title: Metacognition, symptoms and premorbid functioning in a first episode psychosis sample.
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.
authors.affiliation: University of Aberdeen, Scotland, UK; NHS Grampian, Scotland, UK. Electronic address: angus.macbeth@abdn.ac.uk.
authors.forename: Angus
authors.initials: A
authors.lastname: Macbeth
authors.affiliation: University of Glasgow, Scotland, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Gumley
authors.affiliation: University of Edinburgh, Edinburgh, Scotland, UK.
authors.forename: Matthias
authors.initials: M
authors.lastname: Schwannauer
authors.affiliation: Terzo Centro di Psicoterapia Cognitiva, Rome, Italy.
authors.forename: Antonino
authors.initials: A
authors.lastname: Carcione
authors.affiliation: University of Edinburgh, Edinburgh, Scotland, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Fisher
authors.affiliation: University of Glasgow, Scotland, UK.
authors.forename: Hamish J
authors.initials: HJ
authors.lastname: McLeod
authors.affiliation: Centre for Metacognitive Interpersonal Therapy, Rome, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Dimaggio
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D062706:Prodromal Symptoms; D011618:Psychotic Disorders / Q000503:physiopathology*; D012559:Schizophrenia / Q000503:physiopathology*; D012565:Schizophrenic Psychology; D012917:Social Adjustment; D056345:Theory of Mind / Q000502:physiology*; D055815:Young Adult