Metacognition, symptoms and premorbid functioning in a First Episode Psychosis sample

Angus Macbeth*, Andrew Gumley, Matthias Schwannauer, Antonino Carcione, Rebecca Fisher, Hamish J. McLeod, Giancarlo Dimaggio

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Significant metacognitive impairments are observed in chronic psychosis samples but metacognition is less understood in first episode psychosis (FEP). The current study explored correlations between metacognition, symptoms and premorbid functioning 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, premorbid adjustment, and clinician rated service engagement were also measured. Lower scores for metacognitive understanding of other's minds were significantly correlated with greater negative symptoms, poorer early adolescent social adjustment and poorer clinician rated help-seeking. Our findings suggest that FEP individuals with difficulties in understanding other's minds have more social deficits and may be less able to make effective use of treatment.

Original languageEnglish
Pages (from-to)268-273
Number of pages6
JournalComprehensive Psychiatry
Issue number2
Publication statusPublished - 1 Feb 2014


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