Institute of Psychiatry, King's College London, UK.
Behav Cogn Psychother. 2010 Jan;38(1):49-57. doi: 10.1017/S1352465809990403. Epub 2009 Oct 26.
Theories of the development of psychotic symptoms have suggested that metacognitive beliefs might play a part. However, studies offering supporting evidence have failed to distinguish between metacognitive beliefs about the consequences of having certain thoughts, and metacognitive beliefs about one's own cognitive skills.
To distinguish metacognitive beliefs and investigate the extent of their association with psychotic-like experiences.
Participants were 60 healthy adults recruited primarily from two university campuses. Three measures of metacognition were administered: (i) Metacognitions Questionnaire (MCQ-30); (ii) Metacognitive Assessment Inventory; and (iii) Koriat General Questions Test; and two schizotypy questionnaires: O-Life and SPQ-B and data were analysed using an exploratory principal components analysis of the metacognition measures.
Three principal components were identified: (i) Beliefs about thoughts; (ii) Cognitive confidence; and (iii) Beliefs about cognitive regulation. Only the "beliefs about thoughts" component was significantly associated with the "psychotic-like experiences" factor, extracted from the measures of schizotypy.
The finding supports theories suggesting that psychotic symptoms may be caused in part by negative metacognitive beliefs about thoughts. However, metacognition is a complex construct that is currently poorly understood.
精神症状发展的理论表明,元认知信念可能起作用。然而,提供支持证据的研究未能区分对某些想法后果的元认知信念和对自己认知技能的元认知信念。
区分元认知信念,并调查其与类精神病体验的关联程度。
参与者为 60 名主要从两个大学校园招募的健康成年人。使用三种元认知测量工具进行评估:(i)元认知问卷(MCQ-30);(ii)元认知评估量表;和(iii)科里特一般问题测试;以及两种精神分裂症倾向问卷:O-Life 和 SPQ-B,并使用元认知测量的探索性主成分分析对数据进行分析。
确定了三个主要成分:(i)关于思维的信念;(ii)认知自信;和(iii)认知调节信念。只有“关于思维的信念”成分与从精神分裂症倾向测量中提取的“类精神病体验”因子显著相关。
这一发现支持了这样的理论,即精神症状可能部分是由对思维的消极元认知信念引起的。然而,元认知是一个复杂的概念,目前理解得还不够好。