The relationship between metacognitions and insight in obsessive–compulsive disorder

• Published in: Comprehensive psychiatry Vol. 54; no. 5; pp. 541 - 548
• Main Authors: Önen, Sinay, Karakaş Uğurlu, Görkem, Çayköylü, Ali
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2013; Elsevier; Elsevier Limited
• Subjects: Adult; Adult and adolescent clinical studies; Antidepressants; Anxiety disorders. Neuroses; Awareness; Biological and medical sciences; Cognition; Cognition & reasoning; Diagnostic and Statistical Manual of Mental Disorders; Female; Humans; Male; Medical sciences; Metacognition; Middle Aged; Neuroses; Obsessive compulsive disorder; Obsessive-Compulsive Disorder - diagnosis; Obsessive-Compulsive Disorder - psychology; Obsessive-compulsive disorders; Psychiatric Status Rating Scales; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Severity of Illness Index; Surveys and Questionnaires; Thinking; Human; Obsessive compulsive disorder; Symptomatology; Anxiety disorder; Metacognition; Insight; Cognition; Severity score; Comparative study
• ISSN: 0010-440X; 1532-8384
• DOI: 10.1016/j.comppsych.2012.11.006

Abstract This study aimed to determine the relationship between metacognitions and insight in obsessive compulsive disorder. One hundred individuals who had been diagnosed according to “Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision” criteria as having obsessive compulsive disorder and 50 healthy controls are included in the study. A sociodemographic and clinical data form, the Yale–Brown Obsession and Compulsion Scale and the Beck Depression Inventory were given to the participants. Insight is assessed by the 11th item of the Yale–Brown Obsession and Compulsion Scale. The Metacognition Questionnaire-30 was administered to both the obsessive compulsive disorder and the control groups to assess metacognitions. We found that the metacognition scores were statistically different in all groups and that the metacognition scores were higher in the obsessive compulsive disorder with good insight group than in the obsessive compulsive disorder with poor insight and control groups. In the obsessive compulsive disorder with poor insight group, all of the metacognition subscale scores were lower than those in the obsessive compulsive disorder with good insight group. Our findings elucidate the relationship between metacognitions and insight in obsessive compulsive disorder.