Three-Year Follow-Up Study Exploring Metacognition and Function in Individuals With First Episode Psychosis
Bibliographic Data
| ID | 15525830 |
|---|---|
| Authors | Abigail C Wright (0000-0001-7046-2049, University of Sussex, corresponding author), Geoff Davies (0000-0003-2923-484X, University of Surrey), David Fowler (0000-0001-5806-2659, Sussex Partnership NHS Foundation Trust), Kathryn Greenwood (0000-0001-7899-8980, University of Sussex) |
| Year | 2019 |
| Volume | 10 |
| Pages | 182-182 |
| Publication date | 2019-04-12 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2019.00182 |
| PMID | 31031648 |
| OpenAlex | W2936016934 |
| Language | EN |
| Citations received | 3 |
| References cited | 107 |
Introduction: Research has demonstrated that functional outcome in psychosis is predicted by factors such as neurocognition, functional capacity, symptoms and, more recently, metacognition. Metacognitive ability has been demonstrated to mediate between neurocognition and functional outcome in First Episode Psychosis (FEP). Whether metacognition also predicts longer-term recovery in first episode psychosis is unknown. This study assessed whether neurocognition, functional capacity and metacognitive ability in FEP predicted functional outcome three years later. Methods: Eighty individuals with First Episode Psychosis were re-contacted after an average 3 years (range: 26-45 month follow-up) from baseline. Twenty-six participants (33%) completed completed measures of neurocognition, metacognition, functional capacity, functional outcome (hours spent in structured activity per week) and psychopathology at baseline and at follow-up. Results: Individual regression analyses demonstrated neurocognition, functional capacity, and metacognitive ability at baseline significantly predicted functional outcome at three years. However, when baseline functional outcome was controlled, only metacognitive ability was a significant predictor of change in functional outcome from baseline to follow-up, p r 2 = 0.69) of the variance in functional outcome at follow-up. Negative symptoms did not change the model. Discussion: This study demonstrated that better metacognitive ability significantly predicted improvement in functioning in FEP across a 3-year period. This highlights the potential value of clinical interventions that focus on improving metacognitive ability at first point of illness to maximize recovery
Cognition · Early psychosis · Metacognition · Psychiatry · Psychosis · Psychotherapist · Clinical Psychology · Medicine · Mental Health and Psychiatry · Obsessive-Compulsive Spectrum Disorders · Psychology · Schizophrenia research and treatment
Recovery from psychotic illness
Trail Making Test A and B
Metamemory
Neurocognitive Deficits and Functional Outcome in Schizophrenia
Remission in Schizophrenia
The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia
Impaired self-reflection in psychiatric disorders among adults
The Importance of Work as Compared to Other Forms of Daily Occupations for Wellbeing and Functioning Among Persons with Long-Term Mental Illness
Metacognition and cognitive monitoring
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |