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Metacognition, symptoms and general functioning in patients with schizophrenia

Published online by Cambridge University Press:  13 August 2021

M. Daoud ,
J. Ben Thabet ,
M. Maalej Bouali ,
S. Omri ,
R. Feki ,
N. Smaoui ,
L. Zouari ,
N. Charfi  and
M. Maalej
M. Daoud
Affiliation:
Department Of Psychiatry “c”, Universty Hospital of Hedi Chaker, sfax, Tunisia
J. Ben Thabet*
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
M. Maalej Bouali
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
S. Omri
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
R. Feki
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
N. Smaoui
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
L. Zouari
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
N. Charfi
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
M. Maalej
Affiliation:
Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Poorer metacognitive abilities are recognized as strong predictors of social functioning deficits in individuals with schizophrenia.

Objectives

The aim of the current study is to examine metacognitive functioning in people with schizophrenia and to explore correlations between metacognition, symptoms and general functioning.

Methods

It was a cross-sectional study involving outpatients diagnosed with schizophrenia and followed in the psychiatry “C” department at Hedi Chaker university Hospital, in Sfax -Tunisia, between may and december 2018. Sociodemographic, clinical and therapeutic data were measured using self-reported questionnaires, and metacognition was assessed with the Metacognition Assessment Scale – Abbreviated version (MAS-A). The general functioning was measured with The Global Assessment of Functioning (GAF).

Results

A total of 74 participants participated in the study. The average age was 34.1 ± 11.8 years and the sex-ratio was 1.6. The average score of global assessment of functioning was 49.39±10. Means and standard deviations on MAS scores were as follows: self-reflectivity 4.18 (1.46), understanding of others’ minds 3.20 (1.06), decentration 2.5 (1.8), mastery 2.54 (1.85), and the MAS total scores 12.42 (6.17). The results indicate that poor social functioning is associated with metacognitive difficulties (r=0.27, p<10-3). Greater metacognition was significantly correlated with fewer negative symptoms (r= -0.62, p<10-3), but metacognition was not significantly correlated with positive psychotic symptoms, cognitive disorganisation, excitement or emotional distress

Conclusions

These findings underscore the importance of interventions designed to enhance the patients’ metacognitive capacities, that is, the more proximal capacities linked to poorer social functioning.

Keywords

General functionmetacognitionschizophréniaSymptoms
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S530
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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