Metacognition and psychosis-spectrum experiences: a study of objective and subjective measures
Metacognition and psychosis-spectrum experiences: a study of objective and subjective measures
Background: metacognition refers to appraising one's thoughts and behaviours. Deficits in metacognition are associated with psychosis-spectrum experiences, such as hallucinations and delusions, in both clinical and non-clinical populations. Assessments of metacognitive function and abilities in clinical populations often vary in administration duration, and subjectivity of scores. This study investigates associations between different measures of metacognition and their prediction of psychosis spectrum experiences using objective and self-report measures in a cross-sectional study of psychosis-spectrum disorder (PSD) participants and controls.
Method: twenty-three individuals with PSD and forty-four controls were recruited online and completed in-the-moment objective ratings of metacognitive accuracy (meta-Dots Task), and retrospective self-report of metacognitive self-reflection (Beck Cognitive Insight Scale) and abilities (Metacognition Self-Assessment Scale).
Results: there were group differences in self-reported metacognition, with PSD participants having lower scores of metacognitive ability, but no differences in self-reflectiveness or objective metacognitive accuracy. In the PSD group, only self-reported metacognitive ability was associated with and predicted distress about, and conviction in, delusional thoughts.
Conclusions: the findings demonstrate group differences in some self-reported, but not objective, measures of metacognition, and highlight that prediction of PSD experiences depends on the metacognitive construct being measured, and the type of measurement used.
Cognitive insight, Delusions, Hallucinations, Metacognition, Psychosis
214-216
Palmer-Cooper, Emma C.
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Wright, Abigail C.
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Maguire, Nicola
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Montagnese, Marcella
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Dlugunovych, Viktor
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Cella, Matteo
99f8b136-f0ea-40af-86b0-c51b592a1c47
Wykes, Til
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December 2023
Palmer-Cooper, Emma C.
e96e8cb6-2221-4dc7-b556-603f2cf6b086
Wright, Abigail C.
03f51f82-44aa-425d-bc9c-0097228bd1a7
Maguire, Nicola
742de6a8-153f-4fbe-9366-24527671d3b4
Montagnese, Marcella
c8fe3d22-551e-4ee0-8388-f110239ec53f
Dlugunovych, Viktor
14b07e36-c3ee-48a6-937c-7ca5cb23fbfb
Cella, Matteo
99f8b136-f0ea-40af-86b0-c51b592a1c47
Wykes, Til
0c2f31ee-b66c-47a8-af3a-acf7992c2ad1
Palmer-Cooper, Emma C., Wright, Abigail C., Maguire, Nicola, Montagnese, Marcella, Dlugunovych, Viktor, Cella, Matteo and Wykes, Til
(2023)
Metacognition and psychosis-spectrum experiences: a study of objective and subjective measures.
Schizophrenia Research, 262, .
(doi:10.1016/j.schres.2022.12.014).
Abstract
Background: metacognition refers to appraising one's thoughts and behaviours. Deficits in metacognition are associated with psychosis-spectrum experiences, such as hallucinations and delusions, in both clinical and non-clinical populations. Assessments of metacognitive function and abilities in clinical populations often vary in administration duration, and subjectivity of scores. This study investigates associations between different measures of metacognition and their prediction of psychosis spectrum experiences using objective and self-report measures in a cross-sectional study of psychosis-spectrum disorder (PSD) participants and controls.
Method: twenty-three individuals with PSD and forty-four controls were recruited online and completed in-the-moment objective ratings of metacognitive accuracy (meta-Dots Task), and retrospective self-report of metacognitive self-reflection (Beck Cognitive Insight Scale) and abilities (Metacognition Self-Assessment Scale).
Results: there were group differences in self-reported metacognition, with PSD participants having lower scores of metacognitive ability, but no differences in self-reflectiveness or objective metacognitive accuracy. In the PSD group, only self-reported metacognitive ability was associated with and predicted distress about, and conviction in, delusional thoughts.
Conclusions: the findings demonstrate group differences in some self-reported, but not objective, measures of metacognition, and highlight that prediction of PSD experiences depends on the metacognitive construct being measured, and the type of measurement used.
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Accepted/In Press date: 11 December 2022
e-pub ahead of print date: 14 January 2023
Published date: December 2023
Additional Information:
Funding Information:
There was no grant funding associated with this study.
Publisher Copyright:
© 2022
Keywords:
Cognitive insight, Delusions, Hallucinations, Metacognition, Psychosis
Identifiers
Local EPrints ID: 483024
URI: http://eprints.soton.ac.uk/id/eprint/483024
ISSN: 0920-9964
PURE UUID: c70f0811-b851-4320-89c9-2c523da0ae08
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Date deposited: 19 Oct 2023 16:54
Last modified: 18 Mar 2024 03:48
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Contributors
Author:
Abigail C. Wright
Author:
Nicola Maguire
Author:
Marcella Montagnese
Author:
Viktor Dlugunovych
Author:
Matteo Cella
Author:
Til Wykes
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