Study of Relationship between Cognitive Insight and Meta Cognition in Schizophrenia

Insight of illness is an important concept in mental illness like schizophrenia. Cognitive insight and meta cognition are crucial aspect of cognitive process during pathological state, cognitive insight is the individual's ability to self-reflect, to acknowledge the possibility of being mistaken, to be open to feedback, and to refrain from overconfidence (Back, 2004) and meta cognition is the awareness of one's own mental processes, Studies suggested both are crucial component for illness insight hence crucial for the treatment compliance, functioning and maintenance of the illness, it has great clinical significance for the facilitating change in clinical and psychological management. This study was aimed to explore and identify the relationship between cognitive insight and meta cognitive ability in schizophrenic patients. A sample of 100 patients, aged 18-60, diagnosed with schizophrenic according to ICD-10 DCR were drawn from the adult OPD of department of psychiatry, KGMU, UP Lucknow, India. Those who qualified the inclusion and exclusion criteria and consented for the study they were evaluated further for clinical and socio demographic, Back Cognitive Insight Scale (BCIS) and Meta cognitive Inventory (MCI). A significant positive correlations were found between Cognitive insight and metacognition abilities. There is a significant positive correlation between cognitive insight and Meta cognitive ability of schizophrenic patients. Intervention aiming to improvement in cognitive insight would lead to betterment in meta cognition abilities.