ArticleSchizophrenia research. Cognition2020
Cognitive and metacognitive factors predict engagement in employment in individuals with first episode psychosis.
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 12 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Exploring the Relationship between Cognitive Performance, Performance-Based Functioning, and Everyday Functioning in People with Schizophrenia: a Systematic Literature Review.Schizophrenia bulletin · 2026Pooled it
- Cognitive Predictors of Social and Occupational Functioning in Early Psychosis: A Systematic Review and Meta-analysis of Cross-Sectional and Longitudinal Data.Schizophrenia bulletin · 2021Pooled it
- The Assessment of Metacognition in Psychosis: Systematic Review and Future Lines of Research.Clinical psychology & psychotherapyPooled it
- 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
- Cognitive predictors and genetic moderators of employment outcomes in people with schizophrenia.Schizophrenia research. Cognition · 2025Article
- Shaping tomorrow's support: baseline clinical characteristics predict later social functioning and quality of life in schizophrenia spectrum disorder.Social psychiatry and psychiatric epidemiology · 2024Article
- Thinking About the Future of Cognitive Remediation Therapy Revisited: What Is Left to Solve Before Patients Have Access?Schizophrenia bulletin · 2024Article
- Psychotic Disorders in Adolescence and Later Long-term Exclusion From Education and Employment.Schizophrenia bulletin · 2023Article
- Identifying subgroups based on self-assessment of ability in patients with schizophrenia and its relationship with vocational outcomes.Hong Kong journal of occupational therapy : HKJOT · 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
- Schizophrenia, recovery and the self: An introduction to the special issue on metacognition.Schizophrenia research. Cognition · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch has demonstrated that cognitive abilities predict work outcomes in people with psychosis. Cognitive Remediation Programs go some way in improving work outcomes, but individuals still experience difficulty maintaining employment. Metacognition has been demonstrated to predict work performance in individuals with schizophrenia, but this has not yet been applied to First Episode Psychosis (FEP). This study assessed whether metacognition, intellectual aptitude and functional capacity can predict engagement in work and number of hours of work within FEP.
methodsFifty-two individuals with psychosis, from an Early Intervention in Psychosis service, completed measures of IQ, metacognition (Metacognitive Assessment Interview), functional capacity (UPSA), and functional outcome (hours spent in structured activity per week, including employment).
resultsTwenty-six participants (22 males, 4 females) were employed and twenty-six (22 males, 4 females) were not employed. IQ and metacognition were significantly associated with whether the individual was engaged in employment [IQ (p = .02) and metacognition (p = 006)]. When controlling for IQ, metacognition (differentiation subscale) remained significant (p = .04). Next, including only those employed, no cognitive nor metacognitive factors predicted number of hours in employment. DISCUSSION: This is the first study to directly assess metacognition as a predictor of work hours for individuals with FEP. This study highlights the importance of enhancing metacognitive ability in order to improve likelihood of, and engagement in, employment for those with FEP.
Identifiers
What OpenQuestion holds
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.