Metacognition and Social Cognition in Schizophrenia: Stability and Relationship to Concurrent and Prospective Symptom Assessments

Abstract

Metacognitive deficits are a stable feature of schizophrenia related with negative symptoms.

Necessary, but not sufficient: Links between neurocognition, social cognition, and metacognition in schizophrenia are moderated by disorganized symptoms

“…Resolving this issue is critical for delineating whether these constructs should be treated as independent or converging abilities when assessing their impact in schizophrenia. In terms of what is known regarding these relationships, previous studies have observed that neurocognition, social cognition, and metacognition demonstrate moderate correlations with one another, with r-values typically ranging from 0.2 to 0.4 (Hamm et al, 2012;Ventura et al, 2013). However, this indicates that each ability only accounts for approximately 5% to 15% of the variance in the other constructs.…”

“…One area of contention is whether these three cognitive processes are discrete constructs, as each represents trait phenomena that require both lower-and higher-order abilities (Lysaker et al, 2011;Biedermann et al, 2012;Hamm et al, 2012;Ventura et al, 2013). Resolving this issue is critical for delineating whether these constructs should be treated as independent or converging abilities when assessing their impact in schizophrenia.…”

“…It differs from social cognition in that metacognition focuses on synthesizing psychological experiences into mental representations that vary by complexity, adaptiveness and flexibility, whereas social cognition is more concerned with the accuracy of perceptions and representations. Recently, Hamm et al (2012) observed that disorganized symptoms were inversely linked to metacognition at baseline and six month follow-up and that these associations were considerably greater compared to reality distortion symptoms.…”

The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study

“…For example, metacognition has been described as a significant predictor of personal recovery (Lysaker and Dimaggio, 2014). In this regard, it is interesting to note that cognitive disorganization symptoms demonstrated inverse associations with metacognitive abilities (Hamm et al, 2012). Another neglected predictor of therapeutic alliance in this study may be depression.…”

Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

“…The variability in time since onset of the disorder may influence this relationship. Even though Hamm et al (2012) found that metacognitive deficits are a stable feature of schizophrenia, people who have had longstanding therapy might score higher on the MAS-A scale due to the way they have learned to talk about themselves in therapy. Several methodological issues may play a role as well, which are discussed later as part of the study's limitations.…”