Metacognition in Schizophrenia

Lysaker, Paul H.; Warman, Debbie M.; Dimaggio, Giancarlo; Procacci, Michele; LaRocco, Valerie A.; Clark, Laura; Dike, Craig A.; Nicolò, Giuseppe

doi:10.1097/nmd.0b013e3181710916

Cited by 125 publications

(21 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lysaker et al (2008) found links with the MAS and an executive function tool, and Lysaker et al (2011) demonstrated significant links with the SUMD insight scale. Lysaker et al (2005) saw that understanding of one's own mind correlated with better neuro-cognitive functioning across a number of domains, especially verbal memory, as well as being associated with less emotional withdrawal in the form of a greater depressed mood.…”

Section: Resultsmentioning

confidence: 99%

Subjective and Objective Cognitive Dysfunction in Schizophrenia – is there a Link?

Homayoun¹,

Nadeau-Marcotte²,

Luck³

et al. 2011

Front. Psychology

View full text Add to dashboard Cite

Cognitive dysfunction is a well recognized symptom of schizophrenia, as well as patients having poor insight into their illness. The subjective scale to investigate cognition in schizophrenia (SSTICS) is one of several scales that have been developed to study subjective cognitive dysfunction and has been compared to patients’ objective cognitive level. A literature search was performed using PubMed, psychINFO, Web of Science, and cross-referencing to find 26 articles which used 14 different subjective cognitive dysfunction scales to investigate the relationship between subjective and objective measures of cognition in schizophrenia. Although the majority of studies using the SSTICS found significant correlations between subjective and objective measures of cognition, the findings from the other scales were less clear. From this review, the issue of whether or not schizophrenic patients have good cognitive insight remains unsure. However, due to the heterogeneous nature of the study designs and their outcome measures, continued work in this area with consistency on these points is necessary; on the path to better provide management options for a very debilitating component of this illness.

show abstract

Section: Resultsmentioning

confidence: 99%

Subjective and Objective Cognitive Dysfunction in Schizophrenia – is there a Link?

Homayoun¹,

Nadeau-Marcotte²,

Luck³

et al. 2011

Front. Psychology

View full text Add to dashboard Cite

show abstract

“…Subscales can also be summed to create a total MAS-A score (range 0 – 28). The MAS-A has demonstrated strong inter-rater reliability (Lysaker et al, 2005; Rabin et al, 2014) and convergent validity with measures of cognitive and clinical insight (Lysaker et al, 2005; Lysaker et al, 2008). …”

Section: Methodsmentioning

confidence: 99%

Metacognition Is Necessary for the Emergence of Motivation in People With Schizophrenia Spectrum Disorders

Luther¹,

Bonfils²,

Firmin³

et al. 2017

J Nerv Ment Dis

Self Cite

View full text Add to dashboard Cite

Metacognition deficits are a putative cause of reduced motivation in people with schizophrenia spectrum disorders. However, it is unclear whether certain levels of metacognition are necessary for motivation to emerge. This study used a Necessary Condition Analysis (NCA) to test whether metacognition was necessary for the presence of motivation and to identify the minimum level of metacognition necessary for high motivation to be possible in people with schizophrenia spectrum disorders (N=175). Participants completed clinician-rated measures of metacognition and motivation. NCA revealed that metacognition is a necessary condition for motivation and that high levels of motivation were only possible, although not guaranteed, when at least a basic level of metacognition was present. Findings suggest that metacognition is a necessary building block for the development of motivation. Results suggest that targeting metacognition may be essential for improving motivation among people with schizophrenia spectrum disorders who do not meet this metacognition threshold.

show abstract

“…Several studies have also noted that metacognition has the potential to influence insight in individuals with schizophrenia [16-18]. The term "metacognition" was first coined by Semerari et al [19], and is defined as the "general capacity to think about thinking" [19,20]. Of note, metacognition is considered to concern a wide range of internally and socially driven cognitive acts [19,21].…”

Section: Introductionmentioning

confidence: 99%

Assessing cognitive insight in nonpsychiatric individuals and outpatients with schizophrenia in Taiwan: an investigation using the Beck Cognitive Insight Scale

Kao

Wang

et al. 2011

BMC Psychiatry

View full text Add to dashboard Cite

BackgroundThe Beck Cognitive Insight Scale (BCIS) was designed for the assessment of the cognitive processes involved in self-reflection and the ability to modify erroneous beliefs and misinterpretations. Studies investigating the factor structure of the BCIS have indicated a two-factor model in the psychotic population. The factor structure of the BCIS, however, has not received much consideration in the nonpsychiatric population. The present study examined the factor structure and validity of the BCIS and compared its scores between nonpsychiatric individuals and outpatients with psychosis.MethodThe Taiwanese version of the BCIS was administered to 507 nonpsychiatric individuals and 118 outpatients with schizophrenia. The psychometric properties of the BCIS were examined through the following analyses: exploratory and confirmatory factor analyses, reliability, correlation analyses, and discriminative validity.ResultsThe BCIS showed adequate internal consistency and stability over time. Exploratory and confirmatory factor analyses on the 15-item measure indicated a two-factor solution that supported the two dimensions of the Taiwanese BCIS, which was also observed with the original BCIS. Following the construct validation, we obtained a composite index (self-reflectiveness minus self-certainty) of the Taiwanese BCIS that reflected cognitive insight. Consistent with previous studies, our results indicated that psychosis is associated with low self-reflectiveness and high self-certainty, which possibly reflect lower cognitive insight. Our results also showed that better cognitive insight is related to worse depression in patients with schizophrenia spectrum disorders, but not in nonpsychiatric individuals. The receiver operating characteristic (ROC) analyses revealed that the area under the curve (AUC) was 0.731. A composite index of 3 was a good limit, with a sensitivity of 87% and a specificity of 51%.ConclusionThe BCIS proved to be useful for measuring cognitive insight in Taiwanese nonpsychiatric and psychotic populations.

show abstract

Metacognition in Schizophrenia

Cited by 125 publications

References 35 publications

Subjective and Objective Cognitive Dysfunction in Schizophrenia – is there a Link?

Subjective and Objective Cognitive Dysfunction in Schizophrenia – is there a Link?

Metacognition Is Necessary for the Emergence of Motivation in People With Schizophrenia Spectrum Disorders

Assessing cognitive insight in nonpsychiatric individuals and outpatients with schizophrenia in Taiwan: an investigation using the Beck Cognitive Insight Scale

Contact Info

Product

Resources

About