Abstract
Background: The concept of cognitive insight refers to the capacity for self-reflectiveness as a mechanism for evaluating one’s symptoms and self-certainty, understood as the ability to correct inappropriate interpretations and conclusions. There are no conclusive results regardingabout the clinical and neuropsychological variables involved and there are hardly any studies of their impact on functional outcomes. Method: The objectives were to analyze the neuropsychological and clinical cognitive insight in a sample of 22 stable patients diagnosed with schizophrenia, to assess its impact on life skills and to analyze whether it can be a mediating variable between cognitive deficits and daily functioning. A neuropsychological battery composed of tests of memory (TAVEC and WAIS-Digits), executive functioning (WCST and Stroop) and vocabulary, the BCIS, a measure of everyday functions (LSP) and the PANSS. Results: We found significant negative correlations between the WAIS vocabulary test, self-assurance, and life skills; although this is influenced to a greater extent by the negative symptomatology and the premorbid general cognitive level. Conclusions: A greater openness to corrective feedback of distorted thoughts, without specific cognitive capacities, improves the ability of patients with schizophrenia to adapt to the environment.
