ReviewTranslational psychiatry2019
Abnormalities of confidence in psychiatry: an overview and future perspectives.
Review in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 175 citations in OpenAlex.
- Episodic and semantic feeling-of-knowing in aging: a systematic review and meta-analysis.Scientific reports · 2023Pooled it
- Metacognitive sensitivity and symptoms of mental disorder: A systematic review and meta-analysis.Frontiers in psychology · 2023Pooled it
- Effects of the Japanese Version of Metacognitive Training on Self-Efficacy and Sense of Coherence in Community-Dwelling Patients with Schizophrenia: A Pilot Study.Community mental health journal · 2026Article
- Assessing the effect of subthalamic stimulation on metaperception in obsessive-compulsive disorder.Translational psychiatry · 2026Article
- Drops in confidence precede symptoms of obsessive-compulsive disorder.Nature communications · 2026Article
- Prior Expectations Bias Confidence Judgments Through Parietal Alpha-Band Modulation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Cognitive arbitration between candidate dimensions of psychopathology.Molecular psychiatry · 2026Article
- Knowledge, attitudes, and practices of resident physicians and intern physicians on narrative medicine.Scientific reports · 2026Article
- Metacognitive monitoring and calibration in the vocal emotion recognition task.Frontiers in psychology · 2026Article
- Bits of confidence: Metacognition as uncertainty reduction.Psychonomic bulletin & review · 2025Review
- Large-scale experimental investigation of the reliability of confidence measures.Communications psychology · 2025Article
- The metacognitive paradox of OCD: confidence is globally reduced but shows increased sensitivity to local evidence.Research square · 2025Article
- Article
- Computational characterization of metacognitive ability in subjective decision-making.bioRxiv : the preprint server for biology · 2025Article
- Information-Theoretic Measures of Metacognitive Efficiency: Empirical Validation with the Face Matching Task.Entropy (Basel, Switzerland) · 2025Article
- Probing the origins of subjective confidence in source memory decisions in young and older adults: A sequential sampling account.Journal of experimental psychology. General · 2025Article
- Distorted learning from local metacognition supports transdiagnostic underconfidence.Nature communications · 2025Article
- Estimating self-performance when making complex decisions.Scientific reports · 2025Article
- The strength of confidence is involved in controlling the intensity of attentional allocation.Scientific reports · 2025Article
- Ambivalence-dependent alterations in brain function during self-evaluation in adults with depressive symptoms.Social cognitive and affective neuroscience · 2025Article
5 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
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Our behavior is constantly accompanied by a sense of confidence and its' precision is critical for adequate adaptation and survival. Importantly, abnormal confidence judgments that do not reflect reality may play a crucial role in pathological decision-making typically seen in psychiatric disorders. In this review, we propose abnormalities of confidence as a new model of interpreting psychiatric symptoms. We hypothesize a dysfunction of confidence at the root of psychiatric symptoms either expressed subclinically in the general population or clinically in the patient population. Our review reveals a robust association between confidence abnormalities and psychiatric symptomatology. Confidence abnormalities are present in subclinical/prodromal phases of psychiatric disorders, show a positive relationship with symptom severity, and appear to normalize after recovery. In the reviewed literature, the strongest evidence was found for a decline in confidence in (sub)clinical OCD, and for a decrease in confidence discrimination in (sub)clinical schizophrenia. We found suggestive evidence for increased/decreased confidence in addiction and depression/anxiety, respectively. Confidence abnormalities may help to understand underlying psychopathological substrates across disorders, and should thus be considered transdiagnostically. This review provides clear evidence for confidence abnormalities in different psychiatric disorders, identifies current knowledge gaps and supplies suggestions for future avenues. As such, it may guide future translational research into the underlying processes governing these abnormalities, as well as future interventions to restore them.
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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.