ReviewSchizophrenia research. Cognition2020
Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments.
Review 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 55 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
55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.
- Dissociation and recovery in psychosis - an overview of the literature.Frontiers in psychiatry · 2024Pooled it
- Narrative identity in the psychosis spectrum: A systematic review and developmental model.Clinical psychology review · 2021Pooled it
- Theoretical Perspectives on the Minimal and Narrative Self in the Schizophrenia Spectrum: An Integrative Review.Wiley interdisciplinary reviews. Cognitive sciencePooled it
- Do symptoms moderate the association between participation and executive functions outcomes among people with schizophrenia?BMC psychiatry · 2023Trial
- Personalizing interventions using real-world interactions: Improving symptoms and social functioning in schizophrenia with tailored metacognitive therapy.Journal of consulting and clinical psychology · 2022Trial
- The Mediating Role of Metacognitive Beliefs in Self-Compassion and Schizophrenia Recovery.Brain and behavior · 2026Article
- Metacognitive reflection and insight therapy: a mini-review of advances, challenges, and future directions.Frontiers in psychology · 2026Review
- Prospective investigation of positive psychotic symptoms, dissociative symptoms, and metacognitive dysfunctions in a non-clinical population.Scientific reports · 2025Article
- A primer on meta-awareness of mind wandering in schizotypy and schizophrenia.Psychological research · 2025Review
- Neurocognitive correlates of physical activity in multiple sclerosis: metacognition and cognitive flexibility.Acta neurologica Belgica · 2025Article
- Modelling the longitudinal associations between schizotypy and aberrant salience: The role of mentalization and attachment.Psychology and psychotherapy · 2025Article
- Expressive Suppression of Emotions in Bulimia Nervosa: An Electroencephalography Study.Journal of clinical psychology · 2025Article
- Persons at risk for psychosis overestimate social functioning compared to persons with major depressive disorder and community controls.Journal of psychiatric research · 2025Article
- Psychometric properties of the Spanish version of the measure of insight into cognition-self-report in psychosis-risk and non-clinical Mexican young adults.Early intervention in psychiatry · 2025Article
- Transdiagnostic relevance of subjective cognitive complaints: a validation and population-based study using two Canadian scales (SSTICS and MoCA) in the UAE.Frontiers in behavioral neuroscience · 2025Article
- A Study on the Effectiveness of Metacognitive Training in Treating Negative Symptoms of Different Subtypes of Schizophrenia.Psychology research and behavior management · 2025Article
- Evolution of Linguistic Markers of Agency, Centrality and Content During Metacognitive Therapy for Psychosis: A Pilot Exploratory Study.Early intervention in psychiatry · 2025Article
- Metacognition impairment in stroke.Frontiers in neurology · 2025Article
- The moderating role of COMT gene rs4680 polymorphism between maladaptive metacognitive beliefs and negative symptoms in patients with schizophrenia.BMC psychiatry · 2024Article
- Clinical subtypes of schizophrenia based on the discrepancies between objective performance on social cognition tasks and subjective difficulties in social cognition.Schizophrenia (Heidelberg, Germany) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Bleuler suggested that fragmentation of thought, emotion and volition were the unifying feature of the disorders he termed schizophrenia. In this paper we review research seeking to measure some of the aspects of fragmentation related to the experience of the self and others described by Bleuler. We focus on work which uses the concept of metacognition to characterize and quantify alterations or decrements in the processes by which fragments or pieces of information are integrated into a coherent sense of self and others. We describe the rationale and support for one method for quantifying metacognition and its potential to study the fragmentation of a person's sense of themselves, others and the relative place of themselves and others in the larger human community. We summarize research using that method which suggests that deficits in metacognition commonly occur in schizophrenia and are related to basic neurobiological indices of brain functioning. We also present findings indicating that the capacity for metacognition in schizophrenia is positively related to a broad range of aspects of psychological and social functioning when measured concurrently and prospectively. Finally, we discuss the evolution and study of one therapy that targets metacognitive capacity, Metacognitive Reflection and Insight Therapy (MERIT) and its potential to treat fragmentation and promote recovery.
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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.