Metacognition in psychosis: Comparison of schizophrenia with bipolar disorder

dc.contributor.authorTas, C
dc.contributor.authorBrown, EC
dc.contributor.authorAydemir, O
dc.contributor.authorBrüne, M
dc.contributor.authorLysaker, PH
dc.date.accessioned2024-07-18T12:07:39Z
dc.date.available2024-07-18T12:07:39Z
dc.description.abstractWhile deficits in metacognition have been observed in schizophrenia (SZ), it is less clear whether these are specific to the disorder. Accordingly, this study compared metacognitive abilities of patients with schizophrenia and bipolar disorder (BD) and examined the degree to which neurocognition contributed to metacognitive deficits in both groups. Participants were 30 patients with SZ and 30 with BD. Metacognitive capacity was measured using the Metacognition Assessment Scale Abbreviated (MAS-A). This scale comprises four domains: self-reflectivity, understanding others' minds, decentration and mastery. Verbal memory, executive functioning and symptoms were concurrently assessed. Group comparisons revealed that SZ patients had greater deficits in metacognitive self-reflectivity, which correctly classified 85.2% of patients with SZ in a logistic regression. Self-reflectivity and understanding others' minds were related to verbal memory and executive functioning in the SZ group, but not in the BD group. Furthermore, greater positive and general psychotic symptoms were associated with poorer metacognition in SZ. Results suggest SZ involves unique deficits in the ability to self-reflect and that these deficits may be uniquely linked with neurocognition. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
dc.identifier.issn0165-1781
dc.identifier.other1872-7123
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/10568
dc.language.isoEnglish
dc.publisherELSEVIER IRELAND LTD
dc.subjectSOCIAL COGNITION
dc.subjectPERSONALITY-DISORDERS
dc.subjectSELF-REFLECTION
dc.subjectMIND DEFICIT
dc.subjectSYMPTOMS
dc.subjectNEUROCOGNITION
dc.subjectPSYCHOTHERAPY
dc.subjectASSOCIATIONS
dc.subjectALEXITHYMIA
dc.subjectINSIGHT
dc.titleMetacognition in psychosis: Comparison of schizophrenia with bipolar disorder
dc.typeArticle

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