ArticleSchizophrenia bulletin2019
Metacognition, Personal Distress, and Performance-Based Empathy in Schizophrenia.
Article in Schizophrenia bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 44 citations in OpenAlex.
- Relationships between empathy, symptoms, and functioning in first episode psychosis.Schizophrenia research · 2026Trial
- Disorganization and disintegration in schizophrenia: Metacognitive capacity across levels of conceptual disorganization.Schizophrenia research · 2025Article
- Navigating social challenges: A phenomenological exploration of living with schizophrenia.The British journal of occupational therapy · 2025Article
- No Sex-based Differences in Self-reported Empathy between Patients with Schizophrenia and Control Subjects.Actas espanolas de psiquiatria · 2024Article
- Empathy in schizophrenia: neural alterations during emotion recognition and affective sharing.Frontiers in psychiatry · 2024Article
- Life engagement in people living with schizophrenia: predictors and correlates of patient life engagement in a large sample of people living in the community.Psychological medicine · 2023Article
- Metacognition in Schizophrenia Spectrum Disorders-Current Methods and Approaches.Brain sciences · 2023Review
- Conceptual disorganization as a mediating variable between visual learning and metacognition in schizophrenia.Frontiers in psychiatry · 2023Article
- Measuring empathy in groups with high schizotypy: Psychometric evaluation of the Interpersonal Reactivity Index.Psychological assessment · 2022Article
- Role of fantasy in emotional clarity and emotional regulation in empathy: A preliminary study.Frontiers in psychology · 2022Article
- Metacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?BMC psychiatry · 2021Review
- The effect of somatosensory alpha transcranial alternating current stimulation on pain empathy is trait empathy and gender dependent.CNS neuroscience & therapeutics · 2021Article
- Effectiveness of Metacognitive Regulation Intervention on Attention-Deficit-Hyperactivity Disorder Students' Scientific Ability and Motivation.Frontiers in psychology · 2021Article
- Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia.Neuropsychiatric disease and treatment · 2021Article
- Social Dysfunction in Psychosis Is More Than a Matter of Misperception: Advances From the Study of Metacognition.Frontiers in psychology · 2021Review
- Emotion-specific performance across empathy tasks in schizophrenia: Influence of metacognitive capacity.Schizophrenia research. Cognition · 2020Article
- Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments.Schizophrenia research. Cognition · 2020Review
- Metacognition and Intersubjectivity: Reconsidering Their Relationship Following Advances From the Study of Persons With Psychosis.Frontiers in psychology · 2020Article
- Atypical EEG Responses to Nonverbal Emotionally Charged Stimuli in Children with ASD.Behavioural neurology · 2020Article
- Metacognitive and cognitive-behavioral interventions for psychosis: new developments .Dialogues in clinical neuroscience · 2019Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: People with schizophrenia experience significant deficits in the kinds of empathic skills that are the foundation for interpersonal relationships. Researchers have speculated that deficits in empathic skills in schizophrenia may be related to disturbances in metacognition and heightened levels of personal distress. To explore this issue, this study examined whether better metacognition and reduced personal distress would be associated with improved performance on cognitive and affective empathy tasks. Further, we tested whether metacognition moderated the relationship between personal distress and empathy. Method: Fifty-eight participants with schizophrenia-spectrum disorders receiving community-based treatment completed a self-report questionnaire of personal distress, a performance-based measure of empathy, and an observer-rated interview to assess metacognitive capacity. Results: Correlation analyses revealed that metacognitive capacity, but not personal distress, was significantly associated with cognitive and affective empathy performance. Moderation results suggest the relationship between personal distress and affective empathy performance was significant for those with low metacognition, but that the relationship was the opposite of hypotheses-increased personal distress predicted better performance. This relationship changed at higher levels of metacognition, when increased personal distress became associated with reduced performance. Conclusions: This study is the first of its kind to examine performance-based empathy with metacognition and personal distress. Results suggest interventions targeted to improve metacognition may be useful in enhancing empathic skills.
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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.