Metacognition and general functioning in patients with schizophrenia and a history of criminal behavior

Sune Bo, Mickey Kongerslev, Giancarlo Dimaggio, Paul H. Lysaker, Ahmad Abu-Akel

Publikation: Bidrag til tidsskriftArtikelForskningpeer review


Metacognitive difficulties have been linked to social dysfunction in schizophrenia. However, research examining the role of metacognition in the social functioning of patients with a history of violence and criminality is very limited. This research is especially important for this group given their relatively poor prognosis and their risk to reoffend, as well as the promising benefits of integrating metacognitive approaches in psychosocial treatments. In this study, the association between metacognition and global social functioning was examined in 79 patients with schizophrenia with a criminal background. We also examined the association of positive, negative and disorganized symptoms with social functioning and the extent to which metacognition mediates this association. The results indicate that poor social functioning is associated with metacognitive difficulties and higher levels of delusions and Conceptual Disorganization. In addition, meditation analyses showed that metacognition accounted for about 11% of the total effect size of the association between delusions and social dysfunction, suggesting that the relationship between delusions and social dysfunction is partially driven by impaired metacognition. 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.

Sider (fra-til)247-253
Antal sider7
TidsskriftPsychiatry Research
Udgave nummer3
StatusUdgivet - 28 feb. 2015

Fingeraftryk Udforsk hvilke forskningsemner 'Metacognition and general functioning in patients with schizophrenia and a history of criminal behavior' indeholder.