File(s) under permanent embargo
Influences on functional outcome and subjective recovery in individuals with and without First Episode Psychosis: a metacognitive model
journal contribution
posted on 2023-06-09, 19:29 authored by Abigail Wright, David FowlerDavid Fowler, Kathryn GreenwoodKathryn GreenwoodModels of functional and subjective recovery in psychosis suggest that the path between neurocognition and functioning is mediated by cognitive processes, which may include metacognition, considered ‘thinking about thinking’. Metacognition has several components: metacognitive ability, experience and efficiency, connected by metacognitive monitoring and metacognitive control processes; akin to executive control processes. This study aimed to explore whether metacognitive components are fragmented, how individuals with FEP perform on the metacognitive scores compared to healthy control participants, and whether metacognitive components are associated with functioning and, for FEP only, subjective recovery. 62 individuals with FEP and 73 matched healthy controls completed measures of metacognition, functional capacity, functional outcome, and subjective recovery; covariates: IQ and symptoms. Factor analysis, to assess loading of metacognitive items onto separate factors, demonstrated that metacognitive ability, experience, efficiency and monitoring were separate components, with limited association. Metacognitive ability and metacognitive control process were reduced in FEP sample, but metacognitive experience and monitoring process were higher in FEP. Metacognitive ability predicted functional capacity, functional outcome and subjective recovery. Metacognitive experience predicted functional capacity. This is the first study to assess key metacognitive components within a large model and consider the distinct associations with both functional and subjective recovery.
History
Publication status
- Published
File Version
- Accepted version
Journal
Psychiatry ResearchISSN
0165-1781Publisher
ElsevierExternal DOI
Article number
a112643Department affiliated with
- Psychology Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2019-10-29First Compliant Deposit (FCD) Date
2019-10-28Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC