ABSTRACT

Individuals with Panic Disorder (PD) often have impaired insight, which can impede their willingness to seek treatment. Cognitive processes, including metacognitive beliefs, cognitive flexibility, and jumping to conclusions (JTC) may influence the degree of insight. By understanding the relationship between insight and these cognitive factors in PD, we can better identify individuals with such vulnerabilities to improve their insight. The aim of this study is to examine the relationships between metacognition, cognitive flexibility, and JTC with clinical and cognitive insight at pretreatment. We investigate the association among those factors’ changes and changes in insight over treatment. Eighty-three patients diagnosed with PD received internet-based cognitive behavior therapy. Analyses revealed that metacognition was related to both clinical and cognitive insight, and cognitive flexibility was related to clinical insight at pre-treatment. Greater changes in metacognition were correlated with greater changes in clinical insight. Also, greater changes in cognitive flexibility were related to greater changes in cognitive insight. The current study extends previous studies suggesting potential relationships among insight, metacognition, and cognitive flexibility in PD. Determining the role of cognitive concepts in relation to insight may lead to new avenues for improving insight and can have implications for engagement and treatment-seeking behaviors.

摘要

患有恐慌症 (PD) 的人往往洞察力受损，这可能会阻碍他们寻求治疗的意愿。认知过程，包括元认知信念、认知灵活性和仓促下结论（JTC）可能会影响洞察力的程度。通过了解PD中洞察力与这些认知因素之间的关系，我们可以更好地识别具有此类脆弱性的个体，以提高他们的洞察力。本研究的目的是检查元认知、认知灵活性和 JTC 与治疗前的临床和认知洞察之间的关系。我们研究了这些因素的变化与治疗洞察力变化之间的关联。83 名诊断为 PD 的患者接受了基于互联网的认知行为治疗。分析显示，元认知与临床洞察力和认知洞察力相关，认知灵活性与治疗前的临床洞察力相关。元认知的更大变化与临床洞察力的更大变化相关。此外，认知灵活性的更大变化与认知洞察力的更大变化有关。目前的研究扩展了之前的研究，表明帕金森病的洞察力、元认知和认知灵活性之间的潜在关系。确定与洞察力相关的认知概念的作用可能会带来提高洞察力的新途径，并对参与和寻求治疗行为产生影响。元认知的更大变化与临床洞察力的更大变化相关。此外，认知灵活性的更大变化与认知洞察力的更大变化有关。目前的研究扩展了之前的研究，表明帕金森病的洞察力、元认知和认知灵活性之间的潜在关系。确定与洞察力相关的认知概念的作用可能会带来提高洞察力的新途径，并对参与和寻求治疗行为产生影响。元认知的更大变化与临床洞察力的更大变化相关。此外，认知灵活性的更大变化与认知洞察力的更大变化有关。目前的研究扩展了之前的研究，表明帕金森病的洞察力、元认知和认知灵活性之间的潜在关系。确定与洞察力相关的认知概念的作用可能会带来提高洞察力的新途径，并对参与和寻求治疗行为产生影响。