The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Lysaker P.

Indiana University School of Medicine

Chernov N.V.

Alexeev Mental Health Hospital

Karpenko O.A.

Alekseev Psychiatric Clinical Hospital No. 1

Moiseeva T.V.

Alexeev Mental Health Hospital

Sozinova M.V.

Alexeev Mental Health Hospital

Dmitrieva N.D.

Alexeev Mental Health Hospital

Alyoshin V.A.

Alexeev Mental Health Hospital

Faith L.

University of Missouri — Kansas City (USA)

Kostyuk G.P.

Alekseev Psychiatric Clinical Hospital No. 1

Metacognition as a pathway to the study and treatment of fragmentation in schizophrenia

Authors:

Lysaker P., Chernov N.V., Karpenko O.A., Moiseeva T.V., Sozinova M.V., Dmitrieva N.D., Alyoshin V.A., Faith L., Kostyuk G.P.

More about the authors

Read: 3004 times


To cite this article:

Lysaker P, Chernov NV, Karpenko OA, et al. . Metacognition as a pathway to the study and treatment of fragmentation in schizophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(3):160‑164. (In Russ.)
https://doi.org/10.17116/jnevro2021121031160

Recommended articles:
PANSS six-factor model. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):28-34
Clinical and immu­nological rela­tionships in patients with early schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):35-42
Clinical and psychopathological features of treatment-resistant schi­zophrenia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(2):43-50
Hand burns in pediatrics. Piro­gov Russian Journal of Surgery. 2025;(3):96-106
Possibilities of vibroacoustic therapy application in patients with chro­nic bronchopulmonary pathology. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;(1):12-18
Reha­bilitation of patients with post-COVID syndrome depe­nding on C(159)T poly­morphism of SD-14 gene. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;(1):42-50

References:

