The Role of Metacognitive Self-Reflectivity in Emotional Awareness and Subjective Indices of Recovery in Schizophrenia.
Emotional awareness deficits in people with schizophrenia have been linked to poorer objective outcomes, but no work has investigated the relationship between emotional awareness and subjective recovery indices or metacognitive self-reflectivity. The authors hypothesized that increased emotional awareness would be associated with greater self-esteem, hope, and self-reflectivity and that self-reflectivity would moderate links between emotional awareness and self-esteem and hope-such that significant relationships would only be observed at lower levels of self-reflectivity. Participants were 56 people with schizophrenia spectrum disorders. Correlations revealed that better emotional awareness was significantly associated with increased self-esteem and hope but not self-reflectivity. Self-reflectivity moderated the relationship between emotional awareness and self-esteem but not hope. Overall, findings suggest that emotional awareness may affect self-esteem for those low in self-reflectivity, but other factors may be important for those with greater self-reflectivity. Results emphasize the importance of interventions tailored to enhance self-reflective capacity in clients with schizophrenia.
*Psychology Department, Indiana University-Purdue University Indianapolis; †School of Psychological Sciences, University of Indianapolis; ‡Psychiatric Rehabilitation and Recovery Center, Roudebush VA Medical Center; and §Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN.
Kelsey A
KA
Bonfils
Lauren
L
Luther
Sunita
S
George
Kelly D
KD
Buck
Paul H
PH
Lysaker
D000328:Adult; D001364:Awareness / Q000502:physiology; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D004644:Emotions / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D000067489:Metacognition / Q000502:physiology; D008875:Middle Aged; D020127:Recovery of Function / Q000502:physiology; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy; D012565:Schizophrenic Psychology
Schizophr Res. 2009 Dec;115(2-3):363-9
19616414
Psychopathology. 2011;44(6):371-8
21847004
Psychother Psychosom. 1977;28(1-4):47-57
609697
Psychiatry Res. 2012 Dec 30;200(2-3):193-201
22749227
Psychiatr Serv. 2008 Dec;59(12):1437-42
19033171
Cogn Emot. 2007 Feb 1;21(2):268-280
20037665
Monogr Soc Res Child Dev. 1994;59(2-3):25-52
7984164
Psychiatr Serv. 2000 Feb;51(2):229-33
10655008
Psychol Psychother. 2010 Sep;83(Pt 3):303-15
20170602
Psychol Rep. 2001 Aug;89(1):95-8
11729558
Schizophr Res. 2007 Jul;93(1-3):278-87
17407806
Aust N Z J Psychiatry. 2003 Oct;37(5):586-94
14511087
J Rehabil Res Dev. 2008;45(6):911-9
19009477
Psychiatr Rehabil J. 2015 Sep;38(3):249-55
25664756
Multivariate Behav Res. 2005;40(3):373-400
26794689
Compr Psychiatry. 2011 May-Jun;52(3):253-60
21497218
Schizophr Res. 2003 May 1;61(1):75-88
12648738
Psychiatry. 2002 Fall;65(3):197-206
12405078
Isr J Psychiatry Relat Sci. 2003;40(3):165-73
14619675
J Consult Clin Psychol. 1974 Dec;42(6):861-5
4436473
Clin Psychol Psychother. 2015 Nov-Dec;22(6):637-46
25256563
Isr J Psychiatry Relat Sci. 2014;51(1):54-62
24858635
Schizophr Bull. 2007 Jan;33(1):192-9
16894025
Clin Psychol Rev. 2014 Aug;34(6):482-95
25105273
Psychiatry Res. 2015 Mar 30;226(1):224-9
25619436
Neurosci Res. 2011 Jun;70(2):206-13
21300113
Acta Psychiatr Scand. 2007 Oct;116(4):290-8
17803759
Compr Psychiatry. 2007 Jan-Feb;48(1):27-33
17145278
Clin Psychol Psychother. 2013 Nov-Dec;20(6):523-30
22570312
Schizophr Res. 2015 Mar;162(1-3):189-95
25579055
Acta Psychiatr Scand. 2005 Jul;112(1):64-71
15952947
Compr Psychiatry. 2015 Feb;57:106-11
25434845
BMC Psychiatry. 2014 Feb 03;14:27
24490942
Psychother Psychosom. 1973;22(2):255-62
4770536
Psychiatry Res. 2009 Dec 30;170(2-3):108-13
19906439
Schizophr Res. 2011 Sep;131(1-3):133-8
21669512