Metacognition, social cognition, and symptoms in patients with first episode and prolonged psychoses

Vohs, Jenifer L.; Lysaker, Paul H.; Francis, Michael; Hamm, Jay A.; Buck, Kelly D.; Olesek, Kyle; Outcalt, Jared; Dimaggio, Giancarlo; Leonhardt, Bethany L.; Liffick, Emily; Mehdiyoun, Nicole F.; Breier, Alan

doi:10.1016/j.schres.2014.01.012

Cited by 122 publications

(84 citation statements)

References 57 publications

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“…* p < .05 (two-tailed); ** p < .01 (two-tailed). though poor metacognition is common in psychiatric disorders, it is thought that greater impairments in metacognition are unique to schizophrenia (Vohs et al, 2014). This is possibly partly due to greater cognitive impairment found in people with schizophrenia (Tas et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Tas, Brown, Aydemir, Brüne, and Lysaker (2014) have found, for example, that understanding one's own mind is more impaired in people with schizophrenia than in people with bipolar disorder. Taken together, metacognition can be seen as a symptomatic hallmark of schizophrenia (Vohs et al, 2014). In addition, metacognitive deficits seem to be involved in some of the core symptoms of schizophrenia (Morrison, 2001).…”

mentioning

confidence: 97%

“…Metacognitive problems in schizophrenia appear to be heterogeneous (Lee, Farrow, Spence, & Woodruff, 2004) and stable over time Lysaker, Olesek et al, 2011;Vohs et al, 2014). Even though metacognitive deficits are also found in other psychiatric disorders, metacognition seems to be poorer in people with schizophrenia.…”

mentioning

confidence: 99%

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Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

2015

Journal of European Psychology Students

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The aim of the current study is to examine metacognitive functioning in people with schizophrenia, in the light of everyday functioning. More specifically, links with several cognitive domains (i.e., attention, executive functioning and processing speed) and social functioning are analyzed using linear regressions. Based on previous literature, a close relationship between social and cognitive functioning is expected, as well as a mediation effect of metacognition on this relationship. The present findings suggest however, that cognition, social functioning, and metacognition are not related. Therefore, the model in which metacognition mediates the relationship between cognitive and social functioning in people with schizophrenia does not hold.

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Section: Discussionmentioning

confidence: 99%

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confidence: 97%

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Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

2015

Journal of European Psychology Students

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“…A recent study used a variety of measures of social cognition, namely the BellLysake Emotional Recognition Task, Hinting Task [53], and the Reading the Mind in the Eyes Test, in a group of first episode psychosis (n=26), participants with prolonged psychosis (n=72), and a psychiatric normal controls group (n=14) [69]. The results showed no difference on any measures between first-episode and prolonged psychosis cohort, however first-episode patients performed significantly less well than psychiatric controls on the eyes test (total score) and hinting task.…”

Section: First-episode Psychosismentioning

confidence: 99%

Theory of Mind in the Early Course of Schizophrenia

Vyas

et al. 2017

CPSR

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Theory of mind deficit is a core feature of schizophrenia and is considered a vulnerability marker of the disorder. The majority of studies measuring theory of mind in schizophrenia involve multiple-episode or chronic schizophrenia patients, and therefore it is important to delineate whether these deficits occur before or following illness-onset by assessing high-risk subjects (clinical high risk and ultra-high risk), early-onset psychosis, and first-degree relatives. We address the question of whether theory of mind impairment is specific or a facet of general cognitive impairment in these clinical populations, and incorporate genetic and neuroimaging studies on theory of mind. The review provides a succinct evaluation of the literature, discusses current limitations and proposes future directions.

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“…Furthermore, social cognition is frequently a mediator of the relationship between functional outcomes and neurocognition [8]. Together with neurocognition, impairments in social cognition are observed in prodromal and early phases of psychosis -as well as in unaffected family members -remaining largely unaffected by pharmacological treatment [9][10][11][12][13][14][15][16]. Thus, social cognition has been identified as a main area of research in SZ through the exploration of interpersonal difficulties experienced by patients and its daily life consequences.…”

Section: Introductionmentioning

confidence: 99%

Facial emotion processing in schizophrenia: a review of behavioural and neural correlates

Grave¹,

Soares²,

Martins³

et al. 2017

IJCNMH

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Schizophrenia is one of the most severe psychiatric conditions, often associated with deficits in social cognition. Social cognition deficits are predictors of functionality in patients and involve theory of mind, attributional style, social perception, and emotional processing. In particular, facial emotion processing (an important domain of emotional processing) seems to be particularly related to cognitive and social functioning, and to positive and negative symptoms. Patients with schizophrenia have difficulties in processing emotional faces; however, those impairments are still far from fully understood. In this review, we addressed the behavioural and neural correlates of facial emotion processing in schizophrenia. Despite studies showing impairments in both positive and negative faces, the most consistent findings involved negative faces. Moreover, patients with schizophrenia showed abnormalities in the social brain neural circuit during facial emotion processing. While some studies described hypoactivation of brain areas related to emotional processing, such as the amygdala, others reported hyperactivation, leading to a high number of inconsistencies. The findings are limited by the experimental designs used, and the clinical and demographic characteristics of patients. Despite such variable findings, there has been growing interest in developing psychosocial interventions focused directly on social cognitive impairments in schizophrenia, with potential impact on patient's ability to perceive emotional faces. We provide a critical perspective on current evidence and suggest new pathways of research. The understanding of the mechanisms underlying facial emotion processing in schizophrenia could enhance functionality and quality of life by providing innovative approaches to the interpersonal difficulties patients frequently experience.

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Metacognition, social cognition, and symptoms in patients with first episode and prolonged psychoses

Cited by 122 publications

References 57 publications

Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

Metacognition in Relation to Cognitive and Social Functioning in Schizophrenia

Theory of Mind in the Early Course of Schizophrenia

Facial emotion processing in schizophrenia: a review of behavioural and neural correlates

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