ArticleBiological psychiatry2018
Psychiatric Symptom Dimensions Are Associated With Dissociable Shifts in Metacognition but Not Task Performance.
Article in Biological psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 1 of them a synthesis that pooled it.
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Who cites it
154 citing papers in PubMed, 1 synthesis or guideline pooled it, 351 citations in OpenAlex.
- Metacognitive sensitivity and symptoms of mental disorder: A systematic review and meta-analysis.Frontiers in psychology · 2023Pooled it
- The relationship between apathy and impulsivity in large population samples.Scientific reports · 2021Trial
- How Confidence in Prior Attitudes, Social Tag Popularity, and Source Credibility Shape Confirmation Bias Toward Antidepressants and Psychotherapy in a Representative German Sample: Randomized Controlled Web-Based Study.Journal of medical Internet research · 2019Trial
- Towards an integrative neuroscience of metacognition.Nature reviews. Neuroscience · 2026Review
- Assessing the effect of subthalamic stimulation on metaperception in obsessive-compulsive disorder.Translational psychiatry · 2026Article
- Trial-by-trial fluctuations in decision criterion shape confidence.Nature human behaviour · 2026Article
- Perceptual meta-uncertainty reveals enhanced calibration of sensory confidence in autism.Science advances · 2026Article
- Loneliness is linked to reduced calibration of confidence to uncertainty in social decision-making.Cognitive, affective & behavioral neuroscience · 2026Article
- Drops in confidence precede symptoms of obsessive-compulsive disorder.Nature communications · 2026Article
- cpm: A python library for theory-driven modelling in computational psychiatry.PLoS computational biology · 2026Article
- Cognitive & Behavioral Assessment Toolbox (CBAT): An open-source platform supporting experiments in computational psychiatry.Psychiatry and clinical neurosciences · 2026Article
- Beliefs about accuracy shape confidence attributions to humans and artificial agents.Communications psychology · 2026Article
- Cognitive arbitration between candidate dimensions of psychopathology.Molecular psychiatry · 2026Article
- Deciding for others alters metacognition leading to responsibility aversion.Science advances · 2026Article
- How trait confidence and communication shape dyadic decision outcomes and confidence matching.Cognitive research: principles and implications · 2026Article
- Human approach-avoidance conflict behaviour relates to transdiagnostic psychiatric symptom dimensions.Translational psychiatry · 2026Article
- Metacognitive ability is associated with reduced emotion suppression.Scientific reports · 2026Article
- Gender and anxiety reveal distinct computational sources of underconfidence.Psychological medicine · 2026Article
- Building worlds of your own: the functional role of metacognitive bias in metacognition.Frontiers in psychology · 2026Article
- Metacognitive awareness and confidence as predictors of academic performance in pharmacy students: insights from grade predictions and structural equation modeling.Frontiers in psychology · 2026Article
94 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundDistortions in metacognition-the ability to reflect on and control other cognitive processes-are thought to be characteristic of poor mental health. However, it remains unknown whether such shifts in self-evaluation are due to specific alterations in metacognition and/or a downstream consequence of changes in decision-making processes.
methodsUsing perceptual decision making as a model system, we employed a computational psychiatry approach to relate parameters governing both decision formation and metacognitive evaluation to self-reported transdiagnostic symptom dimensions in a large general population sample (N = 995).
resultsVariability in psychopathology was unrelated to either speed or accuracy of decision formation. In contrast, leveraging a dimensional approach, we revealed independent relationships between psychopathology and metacognition: a symptom dimension related to anxiety and depression was associated with lower confidence and heightened metacognitive efficiency, whereas a dimension characterizing compulsive behavior and intrusive thoughts was associated with higher confidence and lower metacognitive efficiency. Furthermore, we obtained a robust double dissociation-whereas psychiatric symptoms predicted changes in metacognition but not decision performance, age predicted changes in decision performance but not metacognition.
conclusionsOur findings indicate a specific and pervasive link between metacognition and mental health. Our study bridges a gap between an emerging neuroscience of decision making and an understanding of metacognitive alterations in psychopathology.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.