Metacognition,symptoms and premorbid functioning in a First Episode Psychosis sample |
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| Authors: | Angus MacBeth Andrew Gumley Matthias Schwannauer Antonino Carcione Rebecca Fisher Hamish J. McLeod Giancarlo Dimaggio |
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| Affiliation: | 1. University of Aberdeen, Scotland, UK;2. NHS Grampian, Scotland, UK;3. University of Glasgow, Scotland, UK;4. University of Edinburgh, Edinburgh, Scotland, UK;5. Terzo Centro di Psicoterapia Cognitiva, Rome, Italy;6. Centre for Metacognitive Interpersonal Therapy, Rome, Italy |
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| Abstract: | Significant metacognitive impairments are observed in chronic psychosis samples but metacognition is less understood in first episode psychosis (FEP). The current study explored correlations between metacognition, symptoms and premorbid functioning in an FEP sample. In a cross-sectional cohort study, individuals in the first 12 months of treatment metacognition were assessed with the Metacognition Assessment Scale-Revised version (MAS-R). Psychotic symptomatology, premorbid adjustment, and clinician rated service engagement were also measured. Lower scores for metacognitive understanding of other's minds were significantly correlated with greater negative symptoms, poorer early adolescent social adjustment and poorer clinician rated help-seeking. Our findings suggest that FEP individuals with difficulties in understanding other's minds have more social deficits and may be less able to make effective use of treatment. |
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