Metacognition in First Episode Psychosis: Item Level Analysis of Associations with Symptoms and Engagement.

Angus Macbeth, Andrew Gumley, Matthias Schwannauer, Antonino Carcione, Hamish McLeod, Giancarlo Dimaggio

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Significant metacognitive impairments are observed in first episode psychosis (FEP) and chronic psychosis samples. There is evidence of associations between metacognition and presentation in FEP, but the relative contribution of metacognitive understanding of the self and the other is as yet unclear. The current study is a secondary analysis of date on metacognition, symptoms and engagement with treatment (help-seeking) in an FEP sample. In a cross-sectional cohort study, individuals in the first 12 months of treatment metacognition were assessed with the Metacognition Assessment Scale-Revised version (MAS-R). Psychotic symptomatology and help-seeking within treatment (clinician-rated service engagement) were also measured. An item level analysis of the MAS-R was conducted exploring associations between symptoms and cognitive, emotional, differentiation, integration and decentration aspects of metacognition. We report that associations between negative symptoms and deficits in the understanding of other's mental states extend across cognitive, emotional, integrative and decentration aspects of metacognition. We also report associations between negative symptoms and understanding one's own mind. We also note that cognitive and decentration aspects of metacognition were significantly associated with help-seeking once in treatment. Our findings suggest that an appreciation of metacognitive processes may inform treatment frameworks for FEP.
Original languageEnglish
Pages (from-to)329-39
Number of pages11
JournalClinical Psychology and Psychotherapy
Volume23
Issue number4
Early online date12 May 2015
DOIs
Publication statusPublished - 2015

Keywords / Materials (for Non-textual outputs)

  • Psychosis
  • First Episode
  • Metacognition
  • Help-seeking

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