Relationship of metacognition, absorption, and depersonalization in patients with auditory hallucinations
Open accessAbstract
Objectives. The purpose of this work was to study the relationship of metacognition, absorption, and depersonalization in hallucinating patients. Design. A within‐subjects correlational design was employed. Methods. We formed four groups from a clinical population (schizophrenic patients with hallucinations, schizophrenic patients with no hallucinations but with delusions, schizophrenic patients recovered from positive symptoms, and patients with a non‐psychotic psychiatric disorder) and a non‐clinical control group. All participants were given the Metacognitions Questionnaire (MCQ‐30, ), the Tellegen Absorption Scale (TAS, ) and the Cambridge Depersonalization Scale (CDS, ). Results. Schizophrenic subjects with hallucinations scored significantly higher on the depersonalization scale than any other group, and significantly higher on the absorption scale than any group except for the clinical patient controls. Schizophrenic patients with hallucinations also had significantly more dysfunctional metacognitive beliefs than subjects with no psychiatric pathology. It was further found that the metacognition variable correlated positively with the absorption and depersonalization variables, and that these variables in turn correlated positively with each other. Finally, it should be stressed that the variables that best predict hallucination severity are depersonalization and the MCQ‐30 subscale `Need to control thoughts’. Conclusions. We discuss the role of metacognitive and dissociative variables in understanding hallucinations and suggest some approaches to their treatment.
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Clinically significant levels of depersonalisation are common in individuals who have psychotic symptoms.
“Studies suggest that clinically significant levels of depersonalisation are common in individuals who have psychotic symptoms and are associated with increased impairment.”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [27]
Studies examining depersonalisation symptoms in schizophrenia suggest that depersonalisation may be more common in those experiencing hallucinations, compared to those with delusions only.
“Similarly, studies examining depersonalisation symptoms in schizophrenia suggest that depersonalisation may be more common in those experiencing hallucinations, compared to those with delusions only, and when present are associated with more severe psychotic symptoms [26–28].”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [27]
When depersonalisation is present in schizophrenia, it is associated with more severe psychotic symptoms.
“Similarly, studies examining depersonalisation symptoms in schizophrenia suggest that depersonalisation may be more common in those experiencing hallucinations, compared to those with delusions only, and when present are associated with more severe psychotic symptoms [26–28].”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [27]
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- Authors
- Perona‐Garcelán, S., García‐Montes, J. M., Ductor‐Recuerda, M. J., Vallina‐Fernández, O., Cuevas‐Yust, C., Pérez‐Álvarez, M., Salas‐Azcona, R., & Gómez‐Gómez, M. T.
- Affiliations
- University of Almería (ES)
- Hospital Universitario Virgen del Rocío (ES)
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2011-05-09
- Volume
- 51
- Issue
- 1
- Pages
- 100-118
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W1501398734
- Cited by
- 50
- References
- 33
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 8 · 2015: 9 · 2014: 4 · 2013: 5 · 2012: 3
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- auditory hallucinations, metacognition, absorption, depersonalization, schizophrenia, dissociation, need to control thoughts, hallucination severity, delusions
- MeSH terms
- Adolescent, Adult, Aged, Cognition, Cognition Disorders, Depersonalization, Female, Hallucinations, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Schizophrenia, Schizophrenic Psychology, Young Adult
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