Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis
IntroductionMetacognition is the ability to reflect on one’s own cognitive processes, monitor and regulate them to enhance mental performance. Social cognition involves the capacity to perceive and respond to social cues from others. The study of metacognition and social cognition is an expanding re...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1285993/full |
| _version_ | 1797383028926840832 |
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| author | Alex Motut Alex Motut Clémence Isaac Clémence Isaac Marie-Carmen Castillo Dominique Januel |
| author_facet | Alex Motut Alex Motut Clémence Isaac Clémence Isaac Marie-Carmen Castillo Dominique Januel |
| author_sort | Alex Motut |
| collection | DOAJ |
| description | IntroductionMetacognition is the ability to reflect on one’s own cognitive processes, monitor and regulate them to enhance mental performance. Social cognition involves the capacity to perceive and respond to social cues from others. The study of metacognition and social cognition is an expanding research field in psychiatry. Both domains are related to neurocognition, symptoms and psychosocial functioning in schizophrenia. Understanding the relationship between social cognition and metacognition may be pivotal for enhancing the treatment of cognitive symptoms in schizophrenia.MethodsWe conducted a PRISMA systematic review and meta-analysis on quantitative studies comparing metacognition to social cognitive outcomes in adult outpatients with a schizophrenia spectrum disorder. Reports were retrieved from the Medline, ScienceDirect and PsycINFO databases up to July 13th, 2023. Risk of bias was assessed with the Cochrane tool.ResultsOur review included 1,036 participants across 17 reports, with 12 reports included in the meta-analysis. We found a significant positive correlation (r = 0.28, 95% CI: [0.14, 0.41]) between social cognition and metacognition. Subgroup analyses indicated that metacognition was specifically associated with theory of mind, attribution, and emotion processing. Different patterns of correlations were observed according to the assessment of metacognition and its subdimensions.ConclusionDespite discrepancies among the included studies, no publication bias was detected. The results suggest that metacognition and social cognition are distinct but related constructs. Those processes should be assessed and treated together, along with neurocognition, in schizophrenia. |
| first_indexed | 2024-03-08T21:14:51Z |
| format | Article |
| id | doaj.art-f8c935cbb63c40cba63bfd62faa3262f |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T21:14:51Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f8c935cbb63c40cba63bfd62faa3262f2023-12-22T04:14:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-12-011410.3389/fpsyt.2023.12859931285993Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysisAlex Motut0Alex Motut1Clémence Isaac2Clémence Isaac3Marie-Carmen Castillo4Dominique Januel5Centre de Recherche Clinique 93G03, Etablissement Public de Santé de Ville-Evrard, Neuilly-sur-Marne, FranceLaboratoire Psychopathologie et Processus de Changement, Université Paris 8, Saint-Denis, FranceCentre de Recherche Clinique 93G03, Etablissement Public de Santé de Ville-Evrard, Neuilly-sur-Marne, FranceLaboratoire Psychopathologie et Processus de Changement, Université Paris 8, Saint-Denis, FranceLaboratoire Psychopathologie et Processus de Changement, Université Paris 8, Saint-Denis, FranceCentre de Recherche Clinique 93G03, Etablissement Public de Santé de Ville-Evrard, Neuilly-sur-Marne, FranceIntroductionMetacognition is the ability to reflect on one’s own cognitive processes, monitor and regulate them to enhance mental performance. Social cognition involves the capacity to perceive and respond to social cues from others. The study of metacognition and social cognition is an expanding research field in psychiatry. Both domains are related to neurocognition, symptoms and psychosocial functioning in schizophrenia. Understanding the relationship between social cognition and metacognition may be pivotal for enhancing the treatment of cognitive symptoms in schizophrenia.MethodsWe conducted a PRISMA systematic review and meta-analysis on quantitative studies comparing metacognition to social cognitive outcomes in adult outpatients with a schizophrenia spectrum disorder. Reports were retrieved from the Medline, ScienceDirect and PsycINFO databases up to July 13th, 2023. Risk of bias was assessed with the Cochrane tool.ResultsOur review included 1,036 participants across 17 reports, with 12 reports included in the meta-analysis. We found a significant positive correlation (r = 0.28, 95% CI: [0.14, 0.41]) between social cognition and metacognition. Subgroup analyses indicated that metacognition was specifically associated with theory of mind, attribution, and emotion processing. Different patterns of correlations were observed according to the assessment of metacognition and its subdimensions.ConclusionDespite discrepancies among the included studies, no publication bias was detected. The results suggest that metacognition and social cognition are distinct but related constructs. Those processes should be assessed and treated together, along with neurocognition, in schizophrenia.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1285993/fullmetacognitionsocial cognitionschizophreniacognitionmental health |
| spellingShingle | Alex Motut Alex Motut Clémence Isaac Clémence Isaac Marie-Carmen Castillo Dominique Januel Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis Frontiers in Psychiatry metacognition social cognition schizophrenia cognition mental health |
| title | Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis |
| title_full | Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis |
| title_fullStr | Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis |
| title_full_unstemmed | Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis |
| title_short | Link between metacognition and social cognition in schizophrenia: a systematic review and meta-analysis |
| title_sort | link between metacognition and social cognition in schizophrenia a systematic review and meta analysis |
| topic | metacognition social cognition schizophrenia cognition mental health |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1285993/full |
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