Metacognitive awareness of cognitive problems in schizophrenia: Exploring the role of symptoms and self-esteem

Psychological Medicine

Volumn 44, Issue 3, 2014, Pages 469-476

  Cella, M ^a   Swan, S ^a   Medin, E ^a   Reeder, C ^a   Wykes, T ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Awareness; cognition; metacognition; schizophrenia; self esteem

Indexed keywords

ADOLESCENT; ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; AWARENESS; COGNITIVE DEFECT; FEMALE; HUMAN; INTELLIGENCE; MALE; MIDDLE AGED; NEUROPSYCHOLOGICAL TEST; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; PSYCHOLOGY; REGRESSION ANALYSIS; SCHIZOPHRENIA; SELF CONCEPT; SEVERITY OF ILLNESS INDEX; SHORT TERM MEMORY; SOCIAL ADAPTATION; STATISTICS; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; ANALYSIS OF VARIANCE; AWARENESS; COGNITION DISORDERS; FEMALE; HUMANS; INTELLIGENCE; MALE; MEMORY, SHORT-TERM; MIDDLE AGED; NEUROPSYCHOLOGICAL TESTS; PSYCHIATRIC STATUS RATING SCALES; REGRESSION ANALYSIS; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; SELF CONCEPT; SEVERITY OF ILLNESS INDEX; SOCIAL ADJUSTMENT; YOUNG ADULT;

EID: 84891822099     PISSN: 00332917     EISSN: 14698978     Source Type: Journal    
DOI: 10.1017/S0033291713001189     Document Type: Article

References (52)

