Metacognition in schizophrenia disorders: Comparisons with community controls and bipolar disorder: Replication with a Spanish language Chilean sample

PSYCHIATRY RESEARCH

卷:267

Article

Lysaker, Paul H.^1,2  Irarrazaval, Leonor³  Gagen, Emily C.⁴  Armijo, Ivan⁵  Ballerini, Massimo⁷  Mancini, Milena⁶  Stanghellini, Giovanni^6,7 

[1] Roudebush VA Med Ctr, 1481 West 10th St, Indianapolis, IN 46202 USA

[2] Indiana Univ Sch Med, Dept Psychiat, Goodman Hall 355W 16th St,Suite 4800, Indianapolis, IN 46202 USA

[3] Heidelberg Univ Hosp, Psychiat Dept, Sect Phenomenol Psychopathol & Psychotherapy, Voss Str 4, D-69115 Heidelberg, Germany

[4] Univ North Carolina Chapel Hill, Dept Psychol & Neurosci, Campus Box 3270,235 E Cameron Ave, Chapel Hill, NC 27599 USA

[5] Univ Gabriela Mistral, Fac Psychol, Av Ricardo Lyon 1177, Santiago 7510549, Chile

[6] Univ G dAnnunzio, Dept Psychol Humanist & Terr Sci, Chieti, Italy

[7] D Portales Univ, Santiago, Chile

关键词: Schizophrenia;    Metacognition;    Social cognition;    Recovery;    Negative symptoms;   

DOI  :  10.1016/j.psychres.2018.06.049

来源: Elsevier

【 摘 要 】

Metacognition refers to the activities which allow for the availability of a sense of oneself and others in the moment. Research mostly in North America with English-speaking samples has suggested that metacognitive deficits are present in schizophrenia and are closely tied to negative symptoms. Thus, replication is needed in other cultures and groups. The present study accordingly sought to replicate these findings in a Spanish speaking sample from Chile. Metacognition and symptoms were assessed among 26 patients with schizophrenia, 26 with bipolar disorder and 36 community members without serious mental illness. ANCOVA controlling for age and education revealed that the schizophrenia group had greater levels of metacognitive deficits than the bipolar disorder and community control groups. Differences in metacognition between the clinical groups persisted after controlling for symptom levels. Spearman correlations revealed a unique pattern of associations of metacognition with negative and cognitive symptoms. Results largely support previous findings and provide added evidence of the metacognitive deficits present in schizophrenia and the link to outcome cross culturally. Implications for developing metacognitively oriented interventions are discussed.

【 授权许可】

Free