Insight and executive function: investigating the role of dynamic assessment
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The aim of this dissertation was to investigate the relationship among clinical insight, cognitive insight, and executive functioning (EF), as measured by both a dynamic and standard format. Thirty-six participants with schizophrenia/schizoaffective disorder completed assessments of cognitive insight, clinical insight, and EF. The EF measure of the Wisconsin Card Sorting Test was completed in both a standard and dynamic format. Results indicated small effect size correlations between clinical insight and standard EF assessments, but the directions of these correlations were contrary to much of the previous research. Additional small to moderate correlations were found between cognitive insight and a dynamic EF measure. Other findings suggested that persons with better clinical insight reported greater cognitive difficulties. Findings suggest several implications: EF is likely related to insight, lack of insight is not homogenous in this population, the constructs measured by standard assessments are not equivalent to the constructs of dynamic assessments, and clinical and cognitive insight are related, yet independent constructs. Future research directions are discussed.
Table of Contents
Overview -- Literature review -- Methodology -- Results -- Discussion -- Appendix A. Scale to assess unawareness of mental disorder-abridged -- Appendix B. Subjective scale to investigate cognition in schizophrenia -- Appendix C. Glossary of terms