ArticleSchizophrenia research. Cognition2020
Metacognition moderates the relationship between self-reported and clinician-rated motivation in schizophrenia.
Article in Schizophrenia research. Cognition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The Effect of Alexithymia, Metacognitive Beliefs and Self-Efficacy on Disability in Patients With Schizophrenia: A Cross-Sectional Study.Journal of psychiatric and mental health nursing · 2026Article
- Self-report Assessment of Metacognition Among Schizophrenia Patients: A Systematic Review.Indian journal of psychological medicine · 2026Review
- Mental time travel and insight in schizophrenia.Psychological medicine · 2025Review
- Conceptual disorganization as a mediating variable between visual learning and metacognition in schizophrenia.Frontiers in psychiatry · 2023Article
- 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
- Schizophrenia, recovery and the self: An introduction to the special issue on metacognition.Schizophrenia research. Cognition · 2020Review
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Authors and funding
5 authors.
Funding
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Abstract
introductionPrior work has found varied relationships between self-reported and clinician-rated motivation measures in schizophrenia, suggesting that moderators might impact the strength of this relationship. This current study sought to identify whether metacognition - the ability to form complex representations about oneself, others, and the world - moderates the relationship between self-reported and clinician-rated motivation measures. We also explored whether clinical insight and neurocognition moderated this relationship.
methodsFifty-six participants with a schizophrenia-spectrum disorder completed the Motivation and Pleasure Self-Report Scale and the clinician-rated motivation index from the Heinrichs-Carpenter Quality of Life Scale.
resultsMetacognition significantly moderated the relationship; self-reported and clinician-rated motivation were positively and significantly correlated only when metacognition was relatively high. Neither clinical insight nor neurocognition moderated the relationship. DISCUSSION: Metacognition appears to be a key variable impacting the strength of the relationship between self-reported and clinician-rated motivation measures and may help to partly explain the varied relationships observed in prior work. Using a metacognitive framework to guide assessment interviews and targeting metacognition in psychosocial treatments may help to improve the synchrony between self-perceptions and clinician ratings of motivation.
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