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Bayesian analyses of the effect of metacognitive training on social cognition deficits and overconfidence in errors

Social cognition (SC) impairments in schizophrenia predict interpersonal problems and low functional outcome, which might be aggravated by low (meta-) cognitive awareness of individual symptoms and cognitive biases. Metacognitive Training (MCT) aims to raise patients' awareness of cognitive bia...

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Bibliographic Details
Main Authors: Köther, Ulf (Author) , Pfüller, Ute (Author) , Roesch-Ely, Daniela (Author)
Format: Article (Journal)
Language:English
Published: February 19, 2017
In: Journal of experimental psychopathology
Year: 2017, Volume: 8, Issue: 2, Pages: 158-174
ISSN:2043-8087
DOI:10.5127/jep.054516
Online Access:Verlag, Volltext: http://dx.doi.org/10.5127/jep.054516
Verlag, Volltext: https://doi.org/10.5127/jep.054516
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Author Notes:Ulf Köther, Eik Vettorazzi, Ruth Veckenstedt, Birgit Hottenrott, Francesca Bohn, Florian Scheu, Ute Pfueller, Daniela Roesch-Ely, & Steffen Moritz
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Summary:Social cognition (SC) impairments in schizophrenia predict interpersonal problems and low functional outcome, which might be aggravated by low (meta-) cognitive awareness of individual symptoms and cognitive biases. Metacognitive Training (MCT) aims to raise patients' awareness of cognitive biases, for example overconfidence in errors. We examined whether MCT reduces high-confident false mental state perceptions and tried to identify possible underlying mechanisms of SC impairments. A total of 150 patients were enrolled in a randomized clinical trial comparing the MCT with cognitive remediation (CogPack®) as the active control. Participants were assessed at baseline and at four weeks (post) and further six months (follow-up) later with the Reading the Eyes in the Mind-test also measuring the patients' response confidence. We found that compared to CogPack® MCT reliably reduced the amount of overconfident SC errors by approximately 40% at follow-up. Additionally, we were able to link several symptomatic features and neuropsychological parameters to SC impairments and overconfidence herein.
Item Description:Gesehen am 06.11.2018
Physical Description:Online Resource
ISSN:2043-8087
DOI:10.5127/jep.054516

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