Deficits in Metacognitive Capacity Are Related to Subjective Distress and Heightened Levels of Hyperarousal Symptoms in Adults With Posttraumatic Stress Disorder

Journal of Trauma and Dissociation

Volumn 16, Issue 4, 2015, Pages 384-398

  Lysaker, Paul H ^a,b   Dimaggio, Giancarlo ^c   Wickett Curtis, Amanda ^a,b   Kukla, Marina ^a   Luedtke, Brandi ^a,b   Vohs, Jenifer ^b,d   Leonhardt, Bethany L ^d   James, Alison V ^e   Buck, Kelly D ^a   Davis, Louanne W ^a,b  

^a RICHARD L ROUDEBUSH VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Center for Metacognitive Interpersonal Therapy   (Italy)

^d INDIANA UNIVERSITY   (United States)

^e INDIANA STATE UNIVERSITY   (United States)

Author keywords

affect recognition; hyperarousal; metacognition; posttraumatic stress disorder; schizophrenia; social cognition; theory of mind

Indexed keywords

ADULT; ARTICLE; AVOIDANCE BEHAVIOR; BECK DEPRESSION INVENTORY; BELL LYSAKER EMOTION RECOGNITION TEST; CLINICAL ARTICLE; COGNITIVE DEFECT; COMPARATIVE STUDY; DISEASE ASSOCIATION; DISEASE SEVERITY; DISTRESS SYNDROME; EMOTIONAL STRESS; FEMALE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; HYPERAROUSAL SYMPTOM; MALE; METACOGNITION ASSESSMENT SCALE-ABBREVIATED; POSTTRAUMATIC STRESS DISORDER; PRIORITY JOURNAL; PTSD SCALE; RATING SCALE; SCHIZOPHRENIA; AFFECT; AROUSAL; COGNITION DISORDERS; DEPRESSIVE DISORDER; EMOTIONAL INTELLIGENCE; FACIAL EXPRESSION; HIV INFECTIONS; METACOGNITION; MIDDLE AGED; PERSONALITY ASSESSMENT; PSYCHOLOGY; PSYCHOMETRY; STATISTICS AND NUMERICAL DATA; STRESS DISORDERS, POST-TRAUMATIC; THEORY OF MIND; VETERAN; VISION;

ADULT; AFFECT; AROUSAL; COGNITION DISORDERS; DEPRESSIVE DISORDER; EMOTIONAL INTELLIGENCE; FACIAL EXPRESSION; HIV INFECTIONS; HUMANS; MALE; METACOGNITION; MIDDLE AGED; PERSONALITY ASSESSMENT; PSYCHOMETRICS; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; STRESS DISORDERS, POST-TRAUMATIC; THEORY OF MIND; VETERANS; VISUAL PERCEPTION;

EID: 84938548454     PISSN: 15299732     EISSN: 15299740     Source Type: Journal    
DOI: 10.1080/15299732.2015.1005331     Document Type: Article

References (46)