  1. Bleuler E. Dementia praecox or the group of schizophrenias. New York. 1950.
  2. Kraepelin E, Barclay RM, Robertson GM. Dementia præcox and paraphrenia. Edinburgh; 1919.
  3. Chung Y, Addington J, Bearden CE, et al. Use of Machine Learning to Determine Deviance in Neuroanatomical Maturity Associated with Future Psychosis in Youths at Clinically High Risk. JAMA Psychiatry. 2018;75(9):960-968.  https://doi.org/10.1001/jamapsychiatry.2018.1543
  4. Moritz S, Lysaker PH. Metacognition — What did James H. Flavell really say and the implications for the conceptualization and design of metacognitive interventions. Schizophr Res. 2018;201:20-26.  https://doi.org/10.1016/j.schres.2018.06.001
  5. Lysaker PH, Minor KS, Lysaker JT, et al. Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments. Schizophr Res Cogn. 2019;19:100142. https://doi.org/10.1016/j.scog.2019.100142
  6. Hasson‐Ohayon I, Kravetz S, Lysaker PH. The special challenges of psychotherapy with persons with psychosis: intersubjective metacognitive model of agreement and shared meaning. Clin Psychol Psychother. 2017;24(2):428-440.  https://doi.org/10.1002/cpp.2012
  7. Semerari A, Carcione A, Dimaggio G, et al. How to evaluate metacognitive functioning in psychotherapy? The metacognition assessment scale and its applications. Clin Psychol Psychother. 2003;10(4):238-261.  https://doi.org/10.1002/cpp.362
  8. Lysaker PH, Dimaggio G. Metacognitive capacities for reflection in schizophrenia: implications for developing treatments. Schizophr Bull. 2014;40(3):487-491.  https://doi.org/10.1093/schbul/sbu038
  9. Pinkham AE, Penn DL, Green MF, Harvey PD. Social Cognition Psychometric Evaluation: Results of the Initial Psychometric Study. Schizophrenia Bulletin. 2016;42(2):494-504.  https://doi.org/10.1093/schbul/sbv056
  10. Lysaker PH, Vohs J, Hamm JA, et al. Deficits in metacognitive capacity distinguish patients with schizophrenia from those with prolonged medical adversity. J Psychiatr Res. 2014;55:126-132.  https://doi.org/10.1016/j.jpsychires.2014.04.011
  11. Hasson-Ohayon I, Avidan-Msika M, Mashiach-Eizenberg M, et al. Metacognitive and social cognition approaches to understanding the impact of schizophrenia on social quality of life. Schizophr Res. 2015;161(2):386-391.  https://doi.org/10.1016/j.schres.2014.11.008
  12. James A, Johannesen J, Buck K, Lysaker P. Relatively More Intact Levels of Social Cognition Predict Fewer Impairments in Neurocognition, Metacognition, and Healthier Personality Functioning in a Sample With Prolonged Schizophrenia. Schizophr Bull. 2017;43(suppl 1):254-255.  https://doi.org/10.1093/schbul/sbx022.115
  13. Lysaker PH, Gumley A, Luedtke B, et al. Social cognition and metacognition in schizophrenia: evidence of their independence and linkage with outcomes. Acta Psychiatr Scand. 2013;127(3):239-247.  https://doi.org/10.1111/acps.12012
  14. Popolo R, Smith E, Lysaker PH, et al. Metacognitive profiles in schizophrenia and bipolar disorder: Comparisons with healthy controls and correlations with negative symptoms. Psychiatry Res. 2017;257:45-50.  https://doi.org/10.1016/j.psychres.2017.07.022
  15. Trauelsen AM, Gumley A, Jansen JE, et al. Metacognition in first-episode psychosis and its association with positive and negative symptom profiles. Psychiatry Res. 2016;238:14-23.  https://doi.org/10.1016/j.psychres.2016.02.003
  16. Vohs JL, Lysaker PH, Francis MM, et al. Metacognition, social cognition, and symptoms in patients with first episode and prolonged psychoses. Schizophr Res. 2014;153(1-3):54-59.  https://doi.org/10.1016/j.schres.2014.01.012
  17. Lysaker PH, Dimaggio G, Wicket-Curtis A, et al. Deficits in metacognitive capacity are related to subjective distress and heightened levels of hyperarousal symptoms in adults with Posttraumatic Stress Disorder. J Trauma Dissociation. 2015;16(4):384-398.  https://doi.org/10.1080/15299732.2015.1005331
  18. Lysaker PH, George S, Chaudoin-Patzoldt KA, et al. Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder. Psychiatry Res. 2017;257:393-399.  https://doi.org/10.1016/j.psychres.2017.08.001
  19. Lysaker PH, Irarrazaval L, Gagen EC, et al. Metacognition in schizophrenia disorders: Comparisons with community controls and bipolar disorder: Replication with a Spanish language Chilean sample. Psychiatry Res. 2018;267:528-534.  https://doi.org/10.1016/j.psychres.2018.06.049
  20. Weiming W, Yi D, Lysaker P, et al. The relationship among the metacognitive ability, empathy and psychotic symptoms in schizophrenic patients in a post-acute phase of illness. Chinese Journal of Behavioral Medicine and Brain Science. 2015;24(2):128-131.  https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2015.02.009
  21. Minor KS, Willits JA, Marggraf MP, et al. Measuring disorganized speech in schizophrenia: automated analysis explains variance in cognitive deficits beyond clinician-rated scales. Psychol Med. 2019;49(3):440-448.  https://doi.org/10.1017/S0033291718001046
