Metamemory in Schizophrenia: Monitoring or Control Deficit?

Izaute, Marie; Bacon, Élisabeth

doi:10.1007/978-1-4419-6546-2_7

Cited by 5 publications

(5 citation statements)

References 78 publications

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“…The theme ‘blanking and forgetting’ echoes memory difficulties identified in people with psychosis (Forbes et al ., ; Heinrichs & Zakzanis, ) and in the screening assessment. Participants' meta‐memory seemed impaired (Izaute & Bacon, ): although they tried to use their thinking to retrieve memories, they were often unsuccessful. Inability to control attention also limited initial registering of information (Craik & Lockhart, ).…”

Section: Discussionmentioning

confidence: 99%

The Experience of Cognitive Impairment in People with Psychosis

Wood

Cupitt

Lavender

2013

Clin Psychology and Psychoth

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Cognitive impairment has been widely studied in people with psychosis. However, research is lacking into the subjective experience of cognitive impairment, its impact and ways in which individuals cope. This study aimed to provide an account of the experience of cognitive impairment in people with a diagnosis of schizophrenia, including what difficulties people experience, how these difficulties are understood, how people respond to these difficulties and how they perceive others' views of these difficulties. A semi-structured interview was carried out with eight participants with a diagnosis of schizophrenia focusing on participants' experiences of difficulties with cognitive functioning. Interpretative phenomenological analysis was used to analyse interview transcripts. Experience of cognitive impairment was understood in terms of six master themes: impaired controlled thinking, physical sensations and impaired movement, explanations for the impairment and comparisons to the past, managing the impairment, how others see the impairment and anticipating the future. This study is the first rigorous qualitative study of the subjective experience of cognitive impairment in people with psychosis, and it provides greater context for empirical findings. The results have significant implications for clinical psychology, including education about cognitive difficulties and the importance of cognitive functioning to formulation. New areas for research include coping strategies in relation to functioning and future perspectives, ascertaining staff understanding of cognitive impairment, and reflective conversation style as an intervention for metacognitive difficulties. Key Practitioner Message Difficulties with cognitive functioning should be considered in clinical practitioners' formulations of clients' difficulties in the context of psychosis. Services should consider providing service user and carer education about cognitive impairment in psychosis. Staff may need further training in order to support people with psychosis who have difficulties with cognitive functioning.

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Section: Discussionmentioning

confidence: 99%

The Experience of Cognitive Impairment in People with Psychosis

Wood

Cupitt

Lavender

2013

Clin Psychology and Psychoth

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“…Different patterns can be observed, depending on the type of memory (semantic or episodic), processing step (learning or retrieval), nature of the task (more or less demanding), and type of metamemory judgment involved (prospective or retrospective) (Izaute and Bacon, 2010;Schwartz and Bacon, 2008).…”

Section: Metamemory Monitoring In Patients With Schizophreniamentioning

confidence: 98%

“…Therefore, disturbances of patients' consciousness also affect their knowledge of their own memory abilities and own cognitive processes. It is now recognized as a subject of consensus that schizophrenia is a disease of cognition and consciousness (Izaute and Bacon, 2010;Monteiro et al, 2008;Pegoraro et al, 2013). In addition, a key feature of schizophrenia is the dissociation between thought and action, as observed by Bleuler back in 1911.…”

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confidence: 98%

Memory-Related Metacognition in Patients with Schizophrenia

Bacon¹,

Izaute

2014

Social Cognition and Metacognition in Schizophrenia

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“…The prerequisite for efficient monitoring is to be able to assess accurately whether or not a specific information answer is difficult or easy to learn, a process shown to be relatively intact in schizophrenia. Control of a learning task has been shown to be impaired [ 29 , 30 ]. The strategic regulation of memory function in participants with schizophrenia is impaired not only at the time of retrieval of semantic knowledge, but also during encoding of episodic information.…”

Section: Introductionmentioning

confidence: 99%

Metacognitive preserved generation strategy benefits for both younger and elderly participants with schizophrenia

et al. 2020

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Cognitive memory and introspection disturbances are considered core features of schizophrenia. Moreover, it remains unclear whether or not participants with schizophrenia are more cognitively impaired with ageing than healthy participants. The aims of this study were to use a metacognitive approach to determine whether elderly participants with schizophrenia are able to improve their memory performance using a specific generation strategy and to evaluate the memory benefits for them using this strategy. 20 younger and 20 older participants with schizophrenia and their comparison participants matched for age, gender and education learned paired associates words with either reading or generation, rated judgment of learning (JOL) and performed cued recall. Participants with schizophrenia recalled fewer words than healthy comparison participants, but they benefited more from generation, and this difference was stable with ageing. Their JOL magnitude was lower than that of healthy comparison participants, but JOL accuracy was not affected by either age or the pathology. In spite of their memory deficit, elderly and younger participants with schizophrenia benefited remarkably from the memory generation strategy. This result gives some cause for optimism as to the possibility for participants with schizophrenia to reduce memory impairment if learning conditions lead them to encode deeply.

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Metamemory in Schizophrenia: Monitoring or Control Deficit?

Cited by 5 publications

References 78 publications

The Experience of Cognitive Impairment in People with Psychosis

The Experience of Cognitive Impairment in People with Psychosis

Memory-Related Metacognition in Patients with Schizophrenia

Metacognitive preserved generation strategy benefits for both younger and elderly participants with schizophrenia

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