Subjective versus objective cognition: Evidence for poor metacognitive monitoring in schizophrenia
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Subjective versus objective cognition: Evidence for poor metacognitive monitoring in schizophrenia. / Moritz, Steffen; Balzan, Ryan P; Bohn, Francesca; Veckenstedt, Ruth; Kolbeck, Katharina; Bierbrodt, Julia; Dietrichkeit, Mona.
in: SCHIZOPHR RES, Jahrgang 178, Nr. 1-3, 31.08.2016, S. 74-79.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Subjective versus objective cognition: Evidence for poor metacognitive monitoring in schizophrenia
AU - Moritz, Steffen
AU - Balzan, Ryan P
AU - Bohn, Francesca
AU - Veckenstedt, Ruth
AU - Kolbeck, Katharina
AU - Bierbrodt, Julia
AU - Dietrichkeit, Mona
N1 - Copyright © 2016. Published by Elsevier B.V.
PY - 2016/8/31
Y1 - 2016/8/31
N2 - BACKGROUND: Patients with schizophrenia display a number of cognitive biases, particularly a tendency to jump to conclusions, which are implicated in the pathogenesis of the disorder. The present study contrasted the degree of objective reasoning biases with subjective cognitive insight. We expected that patients with schizophrenia would display greater objective than subjective impairment suggestive of poor metacognitive awareness.METHODS: Patients with schizophrenia (n=140) and healthy controls (n=60) underwent a test battery encompassing a cognitive bias paradigm (beads task) as well as neurocognitive tests (story recall, trail-making tests). In addition, they were administered the Beck Cognitive Insight Scale (BCIS), a subjective measure of (meta)cognitive awareness.RESULTS: Corroborating prior research on decision making, draws to decisions were significantly delayed in controls relative to patients, whereas the core jumping to conclusion parameter (i.e., decision after one or two pieces of information) bordered significance. Patients with schizophrenia showed a lowered decision threshold and impaired neurocognition relative to nonclinical controls. Despite poor cognitive performance and prior psychotic episodes, patients with schizophrenia showed similar scores on the self-confidence subscale of the BCIS and reported even higher levels of self-reflectiveness relative to healthy controls.DISCUSSION: The study demonstrates that patients with schizophrenia show severe cognitive biases and neurocognitive deficits but display only partial awareness herein. Raising cognitive insight in a non-insulting fashion and elevating patients' corrigibility as well as willingness to consider others' feedback and advice may help to narrow this gap and improve psychiatric symptomatology.
AB - BACKGROUND: Patients with schizophrenia display a number of cognitive biases, particularly a tendency to jump to conclusions, which are implicated in the pathogenesis of the disorder. The present study contrasted the degree of objective reasoning biases with subjective cognitive insight. We expected that patients with schizophrenia would display greater objective than subjective impairment suggestive of poor metacognitive awareness.METHODS: Patients with schizophrenia (n=140) and healthy controls (n=60) underwent a test battery encompassing a cognitive bias paradigm (beads task) as well as neurocognitive tests (story recall, trail-making tests). In addition, they were administered the Beck Cognitive Insight Scale (BCIS), a subjective measure of (meta)cognitive awareness.RESULTS: Corroborating prior research on decision making, draws to decisions were significantly delayed in controls relative to patients, whereas the core jumping to conclusion parameter (i.e., decision after one or two pieces of information) bordered significance. Patients with schizophrenia showed a lowered decision threshold and impaired neurocognition relative to nonclinical controls. Despite poor cognitive performance and prior psychotic episodes, patients with schizophrenia showed similar scores on the self-confidence subscale of the BCIS and reported even higher levels of self-reflectiveness relative to healthy controls.DISCUSSION: The study demonstrates that patients with schizophrenia show severe cognitive biases and neurocognitive deficits but display only partial awareness herein. Raising cognitive insight in a non-insulting fashion and elevating patients' corrigibility as well as willingness to consider others' feedback and advice may help to narrow this gap and improve psychiatric symptomatology.
U2 - 10.1016/j.schres.2016.08.021
DO - 10.1016/j.schres.2016.08.021
M3 - SCORING: Journal article
C2 - 27591821
VL - 178
SP - 74
EP - 79
JO - SCHIZOPHR RES
JF - SCHIZOPHR RES
SN - 0920-9964
IS - 1-3
ER -