  22. Lysaker PH, Gagen E, Wright A, et al. Metacognitive deficits predict poor insight in schizophrenia across symptom profiles: A latent classes analysis. Schizophrenia Bull. 2019;45(1):48-56.  https://doi.org/10.1093/schbul/sby142
  23. Leonhardt BL, Vohs JL, Bartolomeo LA,, et al. Relationship of Metacognition and Insight to Neural Synchronization and Cognitive Function in Early Phase Psychosis. Clin EEG Neurosci. 2020;51(4):259-266.  https://doi.org/10.1177/1550059419857971
  24. Vohs JL, Leonhardt BL, Francis MM, et al. A preliminary study of the association among metacognition and resting state EEG in schizophrenia. J Psychophysiol. 2016;30(2):47-54.  https://doi.org/10.1027/0269-8803/a000153
  25. Buchy L, Stowkowy J, MacMaster FP, et al. Meta-cognition is associated with cortical thickness in youth at clinical high risk of psychosis. Psychiatry Res. 2015;233(3):418-423.  https://doi.org/10.1016/j.pscychresns.2015.07.010
  26. Francis MM, Hummer TA, Leonhardt BL, et al. Association of medial prefrontal resting state functional connectivity and metacognitive capacity in early phase psychosis. Psychiatry Res Neuroimaging. 2017;262:8-14.  https://doi.org/10.1016/j.pscychresns.2016.12.014
  27. Vohs JL, Hummer TA, Yung MG, et al. Metacognition in Early Phase Psychosis: Toward Understanding Neural Substrates. Int J Mol Sci. 2015;16(7):14640-14654. https://doi.org/10.3390/ijms160714640
  28. Kukla M, Lysaker PH. Metacognition over time is related to neurocognition, social cognition, and intrapsychic foundations in psychosis. Schizophr Res Cogn. 2020;19:100149. https://doi.org/10.1016/j.scog.2019.100149
  29. Hasson-Ohayon I, Goldzweig G, Lavi-Rotenberg A, et al. The centrality of cognitive symptoms and metacognition within the interacting network of symptoms, neurocognition, social cognition and metacognition in schizophrenia. Schizophr Res. 2018;202:260-266.  https://doi.org/10.1016/j.schres.2018.07.007
  30. Gagen E, Zalzala AB, Hochheiser J, et al. Metacognitive deficits and social function in schizophrenia across symptom profiles: A latent classes analysis. J Exp Psychopathol. 2019;10(1):1-11.  https://doi.org/10.1177/2043808719830821
  31. Arnon-Ribenfeld N, Hasson-Ohayon I, Lavidor M, et al. The association between metacognitive abilities and outcome measures among people with schizophrenia: A meta-analysis. Eur Psychiatry. 2017;46:33-41.  https://doi.org/10.1016/j.eurpsy.2017.08.002
  32. Luther L, Bonfils KA, Firmin RL, et al. Metacognition Is Necessary for the Emergence of Motivation in People With Schizophrenia Spectrum Disorders: A Necessary Condition Analysis. J Nerv Ment Dis. 2017;205(12):960-966.  https://doi.org/10.1097/NMD.0000000000000753
  33. Luther L, Firmin RL, Minor KS, et al. Metacognition deficits as a risk factor for prospective motivation deficits in schizophrenia spectrum disorders. Psychiatry Res. 2016;245:172-178.  https://doi.org/10.1016/j.psychres.2016.08.032
  34. Austin SF, Lysaker PH, Jansen JE, et al. Metacognitive capacity and negative symptoms in First Episode Psychosis: Evidence of a prospective relationship over a 3-year follow-up. J Exp Psychopathol. 2019;10(1):1-11.  https://doi.org/10.1177/2043808718821572
  35. McLeod HJ, Gumley AI, Macbeth A, et al. Metacognitive functioning predicts positive and negative symptoms over 12 months in first episode psychosis. J Psychiatr Res. 2014;54:109-115.  https://doi.org/10.1016/j.jpsychires.2014.03.018
  36. Bonfils KA, Lysaker PH, Minor KS, Salyers MP. Metacognition, Personal Distress, and Performance-Based Empathy in Schizophrenia. Schizophr Bull. 2018;45(1):19-26.  https://doi.org/10.1093/schbul/sby137
  37. Fisher MW, Dimaggio G, Hochheiser J, et al. Metacognitive Capacity is Related to Self-Reported Social Functioning and may moderate the effects of symptoms on interpersonal behavior. J Nerv Ment Dis. 2020;208(2):138-142.  https://doi.org/10.1097/NMD.0000000000001117
  38. Hochheiser J, Lundin N, Lysaker PH. The independent relationships of metacognition, mindfulness, and cognitive insight to self-compassion in schizophrenia. J Nerv Ment Dis. 2020;208(1):1-6.  https://doi.org/10.1097/NMD.0000000000001065
  39. Buck BE, Gagen EC, Luther L, et al. Dynamic relationships between emotional distress, persecutory ideation, and metacognition in schizophrenia. Br J Clin Psychol. 2020;76(4):716-724.  https://doi.org/10.1002/jclp.22904
  40. Lysaker PH, Buck KD, Ringer J. The recovery of metacognitive capacity in schizophrenia across 32 months of individual psychotherapy: a case study. Psychother Res. 2007;17(6):713-720.  https://doi.org/10.1080/10503300701255932
  41. Lysaker PH, Klion RE. Recovery, Meaning-Making, and Severe Mental Illness. A Comprehensive Guide to Metacognitive Reflection and Insight Therapy. 1st ed. New York; 2017;192.  https://doi.org/10.4324/9781315447001

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.