Cognitive Insight as the Differentiating Feature of Psychosis and Anxiety

  • سال انتشار: 1400
  • محل انتشار: مجله تمرین در روانشناسی بالینی، دوره: 9، شماره: 2
  • کد COI اختصاصی: JR_JPCP-9-2_003
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 57
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نویسندگان

Fatemeh Fatahi

Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.

Abbas Ramezani Farani

Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.

Ahmad Ashuri

Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.

Seyed Vahid Shariat

Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.

چکیده

Objective: Cognitive theories and research have focused on the relationship between emotions, particularly anxiety, and the positive symptoms of psychosis. The aim of this study, based on Beck’s cognitive theory, was to compare dysfunctional attitudes and cognitive insight between patients with anxiety disorders and those with delusion. Methods: The study sample consisted of ۹۰ participants in ۳ groups (anxiety=۳۰, delusion=۳۰, healthy=۳۰). The study subjects were interviewed using Structured Clinical Interview (SCID-I) for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Then, they completed Beck Anxiety Inventory (BDI), Peters et al.’s Delusions Inventory (PDI), General Health Questionnaire-۲۸ (GHQ-۲۸), Dysfunctional Attitudes Scale-۲۶ (DAS-۲۶), and Beck Cognitive Insight Scale (BCIS).  Results: The present research results indicated that anxiety and delusion groups presented significantly greater dysfunctional attitudes than the healthy subjects (P< ۰.۰۰۱); however, there was no significant difference between the clinical groups. The anxiety group had significantly higher cognitive insight than the delusional (P< ۰.۰۵) and normal groups (P< ۰.۰۱); however, there was no significant difference between the last two groups. Conclusion: Dysfunctional attitudes can be considered as a common aspect and cognitive insight as a differentiating aspect of anxiety and psychosis.

کلیدواژه ها

Dysfunctional attitudes, Cognitive insight, Anxiety disorders, Psychotic disorders, Delusion

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