Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

doi:10.5334/jeps.df

Cited by 3 publications

(1 citation statement)

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“…Of the 80 reports using the PANSS, 63 used an alternative to the original PANSS factor structure to analyse symptom data, for example (Bell et al., 1994; van der Gaag et al., 2006), Thirteen reports used the original negative symptoms subscale. The remaining studies assessed individual items, for example (Buck et al., 2012; Minor et al., 2015), or used overall PANSS scores as a cut‐off to determine if individuals had eligible levels of symptom severity (Davis et al., 2011; van Kleef et al., 2015). The different combinations of items contributing to negative symptoms analyses (summarised in Figure 2) create different possible total scores making it problematic for aggregating analyses using these measures.…”

Section: Resultsmentioning

confidence: 99%

Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review

McGuire,

Gumley,

Hasson‐Ohayon

et al. 2023

Psychol Psychother

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BackgroundDisrupted metacognition is implicated in development and maintenance of negative symptoms, but more fine‐grained analyses would inform precise treatment targeting for individual negative symptoms.AimsThis systematic review identifies and examines datasets that test whether specific metacognitive capacities distinctly influence negative symptoms.Materials & MethodsPsycINFO, EMBASE, Medline and Cochrane Library databases plus hand searching of relevant articles, journals and grey literature identified quantitative research investigating negative symptoms and metacognition in adults aged 16+ with psychosis. Authors of included articles were contacted to identify unique datasets and missing information. Data were extracted for a risk of bias assessment using the Quality in Prognostic Studies tool.Results85 published reports met criteria and are estimated to reflect 32 distinct datasets and 1623 unique participants. The data indicated uncertainty about the relationship between summed scores of negative symptoms and domains of metacognition, with significant findings indicating correlation coefficients from 0.88 to −0.23. Only eight studies investigated the relationship between metacognition and individual negative symptoms, with mixed findings. Studies were mostly moderate‐to‐low risk of bias.DiscussionThe relationship between negative symptoms and metacognition is rarely the focus of studies reviewed here, and negative symptom scores are often summed. This approach may obscure relationships between metacognitive domains and individual negative symptoms which may be important for understanding how negative symptoms are developed and maintained.ConlclusionMethodological challenges around overlapping participants, variation in aggregation of negative symptom items and types of analyses used, make a strong case for use of Individual Participant Data Meta‐Analysis to further elucidate these relationships.

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Section: Resultsmentioning

confidence: 99%

Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review

McGuire,

Gumley,

Hasson‐Ohayon

et al. 2023

Psychol Psychother

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Breaking the cycle: Exploring the relationship of metacognition beliefs, obsessive‐compulsive symptoms, and psychosocial performance among individuals diagnosed with schizophrenia

Taha,

El‐Sayed,

Khedr

et al. 2024

Psychiatric Ment Health Nurs

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Accessible SummaryThe Relevance to Mental Health NursingThis research paper explores the intricate relationship between metacognitive dysfunctional beliefs, obsessive‐compulsive symptoms, and psychosocial performance in patients diagnosed with schizophrenia. Understanding these dynamics can help mental health nurses identify and address each patient's needs more effectively. It can guide them in devising personalized care plans that not only manage the symptoms but also improve the underlying mechanism that exacerbates the psychotic symptoms and social functioning and the overall quality of life. Moreover, the findings of this research can contribute to developing training programs for mental health nurses, equipping them with the necessary skills and knowledge to provide optimal care. What the paper adds to existing knowledge? This study provides empirical evidence of the significant positive correlation between OCS and metacognitive dimensions in individuals with schizophrenia. It highlights the role of certain demographic factors, such as younger age and single marital status, in increasing the likelihood of elevated OCS. It underscores the inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning. It identifies age and metacognitive scores as crucial predictors of psychosocial functioning across various domains. What are the implications for practice? The findings suggest that therapeutic nursing interventions for individuals diagnosed with schizophrenia should address metacognitive dysfunctional beliefs to improve overall functioning and well‐being. Clinicians, including psychiatrists and psychiatric nurses, should consider the patient's age, marital status, and metacognitive scores when assessing the risk of elevated OCS and devising treatment plans. The study emphasizes the need for comprehensive psychiatric nursing assessment, including metacognitive dysfunction and OCS evaluation. What are the implications for future research? Future research could explore the causal relationships between metacognitive dysfunctional beliefs, OCS, and psychosocial functioning in schizophrenia. Longitudinal studies could provide insights into the progression of these relationships over time and the impact of therapeutic interventions. Further research could also investigate the effectiveness of specific therapeutic strategies such as Metacognitive Therapy (MCT), Schema Therapy (ST), Cognitive Enhancement Therapy (CET), and Cognitive Behaviour Therapy (CBT) to address this population's metacognitive dysfunctional beliefs. AbstractBackgroundSchizophrenia is a chronic mental health disorder that significantly impacts an individual's cognitive, emotional and social functioning. Recent research has highlighted the role of metacognitive beliefs and obsessive‐compulsive symptoms (OCS) in the psychosocial performance of individuals diagnosed with schizophrenia. Understanding these relationships could provide valuable insights for developing more effective nursing interventions. This study aimed to investigate the relationship between metacognitive beliefs, OCS and psychosocial performance among individuals diagnosed with schizophrenia.DesignA cross‐sectional survey was conducted involving 174 purposively selected participants diagnosed with schizophrenia.ToolsThe Meta‐Cognitions Questionnaire‐30, Young Adult Self‐Report Scale for OCS and Specific Level of Functioning Scale were used to gather the necessary data.ResultsThe study found a significant positive correlation between OCS and metacognitive dimensions. Age was a significant predictor with an Oddis Ratio of 2.471. The metacognitive dysfunction was a highly significant predictor in univariate and multivariate analyses, with Oddis Ratios of 1.087 and 1.106, respectively. The study also discovered that higher levels of metacognitive dysfunctional beliefs were associated with lower levels of psychosocial functioning. Age and the metacognitive dysfunction score were significant predictors of psychosocial functioning scores, accounting for 26.8% of the variance in these scores.ConclusionThe study reveals a compelling inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning in individuals diagnosed with schizophrenia. It also identifies certain demographic factors, such as younger age, as significant contributors to elevated OCS. Importantly, metacognitive dysfunction emerged as a critical predictor of psychosocial functioning across various domains. These findings underscore the potential of incorporating metacognitive‐focused interventions in the treatment plans for schizophrenia patients. By addressing these cognitive patterns, healthcare professionals can enhance overall functioning and well‐being in individuals diagnosed with schizophrenia.

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Review of previous research on the role of metacognitive beliefs and metacognitive therapies in schizophrenic patients

Nassabeh¹,

Baghooli²,

Azarmidokht³

et al. 2020

JCBPR

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Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

Cited by 3 publications

References 58 publications

Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review

Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review

Breaking the cycle: Exploring the relationship of metacognition beliefs, obsessive‐compulsive symptoms, and psychosocial performance among individuals diagnosed with schizophrenia

Review of previous research on the role of metacognitive beliefs and metacognitive therapies in schizophrenic patients

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