REFLEX: A metacognitive group treatment to improve insight in psychosis

M. Pijnenborg, L. Van der Meer, A. De Vos, C. L. H. Bockting, M. Van der Gaag, A. Aleman

Research output: Contribution to journalMeeting AbstractOther research output


Background: Many people with schizophrenia (50-80%) demonstrate impaired insight. A number of interventions aiming to improve insight have been proposed and evaluated, for example cognitive behavioral therapy and psycho-education. Results of these interventions leave room for improvement. Therefore, we propose a new intervention to improve insight in people with schizophrenia (REFLEX). REFLEX focuses on insight in one's functioning in everyday life and changes in general functioning after psychosis by improving metacognitive acts necessary for insight (selfreflectiveness, idiosyncratic self-certainty) and reducing stigma-sensitivity. Methods: The primary objective is to improve insight. By improving insight, we hope to improve functional outcome and symptoms. Results: 120 patients diagnosed with schizophrenia with poor insight and sensitive are included in a randomized controlled trial): REFLEX was compared to an active control condition consisting of group wise drill and practice cognitive remediation training. Preliminary analysis show that while clinical insight measures with the SAI-E remains unchanged, while cognitive insight measured with the BCIS improves in the REFLEX condition (F 1,85 4,9, p
Original languageEnglish
Article number1526685
Pages (from-to)S349
Number of pages1
JournalSchizophrenia Bulletin
Issue numberS1
Publication statusPublished - 2013
Externally publishedYes
Event14th International Congress on Schizophrenia Research (ICOSR) - JW Marriott Orlando, Orlando, Florida, United States
Duration: 21 Apr 201325 Apr 2013


  • hope
  • education
  • randomized controlled trial
  • group therapy
  • patient
  • cognitive therapy
  • schizophrenia
  • psychosis
  • drill
  • human
  • medline
  • iga2014
  • embase


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