Metacognition, symptoms and premorbid functioning in a first episode psychosis sample

MacBeth, A., Gumley, A. , Schwannauer, M., Carcione, A., Fisher, R., McLeod, H. J. and Dimaggio, G. (2014) Metacognition, symptoms and premorbid functioning in a first episode psychosis sample. Comprehensive Psychiatry, 55(2), pp. 268-273. (doi:10.1016/j.comppsych.2013.08.027)

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Abstract

Significant metacognitive impairments are observed in chronic psychosis samples but metacognition is less understood in first episode psychosis (FEP). The current study explored correlations between metacognition, symptoms and premorbid functioning in an FEP sample. In a cross-sectional cohort study, individuals in the first 12 months of treatment metacognition were assessed with the Metacognition Assessment Scale-Revised version (MAS-R). Psychotic symptomatology, premorbid adjustment, and clinician rated service engagement were also measured. Lower scores for metacognitive understanding of other's minds were significantly correlated with greater negative symptoms, poorer early adolescent social adjustment and poorer clinician rated help-seeking. Our findings suggest that FEP individuals with difficulties in understanding other's minds have more social deficits and may be less able to make effective use of treatment.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:MacBeth, Mr Angus and Gumley, Professor Andrew and McLeod, Professor Hamish
Authors: MacBeth, A., Gumley, A., Schwannauer, M., Carcione, A., Fisher, R., McLeod, H. J., and Dimaggio, G.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Comprehensive Psychiatry
ISSN:0010-440X
ISSN (Online):1532-8384

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