Estrategias de evaluación en la narración como tarea metacognitiva en personas con esquizofrenia

Abstract

Narrative evaluation strategies as metacognitive task in subjects with schizophrenia ABSTRACTPurpose: This study aims to explore the differences in the evaluative component of the narrative structure in subjects diagnosed with schizophrenia compared to subjects diagnosed with affective psychosis. Methods: The present investigation was descriptive, not experimental and it included the analysis of the narration evaluative components of interviews of 25 individuals with psychiatric diagnosis of chronic schizophrenia and 25 of chronic affective psychosis, matched by age, gender and sociodemographic characteristics. Results: The relationship between diagnosis and type of evaluation showed statistically significant results with a chi square value of 39.880a (p <0.00). It was possible to observe that in the schizophrenia there is a greater inhibition in the elaboration of expressions that imply opinions and that narratives tended to identify facts regardless of how they affected subjects, suggesting a limitation of intersubjective function. Conclusion: The diagnostic variable confirms that in schizophrenia there is a functional deterioration in the process of elaborating narrative structures especially in the articulation of the evaluative component. In the case of the affective psychosis group, superficial dysfunctions were manifested, without compromising their performance in the evaluation of narratives. RESUMENObjetivo: Este estudio procura explorar las diferencias en el componente evaluativo de la estructura narrativa en personas con diagnóstico de esquizofrenia, en comparación con personas con diagnóstico de psicosis afectiva. Método: El presente estudio es descriptivo, no experimental, y comprende el análisis de los componentes evaluativos de la narrativa, en entrevistas realizadas a 25 individuos con diagnostico psiquiátrico de esquizofrenia crónica y a 25 individuos diagnosticados de psicosis afectiva crónica, pareados por edad, género y características sociodemográficas. Resultados: La relación entre diagnóstico y tipo de evaluación arrojó resultados estadísticamente significativos con un valor de chi cuadrado de 39,880 a (p< 0.00). Fue posible observar que en la esquizofrenia existe una mayor inhibición en la elaboración de expresiones que impliquen opiniones, que los relatos tendieron a identificar los hechos independientemente de cómo les afectaron, sugiriendo una limitación de la función intersubjetiva. Conclusión: La variable diagnóstico confirma que en la esquizofrenia existe un deterioro funcional en la elaboración de estructuras narrativas y en la articulación del componente evaluativo. En el caso de la psicosis afectiva se manifiestan disfunciones superficiales, sin comprometer su desempeño en la evaluación de las narraciones.Barra et al. CoDAS 2018;30(3):e20170084

Relation between Metacognitive Abilities and Motivation among Patients with Schizophrenia

“…The biological basis of metacognitive impairment in patients with schizophrenia was found to be highly related to atrophy in prefrontal and parietal cortex regions. (21) . Furthermore, metacognitive deficits may be associated with cognitive deficits in schizophrenic patients, which are thought to be a component of schizophrenia and influence disease development and maintenance.…”

“…30. No.3 August, 2023 being very untrue of me and 6= being very true of me except items 6,10,11,16,17,21,22,36,38,41 are reversed score. The total score of overall items will be summed and ranging from 48 to 288 with higher scores indicating higher level of motivation as follow: ≤ 96 indicating low motivation, 97 -192 indicating moderate motivation and >192 indicating high motivation Tool III: Metacognition Questionnaire-MCQ-30 (short form) MCQ was developed by Wells and Cartwright-Hatton (2004) (19) .…”