PMID- 23517866
OWN - NLM
STAT- MEDLINE
DCOM- 20150601
LR  - 20211021
IS  - 1469-1833 (Electronic)
IS  - 1352-4658 (Linking)
VI  - 42
IP  - 5
DP  - 2014 Sep
TI  - Metacognitive functioning in individuals at clinical high risk for psychosis.
PG  - 526-34
LID - 10.1017/S1352465813000167 [doi]
AB  - BACKGROUND: Metacognition has been described as the knowledge of our own 
      cognitive processes. Metacognitive deficits are common in schizophrenia, but 
      little is known about metacognition before the onset of full-blown psychosis. 
      AIMS: This study aimed to longitudinally characterize metacognition in a sample 
      of individuals at clinical high risk (CHR) for psychosis, and to determine if 
      metacognition was related to later conversion to psychosis. METHOD: Participants 
      (153 CHR individuals; 68 help seeking controls, HSC) were part of the large 
      multi-site PREDICT study, which sought to determine predictors of conversion to 
      psychosis. They were tested at baseline and 6 months using the Meta-Cognitions 
      Questionnaire (MCQ) that has five sub-scales assessing different domains of 
      metacognition. RESULTS: RESULTS of the mixed-effect models demonstrated 
      significantly poorer scores at baseline for the CHR group compared to the HSC 
      group in Negative beliefs about uncontrollability, Negative beliefs and the 
      overall MCQ score. At the 6-month assessment, no difference was observed in 
      metacognition between the two groups, but both groups showed improvement in 
      metacognition over time. Those who later converted to psychosis had poorer 
      performance on metacognitive beliefs at baseline. CONCLUSIONS: A poorer 
      performance in metacognition can be seen as a marker of developing a full blown 
      psychotic illness and confirms the potential value of assessing metacognitive 
      beliefs in individuals vulnerable for psychosis.
FAU - Barbato, Mariapaola
AU  - Barbato M
AD  - University of Calgary,Canada.
FAU - Penn, David L
AU  - Penn DL
AD  - University of North Carolina at Chapel Hill,USA.
FAU - Perkins, Diana O
AU  - Perkins DO
AD  - University of North Carolina at Chapel Hill,USA.
FAU - Woods, Scott W
AU  - Woods SW
AD  - Yale University,New Haven,USA.
FAU - Liu, Lu
AU  - Liu L
AD  - University of Calgary,Canada.
FAU - Addington, Jean
AU  - Addington J
AD  - University of Calgary,Canada.
LA  - eng
GR  - U01 MH066160/MH/NIMH NIH HHS/United States
GR  - U01MH066160/MH/NIMH NIH HHS/United States
GR  - U01MH06634-02/MH/NIMH NIH HHS/United States
GR  - U01MH066069-04/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20130321
PL  - United States
TA  - Behav Cogn Psychother
JT  - Behavioural and cognitive psychotherapy
JID - 9418292
SB  - IM
MH  - Adolescent
MH  - *Awareness
MH  - Cognition Disorders/*diagnosis/*psychology
MH  - *Culture
MH  - Disease Progression
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Psychometrics
MH  - Psychotic Disorders/*diagnosis/*psychology
MH  - Risk Factors
MH  - Schizophrenia/*diagnosis
MH  - *Schizophrenic Psychology
MH  - Schizotypal Personality Disorder/diagnosis/psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2013/03/23 06:00
MHDA- 2015/06/02 06:00
CRDT- 2013/03/23 06:00
PHST- 2013/03/23 06:00 [entrez]
PHST- 2013/03/23 06:00 [pubmed]
PHST- 2015/06/02 06:00 [medline]
AID - S1352465813000167 [pii]
AID - 10.1017/S1352465813000167 [doi]
PST - ppublish
SO  - Behav Cogn Psychother. 2014 Sep;42(5):526-34. doi: 10.1017/S1352465813000167. 
      Epub 2013 Mar 21.