title: Metacognitive mastery and intrinsic motivation in schizophrenia.
abstract: Deficits in intrinsic motivation (IM) have been linked to poorer outcome in schizophrenia, but its proximal mechanisms remain poorly understood. This study examined whether metacognitive mastery, or the capacity to use knowledge of self, others, and context to identify and cope with psychological difficulties, predicted levels of IM for 6 months among 75 participants with prolonged schizophrenia. Repeated-measures analysis of variance revealed that high metacognitive mastery predicted consistently higher levels of IM; however, intermediate and low mastery did not produce unique IM profiles. The findings suggest that metacognitive mastery may have an important role in IM over time and could be a meaningful treatment target.
authors.affiliation: *Department of Psychiatry, Indiana University School of Medicine, Indianapolis; †Prevention and Recovery Center for Early Psychosis, Midtown Community Mental Health Centers, Wishard Hospital, Indianapolis, IN; ‡Larue D. Carter Memorial Hospital, IU Psychotic Disorders Research Program, Indianapolis, IN; and §Roudebush VA Medical Hospital, Indianapolis, IN.
authors.forename: Jenifer L
authors.initials: JL
authors.lastname: Vohs
authors.forename: Paul H
authors.initials: PH
authors.lastname: Lysaker
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003071:Cognition; D003072:Cognition Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009483:Neuropsychological Tests; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology*; D012559:Schizophrenia; D012565:Schizophrenic Psychology