Metacognition, symptoms and premorbid functioning in a first episode psychosis sample.
نویسندگان
چکیده
Significant metacognitive impairments are observed in chronic psychosis samples but metacognition is less understood in first episode psychosis (FEP). The current study explored correlations between metacognition, symptoms and premorbid functioning in an FEP sample. In a cross-sectional cohort study, individuals in the first 12 months of treatment metacognition were assessed with the Metacognition Assessment Scale-Revised version (MAS-R). Psychotic symptomatology, premorbid adjustment, and clinician rated service engagement were also measured. Lower scores for metacognitive understanding of other's minds were significantly correlated with greater negative symptoms, poorer early adolescent social adjustment and poorer clinician rated help-seeking. Our findings suggest that FEP individuals with difficulties in understanding other's minds have more social deficits and may be less able to make effective use of treatment.
منابع مشابه
Association of Premorbid Adjustment with Symptom Profile and Quality of Life in First Episode Psychosis in a Tertiary Hospital in Tehran, Iran
OBJECTIVE Poor premorbid adjustment has been reported to be a predictor of more severe psychotic symptoms and poor quality of life in such psychotic disorders as schizophrenia. However, most studies were performed on chronic schizophrenic patients, and proposed the likelihood of recall biases and the effect of chronicity. The aim of this study was to investigate these factors in a sample of fir...
متن کاملPremorbid functioning in schizophrenia: relation to baseline symptoms, treatment response, and medication side effects.
Impaired premorbid functioning prior to the onset of acute psychosis has frequently been noted in schizophrenia. This study examined retrospectively the premorbid status of patients in their first episode of psychosis in order to determine relationships with baseline symptoms, treatment response, and medication side effects. One hundred eleven schizophrenic and schizoaffective patients particip...
متن کاملRelationship between premorbid functioning and symptom severity as assessed at first episode of psychosis.
OBJECTIVE Investigating the relationship between premorbid and prodromal status and the clinical manifestations of the first psychotic episode is relevant for understanding the pathophysiology of psychosis and for improving management of the disease. This study examined patterns of premorbid functioning of persons interviewed during their first episode of psychotic illness and examined the rela...
متن کاملAcute treatment response and its predictors in patients with first-episode psychosis in Iran.
OBJECTIVE The aim of this paper was to investigate the acute treatment response and its predictors in a sample of patients with first-episode psychosis admitted to a psychiatric hospital in Iran. METHOD A total of 163 patients with first-episode psychosis were treated with antipsychotics and other medications as prescribed by their treating psychiatrists. Sociodemographic and premorbid data a...
متن کاملویژگیهای بالینی، عملکرد، کیفیت زندگی و سازگاری پیش از بیماری در کودکان و نوجوانان مبتلا به روانپریشیِ بار نخست بستری در بیمارستان روزبه
Objectives This study was done to evaluate the clinical characteristics, function, quality of life, and premorbid adjustment of inpatient children and adolescents with First-Episode Psychosis (FEP) at Roozbeh psychiatric hospital. Methods During a two-year cohort study (2013-2014), all admissions in the child and adolescent psychiatric ward were evaluated. Diagnoses were made using clinical as...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Comprehensive psychiatry
دوره 55 2 شماره
صفحات -
تاریخ انتشار 2014