The DOI matches its Crossref record; 52 of the 55 references it cites were found in a registry or an index.
Metacognition in schizophrenia: correlates and stability of deficits in theory of mind and self-reflectivity.
Abstract
Research suggests that many with schizophrenia experience a range of deficits in metacognition including difficulties recognizing the emotions and intentions of others as well as reflecting upon and questioning their own thinking. Unclear, however, is the extent to which these deficits are stable over time, how closely related they are to one another and whether their associations with core aspects of the disorder such as disorganization symptoms are stable over time. To explore this issue, we administered three assessments of Theory of Mind (ToM), the Beck Cognitive Insight Scale (BCIS), and the Positive and Negative Syndrome Scale at baseline and 6 months to 36 participants with schizophrenia. Correlations revealed the ToM and BCIS scores were stable across the two test administrations and that the ToM tests were closely linked to each other but not to the BCIS. Poorer baseline performance on the ToM tests and the Self-Certainty scale of the BCIS were linked to greater cognitive symptoms at baseline and follow-up, while greater Self-Reflectivity on the BCIS was linked to greater levels of emotional distress at both baseline and 6-month follow-up. Results are consistent with assertions that deficits in metacognition are a stable feature of schizophrenia.
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“Furthermore, our ecological assessment (see Supplementary Table 2) identified metacognitive deficits (90) to be the main determinant for pathogenetic cognitive processes associated with positive symptoms (first health problem).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [90]
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Cites
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
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Does the autistic child have a “theory of mind” ?
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985) · Cognition · doi:10.1016/0010-0277(85)90022-8 · Cited by 8,599 · cited 1×
“…faculties, which include awareness of one's ownmental processes, the fallibility of one's own thought, the ability to infer emotions from others faces and prosody, and Theory of Mind (ToM) (Baron-Cohen et al., 1985) or the cognitive understanding of ideas, beliefs and intentions of other people.”
BackgroundBaron‐Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00715 · Cited by 4,555 · cited 5×
“…ameasure of the verbal-reasoning aspect of ToM, the Hinting Task (Corcoran et al., 1995), a measure of the non-verbal aspect, the Eyes Test (Baron-Cohen et al., 2001) and another test involving both verbal and non-verbal elements, the Bell Lysaker Emotion Recognition Task (BLERT, Bryson et…”
BackgroundMethodInfluentialBaron‐Cohen, S., Wheelwright, S. J., Hill, J., Raste, Y., & Plumb, I. (2001) · PubMed · Cited by 4,313
Corcoran, R., Mercer, G., & Frith, C. D. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(95)00024-g · Cited by 1,340
The roots of empathy: the shared manifold hypothesis and the neural basis of intersubjectivity
Gallese, V. (2003) · Psychopathology · doi:10.1159/000072786 · Cited by 1,249
"Theory of Mind" in Schizophrenia: A Review of the Literature
Brune, M. (2005) · Schizophrenia Bulletin · doi:10.1093/schbul/sbi002 · Cited by 1,044
Dissociable Medial Prefrontal Contributions to Judgments of Similar and Dissimilar Others
Mitchell, J. P., Macrae, C. N., & Banaji, M. R. (2006) · Neuron · doi:10.1016/j.neuron.2006.03.040 · Cited by 1,023
Uniquely human social cognition
Saxe, R. (2006) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2006.03.001 · Cited by 919
A new instrument for measuring insight: the Beck Cognitive Insight Scale
Beck, A. T. (2003) · Schizophrenia Research · doi:10.1016/s0920-9964(03)00189-0 · Cited by 871
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Is schizophrenia on the autism spectrum?
King, B. H., & Lord, C. (2010) · Brain Research · doi:10.1016/j.brainres.2010.11.031 · Cited by 260
Age effects on different components of theory of mind
Duval, C., Piolino, P., Bejanin, A., Eustache, F., & Desgranges, B. (2010) · Consciousness and Cognition · doi:10.1016/j.concog.2010.10.025 · Cited by 267
Metacognitive reflection and insight therapy (MERIT) for patients with schizophrenia
de Jong, S., van Donkersgoed, R. J. M., Timmerman, M. E., Rot, M. A. H., Wunderink, L., Arends, J., van der Gaag, M., Aleman, A., Lysaker, P. H., & Pijnenborg, G. H. M. (2018) · Psychological Medicine · doi:10.1017/s0033291718000855 · Cited by 160
Self-citationMetacognition, social cognition, and symptoms in patients with first episode and prolonged psychoses
Vohs, J. L., Lysaker, P. H., Francis, M., Hamm, J. A., Buck, K. D., Olesek, K. L., Outcalt, J., Dimaggio, G., Leonhardt, B. L., Liffick, E., et al. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.01.012 · Cited by 136
Self-citationHamm, J. A., Renard, S., Fogley, R. L., Leonhardt, B. L., Dimaggio, G., Buck, K. D., & Lysaker, P. H. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21906 · Cited by 126
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Metadata
- Authors
- Lysaker, P. H., Olesek, K. L., Warman, D. M., Martin, J. M., Salzman, A. K., Nicolò, G., Salvatore, G., & Dimaggio, G.
- Affiliations
- Richard L. Roudebush VA Medical Center (US)
- University of Indianapolis (US)
- Butler University (US)
- Corresponding author
- Lysaker, Paul H.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2011-11
- Volume
- 190
- Issue
- 1
- Pages
- 18-22
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2078062326
- Cited by
- 114
- References
- 55
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 2 · 2019: 7 · 2018: 5 · 2017: 10 · 2016: 12 · 2015: 9 · 2014: 11 · 2013: 16 · 2012: 14
- FWCI
- 8.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- metacognition, schizophrenia, theory of mind, self-reflectivity, cognitive insight, Beck Cognitive Insight Scale, emotional distress, cognitive symptoms, disorganization symptoms, test-retest stability, self-certainty
- MeSH terms
- Adult, Awareness, Cognition Disorders, Emotions, Eye, Female, Hospitals, Veterans, Humans, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Theory of Mind
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