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The metacognitive functioning in bipolar patients and in bipolar alcoholics patients

Published online by Cambridge University Press:  23 March 2020

R. Vecchiotti ,
L. Meschini ,
I. Borsella ,
U. Pianella ,
L. Orsolini ,
M. Panichi  and
A. Valchera
R. Vecchiotti*
Affiliation:
Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Department of Psychiatry, Ascoli Piceno, Italy Polyedra, Research, Teramo, Italy Maastricht University, Department of Psychiatry and Neuropsychology, Maastricht, Netherlands
L. Meschini
Affiliation:
Studi Cognitivi, Psychotherapy, San Benedetto del Tronto, Italy
I. Borsella
Affiliation:
Studi Cognitivi, Psychotherapy, San Benedetto del Tronto, Italy
U. Pianella
Affiliation:
Studi Cognitivi, Psychotherapy, San Benedetto del Tronto, Italy
L. Orsolini
Affiliation:
Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Department of Psychiatry, Ascoli Piceno, Italy Polyedra, Research, Teramo, Italy Maastricht University, Department of Psychiatry and Neuropsychology, Maastricht, Netherlands University of Hertfordshire, School of Life and Medical Sciences, Hatfield, Herts, United Kingdom
M. Panichi
Affiliation:
Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Department of Psychiatry, Ascoli Piceno, Italy Polyedra, Research, Teramo, Italy
A. Valchera
Affiliation:
Villa S. Giuseppe Hospital, Hermanas Hospitalarias, Department of Psychiatry, Ascoli Piceno, Italy Polyedra, Research, Teramo, Italy
*
* Corresponding author.

Abstract

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Introduction

Metacognition is described as the set of human abilities that allows us to recognize and think about own and other people's mental states. We use these skills in order to overcome psychological and interpersonal issues and to cope emotional, cognitive and behavioral suffering. Studies that focusing on metacognition in bipolar disorder (BD) are still limited and data are controversial. Our purpose is investigating the difference between BD patients and BD patients with alcohol addiction (BD + A), in terms of metacognitive functions. In addition, we want to assess among BD + A whether the increase in metacognitive functions mediates the relationship between symptoms at T0 and T1.

Methods

Forty patients were recruited for this study. A set of tests was performed on each patient to formulate a metacognitive and clinical evaluation. A single measurement was performed on 20 BD patients. Two measurements (T0–T1) were carried out on the 20 BD + A patients, after an integrated treatment.

Results

Data shown significant differences between these two groups. As regards the treatment of BD + A patients, differences were found between T0 and T1. Among the BD + A patients, reduction in the Beck Cognitive Insight Scale (BCIS-SC, P 0. 042) scores between T0 and T1, leads to the prediction of symptom improvement.

Conclusions

Our results confirm the existence of a specific profile of metacognitive functioning in these patients. Our results reveal that the metacognitive functions appear to be predictors of the improvement in the remission of symptoms.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW57
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S127
Copyright
Copyright © European Psychiatric Association 2016
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