1. C.E.Agaibi,, & J.P.Wilson, (2005). Trauma, PTSD, and resilience: A review of the literature. Trauma, Violence, & Abuse, 6, 195–216.
2. A.P.AssociationAmerican Psychiatric. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
3. B.Andrews,, C.R.Brewin,, & S.Rose, (2003). Gender, social support, and PTSD in victims of violent crime. Journal of Traumatic Stress, 16, 421–427.
4. R.Bargenquast,, & R.D.Schweitzer, (2014). Enhancing sense of recovery and self-reflectivity in people with schizophrenia: A pilot study of metacognitive narrative psychotherapy. Psychology & Psychotherapy: Theory, Research and Practice, 87, 338–356. doi:10.1111/papt.12019
5. A.T.Beck,, R.A.Steer,, & G.K.Brown, (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
6. M.D.Bell,, G.J.Bryson,, & P.H.Lysaker, (1997). Positive and negative affect recognition in schizophrenia: A comparison with substance abuse and normal control subjects. Psychiatry Research, 73, 73–82.
7. D.Blake,, F.Weathers,, L.Nagy,, D.Kaloupek,, F.Gusman,, D.Charney,, & T.Keane, (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.
8. G.A.Bonanno, (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28.
9. C.R.Brewin,, B.Andrews,, & J.D.Valentine, (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma exposed adults. Journal of Consulting and Clinical Psychology, 68, 748–766.
10. E.Colvert,, M.Rutter,, J.Kreppner,, C.Beckett,, J.Castle,, C.Groothues,, … E.J.Sonuga-Barke, (2008). Do theory of mind and executive function deficits underlie the adverse outcomes associated with profound early deprivation? Findings from the English and Romanian adoptees study. Journal of Abnormal Child Psychology, 36, 1057–1068.
11. G.Dimaggio,, A.Carcione,, G.Salvatore,, G.Nicolò,, A.Sisto,, & A.Semerari, (2011). Progressively promoting metacognition in a case of obsessive-compulsive personality disorder treated with metacognitive interpersonal therapy. Psychology & Psychotherapy, 84, 70–83.
12. G.Dimaggio,, G.Salvatore,, D.Fiore,, A.Carcione,, G.Nicolò,, & A.Semerari, (2012). General principles for treating personality disorder with a prominent inhibitedness trait: Towards an operationalizing integrated technique. Journal of Personality Disorders, 26, 63–83.
13. G.Dimaggio,, V.Vanheule,, P.H.Lysaker,, A.Carcione,, & G.Nicolò, (2009). Impaired self-reflection in psychiatric disorders among adults: A proposal for the existence of a network of semi independent functions. Consciousness & Cognition, 18, 653–664.
14. T.Ehring,, A.Ehlers,, & E.Gluckman, (2008). Do cognitive models help in predicting the severity of posttraumatic stress disorder, phobia and depression after motor vehicle accidents? A prospective longitudinal study. Journal of Consulting and Clinical Psychology, 76, 219–230.
15. B.Farina,, & G.Liotti, (2013). Does a dissociative psychopathological dimension exist? A review on dissociation processes and symptoms in developmental trauma spectrum disorders. Clinical Neuropsychiatry, 10, 11–18.
16. P.Fonagy,, G.Gergely,, E.L.Jurist,, & M.Target, (2002). Affect regulation, mentalization, and the development of the self. New York, NY: Other Press.
17. J.A.Hamm,, I.Hasson-Ohayon,, M.Kukla,, & P.H.Lysaker, (2013). Individual psychotherapy for schizophrenia: Trends and developments in the wake of the recovery movement. Journal of Psychology Research and Behavior Management, 6, 45–54.
18. N.Ladegaard,, E.R.Larsen,, P.Videbech,, & P.H.Lysaker, (2014). Higher-order social cognition in first-episode major depression. Psychiatry Research, 216, 37–43.
19. G.Liotti,, & E.Prunetti, (2010). Metacognitive deficits in trauma related disorders: Contingent on interpersonal motivational contexts? In G.Dimaggio & P.H.Lysaker (Eds.), Metacognition and severe adult mental disorders: From basic research to treatment (pp. 196–214). London, England: Routledge.
20. P.H.Lysaker,, A.Carcione,, G.Dimaggio,, J.K.Johannesen,, G.Nicolò,, M.Procacci,, & A.Semerari, (2005). Metacognition amidst narratives of self and illness in schizophrenia: Associations with insight, neurocognition, symptom and function. Acta Psychiatrica Scandinavica, 112, 64–71.
21. P.H.Lysaker,, C.A.Clements,, C.D.Plascak-Hallberg,, S.J.Knipscheer,, & D.E.Wright, (2002). Insight and personal narratives of illness in schizophrenia. Psychiatry, 65, 197–206.
22. P.H.Lysaker,, & G.Dimaggio, (2014). Metacognitive capacities for reflection in schizophrenia: Implications for developing treatments. Schizophrenia Bulletin, 40, 487–491.
23. P.H.Lysaker,, K.Olesek,, K.D.Buck,, B.L.Leonhardt,, J.Vohs,, J.Ringer,, … J.Outcalt, (2014). Metacognitive mastery moderates the relationship of alexithymia with cluster C personality disorder traits in adults with substance use disorders. Addictive Behaviors, 39, 558–561.
