) when compared to females. However, no significant differences were found in self-certainty and composite index of the cognitive insight scale, as in the cognitive biases assessed.ConclusionsGender was an independent influence factor for self-reflectiveness, being better for males. Self-reflectiveness, if shown to be relatively lacking in women, could contribute to the design of more gender-sensitive and effective psychotherapeutic treatments, as being able to self-reflect predicts to better treatment response in psychosis.SPRINGER WIEN2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=25337ARCHIVES OF WOMENS MENTAL HEALTHISSN: 14341816ISSNe: 14351102reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p253372026-05-27T12:37:41Z
dc.title.none.fl_str_mv The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
title The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
spellingShingle The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
Espinosa, V.
Metacognition
Cognitive bias
Cognitive insight
First-episode psychosis
Gender differences
title_short The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
title_full The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
title_fullStr The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
title_full_unstemmed The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
title_sort The influence of gender in cognitive insight and cognitive bias in people with first-episode psychosis: an uncontrolled exploratory analysis
dc.creator.none.fl_str_mv Espinosa, V.
Naides, N.
López, R.
Vila, R.
Colomer, A.
Barajas, A.
Barrigon, M.
Birulés, I.
Butjosa, A.
Diaz, L.
del Cacho, N.
Frigola Capell, Eva
González Higueras, Fermín
Grasa, E.
Gutierrez, J.
Lorente, E.
Moreno Kustner, Berta
Peláez, M.
Pousa, E.
Ruiz Delgado, Isabel
Serra, C.
Verdaguer, M.
Group Profep Spanish Metacognition Group
Usall, J.
Ochoa, S.
author Espinosa, V.
author_facet Espinosa, V.
Naides, N.
López, R.
Vila, R.
Colomer, A.
Barajas, A.
Barrigon, M.
Birulés, I.
Butjosa, A.
Diaz, L.
del Cacho, N.
Frigola Capell, Eva
González Higueras, Fermín
Grasa, E.
Gutierrez, J.
Lorente, E.
Moreno Kustner, Berta
Peláez, M.
Pousa, E.
Ruiz Delgado, Isabel
Serra, C.
Verdaguer, M.
Group Profep Spanish Metacognition Group
Usall, J.
Ochoa, S.
author_role author
author2 Naides, N.
López, R.
Vila, R.
Colomer, A.
Barajas, A.
Barrigon, M.
Birulés, I.
Butjosa, A.
Diaz, L.
del Cacho, N.
Frigola Capell, Eva
González Higueras, Fermín
Grasa, E.
Gutierrez, J.
Lorente, E.
Moreno Kustner, Berta
Peláez, M.
Pousa, E.
Ruiz Delgado, Isabel
Serra, C.
Verdaguer, M.
Group Profep Spanish Metacognition Group
Usall, J.
Ochoa, S.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Metacognition
Cognitive bias
Cognitive insight
First-episode psychosis
Gender differences
topic Metacognition
Cognitive bias
Cognitive insight
First-episode psychosis
Gender differences
description PurposePrevious studies have investigated the role of gender in clinical symptoms, social functioning, and neuropsychological performance in people with first-episode psychosis (FEP). However, the evidence of gender differences for metacognition in subjects with FEP is still limited and controversial. The aim of the present study was to explore gender differences in cognitive insight and cognitive biases in this population.MethodsCross-sectional study was carried out in a sample of 104 patients with FEP (35 females and 69 males) recruited from mental health services. Symptoms were assessed with the Positive and Negative Syndrome Scale, cognitive insight with the Beck Cognitive Insight Scale, and cognitive bias by the Cognitive Biases Questionnaire for Psychosis. The assessment also included clinical and sociodemographic characteristics.ResultsAfter controlling for potential confounders (level of education, marital status, and duration of psychotic illness) analysis of covariance revealed that males presented greater self-reflectiveness (p = 0.004) when compared to females. However, no significant differences were found in self-certainty and composite index of the cognitive insight scale, as in the cognitive biases assessed.ConclusionsGender was an independent influence factor for self-reflectiveness, being better for males. Self-reflectiveness, if shown to be relatively lacking in women, could contribute to the design of more gender-sensitive and effective psychotherapeutic treatments, as being able to self-reflect predicts to better treatment response in psychosis.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=25337
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=25337
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER WIEN
publisher.none.fl_str_mv SPRINGER WIEN
dc.source.none.fl_str_mv ARCHIVES OF WOMENS MENTAL HEALTH
ISSN: 14341816
ISSNe: 14351102
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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