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Different Components of Metacognition and their Relationship to Psychotic-Like Experiences

Published online by Cambridge University Press:  26 October 2009

Clare Reeder*
Affiliation:
Institute of Psychiatry, King's College London, UK
Teuta Rexhepi-Johansson
Affiliation:
Institute of Psychiatry, King's College London, UK
Til Wykes
Affiliation:
Institute of Psychiatry, King's College London, UK
*
Reprint requests to Clare Reeder, PO77, Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: [email protected]

Abstract

Background: 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. Aims: To distinguish metacognitive beliefs and investigate the extent of their association with psychotic-like experiences. Method: 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. Results: 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. Conclusions: 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.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Baker, C. A. and Morrison, A. P. (1998). Cognitive processes in auditory hallucinations: attributional biases and metacognition. Psychological Medicine, 28, 11991208.CrossRefGoogle ScholarPubMed
Bentall, R. P. (1990). The syndromes and symptoms of psychosis: or why you can't play twenty questions with the concept of schizophrenia and hope to win. In Bentall, R.P. (Ed.): Reconstructing Schizophrenia. London: Routledge.Google Scholar
Cartwright-Hatton, S. and Wells, A. (1997). Beliefs about worry and intrusions: the meta-cognitions questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279296.CrossRefGoogle ScholarPubMed
Flavell, J. H. (1979). Meta-cognition and cognitive monitoring: new area of cognitive developmental inquiry. American Psychologist, 34, 906911.CrossRefGoogle Scholar
Frith, C. D. (1992). The Cognitive Neuropsychology of Schizophrenia. Hove, UK: Lawrence Erlbaum.Google Scholar
Garcia-Montes, J. M., Cangas, A., Perez-Alvarez, M., Fidalgo, A. M. and Gutierrez, O. (2006). The role of metacognitions and thought control techniques in predisposition to auditory and visual hallucinations. British Journal of Clinical Psychology, 45, 309317.CrossRefGoogle ScholarPubMed
Heinrichs, R. W. and Zakzanis, K. K. (1998). Neurocognitive deficit in schizophrenia: a quantitative review of the evidence. Neuropsychology, 12, 426445.CrossRefGoogle ScholarPubMed
Koren, D., Seidman, L. J., Goldsmith, M. and Harvey, P. D. (2006). Real-world cognitive – and metacognitive – dysfunction in schizophrenia: a new approach for measuring (and remediating) more “right stuff”. Schizophrenia Bulletin, 32, 310326.CrossRefGoogle ScholarPubMed
Koren, D., Seidman, L. J., Poyurovsky, M., Goldsmith, M., Viksman, P., Zichel, S. and Klein, E. (2004). The neuropsychological basis of insight in first-episode schizophrenia: a pilot metacognitive study. Schizophrenia Research, 70, 195202.CrossRefGoogle ScholarPubMed
Koriat, A., Lichtenstein, S. and Fischoff, B. (1980). Reasons for confidence. Journal of Experimental Psychology: Human Learning and Memory, 6, 107118.Google Scholar
Larøi, F. and Van Der Linden, M. (2005). Metacognition in proneness towards hallucinations and delusions. Behaviour Research and Therapy, 43, 14251441.CrossRefGoogle ScholarPubMed
Mason, O., Linney, Y. and Claridge, G. (2005). Short scales for measuring schizotypy. Schizophrenia Research, 78, 293296.CrossRefGoogle ScholarPubMed
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257276.CrossRefGoogle Scholar
Morrison, A. P., Haddock, G. and Tarrier, N. (1995). Intrusive thoughts and auditory hallucinations: a cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 265280.CrossRefGoogle Scholar
Morrison, A. P. and Wells, A. (2003). A comparison of metacognitions in patients with hallucinations, delusions, panic disorder, and non-patient controls. Behaviour Research and Therapy, 41, 251256.CrossRefGoogle ScholarPubMed
Morrison, A. P., Wells, A. and Nothard, S. (2000). Cognitive factors in predisposition to auditory and visual hallucinations. British Journal of Clinical Psychology, 39, 6778.CrossRefGoogle ScholarPubMed
Raine, A. and Banishay, D. (1995). The SPQ-B: a brief screening instrument for schizotypal personality disorder. Journal of Personality Disorders, 9, 346355.CrossRefGoogle Scholar
Schraw, G. and Dennison, R. S. (1994). Assessing metacognitive awareness. Contemporary Educational Psychology, 19, 460475CrossRefGoogle Scholar
Stirling, J., Barkus, E. and Lewis, S. (2007). Hallucination-proneness, schizotypy and metacognition. Behaviour Research and Therapy, 45, 14041408.CrossRefGoogle ScholarPubMed
Wells, A. and Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy, 42, 385396.CrossRefGoogle Scholar
Wykes, T. and Reeder, C. (2005). Cognitive Remediation Therapy for Schizophrenia: theory and practice. London: Brunner Routledge.Google Scholar
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