Lysaker Paul H, Chernov Nikita, Moiseeva Tatyana, Sozinova Marta, Dmitryeva Nadezhda, Alyoshin Vitaliy, Kukla Marina, Wiesepape Courtney, Karpenko Olga, Kostyuk Georgiy
Richard L Roudebush VA Medical Center, Indianapolis, Indiana, USA.
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA.
J Clin Psychol. 2021 Apr;77(4):1034-1044. doi: 10.1002/jclp.23076. Epub 2020 Oct 21.
Schizophrenia may reflect an interactive network of disturbances in cognition. In this study we have examined the relationship between two forms of cognition: metacognition and social cognition among a sample with schizophrenia (n = 41), early episode psychosis (n = 37), and major depression (n = 30) gathered in Moscow, Russia.
Metacognition was assessed with the Metacognition Assessment Scale-Abbreviated. Social cognition was assessed with the Ekman 60 Faces Test and the Interpersonal Reactivity Index. Verbal memory and global psychopathology were included as potential covariates.
Partial correlations controlling for demographics, neurocognition, and psychopathology revealed greater metacognitive capacity was linked to better facial emotion recognition and perspective taking in the prolonged schizophrenia group. Greater metacognitive capacity in the early psychosis group was linked with greater facial emotion recognition. Metacognition and social cognition were not related to one another in the depression group.
Social cognition and metacognition may be uniquely related in psychosis.
精神分裂症可能反映了认知障碍的一个交互网络。在本研究中，我们调查了俄罗斯莫斯科的一个样本中两种认知形式之间的关系：元认知和社会认知，该样本包括精神分裂症患者（n = 41）、早期发作性精神病患者（n = 37）和重度抑郁症患者（n = 30）。
使用简化版元认知评估量表评估元认知。使用埃克曼60面孔测试和人际反应指数评估社会认知。将言语记忆和整体精神病理学作为潜在的协变量纳入。
控制人口统计学、神经认知和精神病理学的偏相关分析显示，在病程较长的精神分裂症组中，较高的元认知能力与更好的面部情绪识别和观点采择有关。早期精神病组中较高的元认知能力与更强的面部情绪识别有关。在抑郁症组中，元认知和社会认知彼此无关。
在精神病中，社会认知和元认知可能存在独特的关联。
