Metacognition, symptoms and premorbid functioning in a first episode psychosis sample.

Abstract:

: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.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Macbeth A,Gumley A,Schwannauer M,Carcione A,Fisher R,McLeod HJ,Dimaggio G

doi

10.1016/j.comppsych.2013.08.027

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

268-73

issue

2

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(13)00297-6

journal_volume

55

pub_type

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