1. Aleman A, Agrawal N, Morgan KD, David AS (2006). Insight in psychosis and neuropsychological function: meta-analysis. British Journal of Psychiatry 189, 204-212.
2. Amador XF, Strauss DH, Yale SA, Gorman JM (1993). Assessment of insight in psychosis. American Journal of Psychiatry 150, 873-879.
3. Beck AT, Baruch E, Balter JM, Steer RA, Warman DM (2004). A new instrument for measuring insight: the Beck Cognitive Insight Scale. Schizophrenia Research 68, 319-329.
4. Burgess P, Shallice T (1997). The Hayling and Brixton Tests. Test Manual. Thames Valley Test Company: Bury St Edmunds, UK.
5. Cella M, Dymond S, Cooper A, Turnbull OH (2012). Cognitive decision modelling of emotion-based learning impairment in schizophrenia: the role of awareness. Psychiatry Research 196, 15-19.
6. Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T (2011). Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation 92, 519-530.
7. Cooke MA, Peters ER, Greenwood KE, Fisher PL, Kumari V, Kuipers E (2007). Insight in psychosis: influence of cognitive ability and self-esteem. British Journal of Psychiatry 191, 234-237.
8. Cuesta MJ, Peralta V, Caro F, de Leon J (1995). Is poor insight in psychotic disorders associated with poor performance on the Wisconsin Card Sorting Test? American Journal of Psychiatry 152, 1380-1382.
9. Cuffel BJ, Alford J, Fischer EP, Owen RR (1996). Awareness of illness in schizophrenia and outpatient treatment adherence. Journal of Nervous and Mental Disease 184, 653-659.
10. David AS, Bedford N, Wiffen B, Gilleen J (2012). Failures of metacognition and lack of insight in neuropsychiatric disorders. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences 367, 1379-1390.
11. David A, Buchanan A, Reed A, Almeida O (1992). The assessment of insight in psychosis. British Journal of Psychiatry 161, 599-602.
12. David A, van Os J, Jones P, Harvey I, Foerster A, Fahy T (1995). Insight and psychotic illness. Cross-sectional and longitudinal associations. British Journal of Psychiatry 167, 621-628.
13. De Hert MA, Simon V, Vidovic D, Franic T, Wampers M, Peuskens J, van Winkel R (2009). Evaluation of the association between insight and symptoms in a large sample of patients with schizophrenia. European Psychiatry 24, 507-512.
14. Flavell JH (1979). Metacognition and cognitive monitoring: a new area of cognitive-developmental inquiry. American Psychologist 34, 906-911.
15. Goldberg RW, Green-Paden LD, Lehman AF, Gold JM (2001). Correlates of insight in serious mental illness. Journal of Nervous and Mental Disease 189, 137-145.
16. Harvey PD, Serper MR, White L, Parella MJ, McGurk SR, Moriarty PJ, Bowie C, Vadhan N, Friedman J, David KL (2001). The convergence of neuropsychological testing and clinical ratings of cognitive impairment in patients with schizophrenia. Comprehensive Psychiatry 42, 306-313.
17. Heaton R, Chelune G, Talley J, Kay G, Curtiss G (1993). Wisconsin Card Sorting Test Manual-Revised and Expanded. Psychological Assessment Resources: Odessa, FL.
18. Holdnack HA (2001). Wechsler Test of Adult Reading: WTAR. Psychological Corporation: San Antonio, TX.
19. Huddy V, Reeder C, Kontis D, Wykes T, Stahl D (2012). The effect of working alliance on adherence and outcome in cognitive remediation therapy. Journal of Nervous and Mental Disease 200, 614-619.
20. Kay SR, Fiszbein A, Opler LA (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13, 261-276.
21. Keefe RSE, Poe M, Walker TM, Kang JW, Harvey PD (2006). The Schizophrenia Cognitive Rating Scale: an interview-based assessment and its relationship to cognition, real-world functioning, and functional capacity. American Journal of Psychiatry 163, 426-432.
22. Koren D, Seidman LJ, Poyurovsky M, Goldsmith M, Viksman P, Zichel S, Klein E (2004). The neuropsychological basis of insight in first-episode schizophrenia: a pilot metacognitive study. Schizophrenia Research 70, 195-202.
23. Lysaker P, Bell M (1995). Work rehabilitation and improvements in insight in schizophrenia. Journal of Nervous and Mental Disease 183, 103-106.
24. Lysaker PH, Buck KD, Salvatore G, Popolo R, Dimaggio G (2009). Lack of awareness of illness in schizophrenia: conceptualizations, correlates and treatment approaches. Expert Review of Neurotherapeutics 9, 1035-1043.
25. Lysaker PH, Dimaggio G, Buck KD, Callaway SS, Salvatore G, Carcione A, Nicolò G, Stanghellini G (2011a). Poor insight in schizophrenia: links between different forms of metacognition with awareness of symptoms, treatment need, and consequences of illness. Comprehensive Psychiatry 52, 253-260.
26. Lysaker PH, Erickson M, Ringer J, Buck KD, Semerari A, Carcione A, Dimaggio G (2011b). Metacognition in schizophrenia: the relationship of mastery to coping, insight, self-esteem, social anxiety, and various facets of neurocognition. British Journal of Clinical Psychology 50, 412-424.
