The developmental origins of metacognitive deficits in schizophrenia
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Date
2016
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Abstract
The deficits in metacognition have been observed in schizophrenia but developmental roots of impaired metacognition are not well understood. Accordingly, this study compared metacognitive abilities of patients with schizophrenia and healthy group and examined the relationship between childhood trauma, attachment style and caregiver attitudes with metacognitive capacity which might contribute to metacognitive deficits in patient group. 35 patients with schizophrenia and 35 healthy people were included in the study. Metacognitive capacity was measured using the Metacognition Assessment Scale Abbreviated (MAS-A). This scale comprises four domains: self-reflectivity, understanding other's mind, decentration and mastery. Group comparisons revealed that schizophrenia patients had greater deficits in metacognitive ability. We found that the report of childhood emotional abuse, a pattern of anxious attachment and over protection by caregivers were uniquely related to metacognitive capacity. © 2016 Elsevier Ireland Ltd
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Keywords
Adult , Child , Child Abuse , Cognition Disorders , Comprehension , Cross-Cultural Comparison , Female , Humans , Male , Metacognition , Middle Aged , Psychometrics , Reactive Attachment Disorder , Reproducibility of Results , Risk Factors , Schizophrenia , Schizophrenic Psychology , Stress Disorders, Post-Traumatic , Surveys and Questionnaires , Turkey , chlorpromazine , neuroleptic agent , adult , Article , child abuse , Childhood Trauma Questionnaire , clinical article , cognitive defect , controlled study , correlation analysis , criterion variable , decentration , DSM-IV-TR , emotional abuse , emotional attachment , Experience In Close Relationships Revised , female , human , Indiana Psychiatric Illness Interview , male , mastery , metacognition , Metacognition Assessment Scale Abbreviated , metacognitive deficit , multivariate analysis of covariance , My Memories of upbringing short version , priority journal , rating scale , risk assessment , schizophrenia , self reflectivity , semi structured interview , social status , theory of mind , understanding other mind , child , cognitive defect , comparative study , comprehension , cultural factor , middle aged , posttraumatic stress disorder , psychology , psychometry , psychosocial disorder , questionnaire , reproducibility , risk factor , schizophrenia , statistics and numerical data