Different components of metacognition and their relationship to psychotic-like experiences.
BACKGROUND
Theories of the development of psychotic symptoms have suggested that metacognitive beliefs might play a part. However, studies offering supporting evidence have failed to distinguish between metacognitive beliefs about the consequences of having certain thoughts, and metacognitive beliefs about one's own cognitive skills.


OBJECTIVE
To distinguish metacognitive beliefs and investigate the extent of their association with psychotic-like experiences.


METHODS
Participants were 60 healthy adults recruited primarily from two university campuses. Three measures of metacognition were administered: (i) Metacognitions Questionnaire (MCQ-30); (ii) Metacognitive Assessment Inventory; and (iii) Koriat General Questions Test; and two schizotypy questionnaires: O-Life and SPQ-B and data were analysed using an exploratory principal components analysis of the metacognition measures.


RESULTS
Three principal components were identified: (i) Beliefs about thoughts; (ii) Cognitive confidence; and (iii) Beliefs about cognitive regulation. Only the "beliefs about thoughts" component was significantly associated with the "psychotic-like experiences" factor, extracted from the measures of schizotypy.


CONCLUSIONS
The finding supports theories suggesting that psychotic symptoms may be caused in part by negative metacognitive beliefs about thoughts. However, metacognition is a complex construct that is currently poorly understood.
Institute of Psychiatry, King's College London, UK. clare.reeder@kcl.ac.uk
Clare
C
Reeder
Teuta
T
Rexhepi-Johansson
Til
T
Wykes
D000328:Adult; D003072:Cognition Disorders / Q000175:diagnosis / Q000523:psychology*; D003469:Culture; D005260:Female; D006801:Humans; D008297:Male; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology*; D012016:Reference Values; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis; D012565:Schizophrenic Psychology; D012569:Schizotypal Personality Disorder / Q000175:diagnosis / Q000523:psychology; D013850:Thinking; D055815:Young Adult