27. Macpherson R, Jerrom B, Hughes A (1996). Relationship between insight, educational background and cognition in schizophrenia. British Journal of Psychiatry 168, 718-722.
28. McGlashan TH, Carpenter WT (1976). Postpsychotic depression in schizophrenia. Archives of General Psychiatry 33, 231-239.
29. Medalia A, Lim R (2004). Self-awareness of cognitive functioning in schizophrenia. Schizophrenia Research 71, 331-338.
30. Medalia A, Richardson R (2005). What predicts a good response to cognitive remediation interventions? Schizophrenia Bulletin 31, 942-953.
31. Medalia A, Thysen J (2008). Insight into neurocognitive dysfunction in schizophrenia. Schizophrenia Bulletin 34, 1221-1230.
32. Medalia A, Thysen J, Freilich B (2008). Do people with schizophrenia who have objective cognitive impairment identify cognitive deficits on a self report measure? Schizophrenia Research 105, 156-164.
33. Meyers J, Meyers K (1995). Rey Complex Figure and Recognition Trial: Professional Manual. Psychological Assessment Resources: Odessa, FL.
34. Michalakeas AS, Skoutas C, Charalambous A, Peristeris A, Marinos V, Keramari E, Theologou A (1994). Insight in schizophrenia and mood disorders and its relation to psychopathology. Acta Psychiatrica Scandinavica 90, 46-49.
35. Mintz AR, Dobson KS, Romney DM (2003). Insight in schizophrenia: a meta-analysis. Schizophrenia Research 61, 75-88.
36. Moritz S, Ferahli S, Naber D (2004). Memory and attention performance in psychiatric patients: lack of correspondence between clinician-rated and patient-rated function with neuropsychological test results. Journal of the International Neuropsychological Society 10, 623-633.
37. Palmier-Claus JE, Dunn G, Morrison AP, Lewis SW (2011). The role of metacognitive beliefs in stress sensitisation, self-esteem variability, and the generation of paranoia. Cognitive Neuropsychiatry 16, 530-546.
38. Ritsner MS, Blumenkrantz H (2007). Predicting domain-specific insight of schizophrenia patients from symptomatology, multiple neurocognitive functions, and personality related traits. Psychiatry Research 149, 59-69.
39. Rose D, Wykes T, Farrier D, Dolan A-M, Sporle T, Bogner D (2008). What do clients think of cognitive remediation therapy? A consumer-led investigation of satisfaction and side effects. American Journal of Psychiatric Rehabilitation 11, 181-204.
40. Rosenberg M (1965). Society and the Adolescent Self-Image. Princeton University Press: Princeton, NJ.
41. Rossell SL, Coakes J, Shapleske J, Woodruff PW, David AS (2003). Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychological Medicine 33, 111-119.
42. Salvatore G, Lysaker PH, Gumley A, Popolo R, Mari J, Dimaggio G (2012). Out of illness experience: metacognition-oriented therapy for promoting self-awareness in individuals with psychosis. American Journal of Psychotherapy 66, 85-106.
43. Sanjuan J, Aguilar EJ, Olivares JM, Ros S, Montejo AL, Mayoral F, Gonzales-Torres MA, Bousono M (2006). Subjective perception of cognitive deficit in psychotic patients. Journal of Nervous and Mental Diseases 194, 58-60.
44. Seidman LJ, Meyer EC, Giuliano AJ, Breiter HC, Goldstein JM, Kremen WS, Thermenos HW, Toomey R, Stone WS, Tsuang MT, Faraone SV (2012). Auditory working memory impairments in individuals at familial high risk for schizophrenia. Neuropsychology 26, 288-303.
45. Sokal RR, Rohlf FJ (2012). Biometry: The Principles and Practice of Statistics in Biological Research, 4th edn. W. H. Freeman and Company: New York.
46. Stip E, Caron J, Renaud S, Pampoulova T, Lecomte Y (2003). Exploring cognitive complaints in schizophrenia: the Subjective Scale to Investigate Cognition in Schizophrenia. Comprehensive Psychiatry 44, 331-340.
47. Wechsler D (2008). Wechsler Adult Intelligence Scale-Fourth Edition. Pearson: San Antonio, TX.
48. Wykes T, Reeder C (2005). Cognitive Remediation Therapy for Schizophrenia. Routledge: Sussex, UK.
49. Wykes T, Reeder C, Corner J, Williams C, Everitt B (1999). The effects of neurocognitive remediation on executive processing in patients with schizophrenia. Schizophrenia Bulletin 25, 291-307.
50. Wykes T, Reeder C, Huddy V, Taylor R, Wood H, Ghirasim N, Kontis D, Landau S (2012). Developing models of how cognitive improvements change functioning: mediation, moderation and moderated mediation. Schizophrenia Research 138, 88-93.
51. Wykes T, Spaulding WD (2011). Thinking about the future cognitive remediation therapy-what works and could we do better? Schizophrenia Bulletin 37, 80-90.
52. Wykes T, Sturt E (1986). The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry 148, 1-11.