Déficit métacognitif dans la schizophrénie : caractéristiques et liens

Daoud, M.; Thabet, J. Ben; Bouali, M. Mâalej; Omri, S.; Gassara, I.; Feki, R.; Smaoui, N.; Zouari, L.; Charfi, Nadia; Maâlej, M.

doi:10.1016/j.encep.2021.04.004

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…In contrast, the MAS-M score exhibited the weakest correlations with social cognitive measures in the review. Mastery (i.e., implementation of cognitive strategies and behavioral regulation) was the most impaired metacognitive function in previous work (11). Our results may be due to a floor effect for mastery scores in the included studies, which reduced the range of the data.…”

Section: Are Metacognition and Social Cognition Correlated In Schizop...mentioning

confidence: 55%

“…Metacognition is a rapidly expanding field of study in psychiatric disorders (i.e., schizophrenia, mood disorders, substance-related disorders, anxiety) because metacognitive deficits seem to be a common feature of psychiatric disorders, particularly psychosis (9,10). The most impaired metacognitive process in schizophrenia may be mastery (11)(12)(13), which is the ability to work with one's mental representations and states, in order to implement effective action strategies for performing cognitive tasks or coping with problematic mental states (2). Poor metacognitive skills and poor social functioning have been demonstrated in patients with schizophrenia (14,15).…”

Section: Introductionmentioning

confidence: 99%

“…Poor metacognitive skills and poor social functioning have been demonstrated in patients with schizophrenia (14,15). Impaired metacognitive skills are correlated with occupational impairment, low self-esteem and social anxiety (11,16,17). Metacognitive skills could therefore be key in translating cognitive performance into life skills.…”

Section: Introductionmentioning

confidence: 99%

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Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis

Motut,

Isaac,

Castillo

et al. 2023

Front. Psychiatry

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IntroductionMetacognition is the ability to reflect on one’s own cognitive processes, monitor and regulate them to enhance mental performance. Social cognition involves the capacity to perceive and respond to social cues from others. The study of metacognition and social cognition is an expanding research field in psychiatry. Both domains are related to neurocognition, symptoms and psychosocial functioning in schizophrenia. Understanding the relationship between social cognition and metacognition may be pivotal for enhancing the treatment of cognitive symptoms in schizophrenia.MethodsWe conducted a PRISMA systematic review and meta-analysis on quantitative studies comparing metacognition to social cognitive outcomes in adult outpatients with a schizophrenia spectrum disorder. Reports were retrieved from the Medline, ScienceDirect and PsycINFO databases up to July 13th, 2023. Risk of bias was assessed with the Cochrane tool.ResultsOur review included 1,036 participants across 17 reports, with 12 reports included in the meta-analysis. We found a significant positive correlation (r = 0.28, 95% CI: [0.14, 0.41]) between social cognition and metacognition. Subgroup analyses indicated that metacognition was specifically associated with theory of mind, attribution, and emotion processing. Different patterns of correlations were observed according to the assessment of metacognition and its subdimensions.ConclusionDespite discrepancies among the included studies, no publication bias was detected. The results suggest that metacognition and social cognition are distinct but related constructs. Those processes should be assessed and treated together, along with neurocognition, in schizophrenia.

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Section: Are Metacognition and Social Cognition Correlated In Schizop...mentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis

Motut,

Isaac,

Castillo

et al. 2023

Front. Psychiatry

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“…Applied to social functioning, it has been suggested that metacognitive deficits reduce persons' abilities to form complex ideas about their and others' purposes, possibilities, and place in the world, eroding the potential for evolving intimate social relationships that are more than a matter of cooperation in specific activities (Lysaker et al, 2022). Examples of the most robust research findings supporting this paradigm link metacognitive deficits with more impoverished social networks (Gagen et al, 2019;Masse et al, 2020), deficits in empathy (Bonfils et al, 2019), and higher levels of concurrent and prospective negative symptoms (Austin et al, 2019;Daoud et al, 2022;Lysaker et al, 2020b).…”

mentioning

confidence: 99%

Negative Schizotypy Mediates the Relationship Between Metacognition and Social Functioning in a Nonclinical Sample

Luther

Hochheiser²,

Wiesepape

et al. 2023

J Nerv Ment Dis

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Reduced metacognitive abilities—difficulty making sense of and understanding oneself and others—have been found to be key predictors of social functioning across a range of clinical and nonclinical groups. However, the exact processes through which metacognition impacts social functioning are unclear. This study examined whether subclinical negative symptoms mediated the relationship between metacognition and social functioning in a nonclinical sample of young adults (n = 98). Results demonstrated that lower metacognitive mastery was found to be uniquely associated with greater subclinical negative symptoms, whereas higher subclinical negative symptoms were associated with reduced social functioning. Further, the effects of lower metacognition on reduced social function were mediated by subclinical negative symptoms and not positive or disorganized subclinical symptoms. Results suggest that subclinical negative symptoms may link reductions in metacognition with social functioning in nonclinical samples. Training aimed at enhancing metacognition may support normative social functioning in the general population.

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Place de la remédiation cognitive dans le dispositif de soins

Roussel Vadot,

Giraud Baro

2023

Remédiation Cognitive

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Déficit métacognitif dans la schizophrénie : caractéristiques et liens

Cited by 3 publications

References 36 publications

Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis

Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis

Negative Schizotypy Mediates the Relationship Between Metacognition and Social Functioning in a Nonclinical Sample

Place de la remédiation cognitive dans le dispositif de soins

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