Fekete Zita, Vass Edit, Kuritárné Szabó Ildikó
Debreceni Egyetem, Altalanos Orvostudomanyi Kar, Magatartastudomanyi Intezet, Debrecen, Hungary, E-mail:
Psychiatr Hung. 2020;35(4):423-434.
Schizophrenia research in the last decades led to rapid development of our knowledge regarding the cogni - tive deficits in the disease. Presence of neurocognitive and social cognitive deficits in schizophrenia is widely confirmed by empirical studies. Metacognition is one of the most recent and relatively less studied field of schizophrenia. Our lite rature review aims to introduce the concept and characteristics of metacognition. Then we overview the relation - ship between schizophrenia associated neurocognitive and social cognitive impairments and metacognitive deficits. Associations between the metacognitive deficits and the symptomatology will also be discussed. Finally, a method for the treatment of metacognitive deficits in schizophrenia will be suggested. The results of the overviewed studies sup - port, that the umbrella term of metacognition encompassing the neurocognitive and social cognitive deficits, may provide a comprehensive model to better understand how cognitive deficits contribute to the development and main - tanance of symptoms, and schizophrenia-associated serious social dysfunctions.
过去几十年间，精神分裂症研究促使我们对该疾病认知缺陷的了解迅速发展。实证研究广泛证实了精神分裂症存在神经认知和社会认知缺陷。元认知是精神分裂症领域中最新且研究相对较少的领域之一。我们的文献综述旨在介绍元认知的概念和特征。然后我们概述与精神分裂症相关的神经认知和社会认知障碍与元认知缺陷之间的关系。还将讨论元认知缺陷与症状学之间的关联。最后，将提出一种治疗精神分裂症元认知缺陷的方法。综述研究结果支持，包含神经认知和社会认知缺陷的元认知这一总括性术语，可能提供一个全面模型，以更好地理解认知缺陷如何导致症状的发展和维持，以及与精神分裂症相关的严重社会功能障碍。
