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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 Greenwood
Models 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 Research

ISSN

0165-1781

Publisher

Elsevier

Article number

a112643

Department affiliated with

  • Psychology Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2019-10-29

First Compliant Deposit (FCD) Date

2019-10-28

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