Metacognitive dysfunctions in personality disorders: Correlations with disorder severity and personality styles
Abstract
Metacognitive impairment is crucial to explaining difficulties in life tasks of patients with personality disorders (PDs). However, several issues remain open. There is a lack of evidence that metacognitive impairments are more severe in patients with PDs. The relationship between severity of PD pathology and the extent of metacognitive impairment has not been explored, and there has not been any finding to support the linking of different PDs with specific metacognitive profiles. The authors administered the Metacognitive Assessment Interview to 198 outpatients with PDs and 108 outpatients with no PDs, differentiating overall severity from stylistic elements of personality pathology. Results showed that metacognitive impairments were more severe in the group with PDs than in the control group, and that metacognitive dysfunctions and the severity of the PD were highly associated. Positive correlations were found between specific metacognitive dysfunctions and specific personality styles. Results suggest that metacognitive impairments could be considered a common pathogenic factor for PDs.
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In a large sample of patients with personality disorders, mindreading impairment was associated more with general personality severity, measured by numbers of criteria met, than with specific styles or categories.
“For example, in a study of a large sample of patients with personality disorders, it was found that mindreading impairment was associated more with general personality severity, measured on the basis of numbers of criteria met, than with specific styles or categories [49].”
From Symptom severity and mindreading in narcissistic personality disorder. (2018) · cites this paper as [49]
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Self-citation
- Authors
- Semerari, A., Colle, L., Pellecchia, G., Buccione, I., Carcione, A., Dimaggio, G., Nicolò, G., Procacci, M., & Pedone, R.
- Affiliations
- University of Campania "Luigi Vanvitelli" (IT)
- ORCID
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2014-12
- Volume
- 28
- Issue
- 6
- Pages
- 751-766
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2048457190
- Cited by
- 154
- References
- 64
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 14 · 2023: 16 · 2022: 10 · 2021: 17 · 2020: 15 · 2019: 10 · 2018: 14 · 2017: 10 · 2016: 9 · 2015: 14 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 13.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- personality disorders, disorder severity, personality styles, metacognition, pathogenic factors, personality pathology
- MeSH terms
- Adolescent, Adult, Aged, Cognition Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, Outpatients, Personality, Personality Disorders, Risk Factors, Severity of Illness Index, Case-Control Studies, Young Adult
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