Lysaker P H, Carcione A, Dimaggio G, Johannesen J K, Nicolò G, Procacci M, Semerari A
Roudebush VA Medical Center and the Psychiatry Department, Indiana University School of Medicine, Indianapolis, 46202, USA.
Acta Psychiatr Scand. 2005 Jul;112(1):64-71. doi: 10.1111/j.1600-0447.2005.00514.x.
Impairments in laboratory tasks of metacognition appear to be associated with symptoms, functioning, and neurocognition in schizophrenia. We sought to replicate these results in a study of metacognition within personal narratives of self and illness.
Narratives of 61 men with schizophrenia were rated using the Metacognition Assessment Scale and correlated with concurrent assessment of symptoms, quality of life, neurocognition and insight.
Controlling for age and education, understanding of one's own mind was linked with better neurocognition across multiple domains, and lesser emotional withdrawal. Greater understanding of other's mind was linked with better verbal memory and less emotional withdrawal. Greater metacognition in the context of purposeful problem solving was associated with better verbal memory, insight and social function, and less emotional withdrawal and paranoia.
Deficits in metacognition within the narratives of persons with schizophrenia are linked with symptoms, quality of life, neurocognition and poorer awareness of illness.
元认知实验室任务中的损害似乎与精神分裂症的症状、功能及神经认知有关。我们试图在一项关于自我与疾病的个人叙述中的元认知研究中复制这些结果。
使用元认知评估量表对61名男性精神分裂症患者的叙述进行评分，并将其与症状、生活质量、神经认知和洞察力的同步评估相关联。
在控制年龄和教育程度后，对自身思维的理解与多个领域更好的神经认知以及较少的情感退缩相关。对他人思维的更好理解与更好的言语记忆和更少的情感退缩相关。在有目的的问题解决情境中更高的元认知与更好的言语记忆、洞察力和社会功能，以及更少的情感退缩和偏执相关。
精神分裂症患者叙述中的元认知缺陷与症状、生活质量、神经认知及对疾病的较差认知有关。