24. P.H.Lysaker,, J.L.Vohs,, R.Ballard,, R.Fogley,, G.Salvatore,, R.Popolo,, & G.Dimaggio, (2013). Metacognition, self-reflection and recovery in schizophrenia: Review of the literature. Future Neurology, 8, 103–115.
25. M.Mazza,, L.Giusti,, A.Albanese,, M.Mariano,, M.C.Pino,, & R.Roncone, (2012). Social cognition disorders in military police officers affected by posttraumatic stress disorder after the attack of An-Nasiriyah in Iraq 2006. Psychiatry Research, 198, 248–252.
26. J.Mills, (2008). Attachment deficits, personality structure, and PTSD. Psychoanalytic Psychology, 25, 380–385.
27. A.Nazarov,, P.Frewen,, M.Parlar,, C.Oremus,, G.MacQueen,, M.McKinnon,, & R.Lanius, (2014). Theory of mind performance in women with posttraumatic stress disorder related to childhood abuse. Acta Psychiatrica Scandinavica, 129, 193–201.
28. E.J.Ozer,, S.R.Best,, T.L.Lipsey,, & D.S.Weiss, (2008). Predictors of posttraumatic stress disorder and symptoms. Psychological Trauma, Theory, Research, Practice and Policy, 8, 3–36.
29. J.L.Pals,, & D.P.McAdams, (2004). The transformed self: A narrative understanding of posttraumatic growth. Psychological Inquiry, 15, 65–69.
30. K.C.Pears,, & P.Fisher, (2005). Emotion understanding and theory of mind among maltreated children in foster care: Evidence of deficits. Development & Psychopathology, 17, 47–65.
31. K.L.Phan,, J.C.Britton,, S.F.Taylor,, L.M.Fig,, & I.Liberzon, (2006). Corticolimbic blood flow during nontraumatic emotional processing in posttraumatic stress disorder. Archives of General Psychiatry, 63, 184–192.
32. A.E.Pinkham,, D.L.Penn,, M.F.Green,, B.Buck,, K.Healey,, & P.D.Harvey, (2014). The Social Cognition Psychometric Evaluation Study: Results of the Expert Survey and RAND Panel. Schizophrenia Bulletin, 40(4), 813–823.
33. S.J.Rabin,, I.Hasson-Ohayon,, M.Avidan,, S.Rozencwaig,, H.Shalev,, & S.Kravetz, (2014). Metacognition in schizophrenia and schizotypy: Relations to symptoms and social quality of life. The Israel Journal of Psychiatry and Related Sciences, 51, 44–53.
34. A.Semerari,, A.Carcione,, G.Dimaggio,, M.Falcone,, G.Nicolò,, M.Procacci,, & G.Alleva, (2003). How to evaluate metacognitive function in psychotherapy? The Metacognition Assessment Scale and its applications. Clinical Psychology & Psychotherapy, 10, 238–261.
35. A.Semerari,, L.Colle,, G.Pellecchia,, I.Buccione,, A.Carcione,, G.Dimaggio,, … R.Pedone, (2014). Metacognitive dysfunctions in personality disorders: Correlations with disorder severity and personality styles. Journal of Personality Disorders, 28(6), 751–766.
36. D.J.Siegel, (2003). An interpersonal neurobiology of psychotherapy: The developing mind and the resolution of trauma. In M.Solomon & D.J.Siegel (Eds.), Healing trauma: Attachment, mind, body, and brain (pp. 1–56). New York, NY: Norton.
37. R.Spitzer,, J.Williams,, M.Gibbon,, & M.First, (1994). Structured Clinical Interview for DSM IV. New York, NY: Biometrics Research.
38. S.Stutterheim, (2009). HIV-related stigma and psychological distress: The harmful effects of specific stigma manifestations in various social settings. AIDS, 23, 2353–2357.
39. C.Tas,, E.C.Brown,, O.Aydemir,, M.Brüne,, & P.H.Lysaker, (2014). Metacognition in psychosis: Comparison of schizophrenia with bipolar disorder. Psychiatry Research, 219(3), 464–469.
40. R.G.Tedeschi,, & L.G.Calhoun, (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.
41. O.Van der Hart,, & M.Dorahy, (2006). Pierre Janet and the concept of dissociation [Letter to the editor]. American Journal of Psychiatry, 163, 1646; author reply, 1646.
42. P.Verhaeghe,, & S.Vanheule, (2005). Actual neurosis and PTSD: The impact of the other. Psychoanalytic Psychology, 22, 493–507.
43. J.L.Vohs,, P.H.Lysaker,, M.Francis,, J.Hamm,, K.D.Buck,, K.Olesek,, … A.Breier, (2014). Metacognition, social cognition, and symptoms in patients with first episode and prolonged psychosis. Schizophrenia Research, 153, 54–59.
44. F.W.Weathers,, T.M.Keane,, & J.R.Davidson, (2001). Clinician-Administered PTSD Scale: A review of the first ten years of research. Depression and Anxiety, 13, 132–156.
45. A.Wells,, & J.S.Colbear, (2012). Treating posttraumatic stress disorder with metacognitive therapy: A preliminary controlled trial. Journal of Clinical Psychology, 68, 373–381.
46. G.Zakin,, Z.Solomon,, & Y.Neria, (2003). Hardiness, attachment style, and long term psychological distress among Israeli POWs and combat veterans. Personality and Individual Differences, 34, 819–829.