ArticleNPJ schizophrenia2021
Persons with first episode psychosis have distinct profiles of social cognition and metacognition.
Article in NPJ schizophrenia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Jumping to conclusions bias in early psychosis: Relationships with symptom dimensions, neurocognition and social cognition.Schizophrenia research. Cognition · 2026Article
- Turkish adaptation study of the Metacognition Assessment Scale-Abbreviated in psychotic disorders.Frontiers in psychology · 2026Article
- Sex-based differences in Jumping to Conclusions: a multidimensional analysis of first-episode psychosis.Schizophrenia (Heidelberg, Germany) · 2025Article
- The role of metacognition and social cognition in childhood trauma effecting on prognosis: 1-year follow-up study in patients with first-episode schizophrenia.BMC psychiatry · 2025Article
- Efficacy of the combination of water aerobics and metacognitive training on psychological and physical health variables and their relationship with SP1 and SP4 biomarkers in people with psychosis: a study protocol.Frontiers in psychology · 2024Article
- Effects and safety of virtual reality-based mindfulness in patients with psychosis: a randomized controlled pilot study.Schizophrenia (Heidelberg, Germany) · 2023Article
- Cognitive versus emotional modulation within a Stroop paradigm in patients with schizophrenia.BJPsych open · 2023Article
- The Neural Correlates of the Recognition of Emotional Intensity Deficits in Major Depression: An ERP Study.Neuropsychiatric disease and treatment · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
22 authors.
Funding
Abstract
Subjects with first-episode psychosis experience substantial deficits in social cognition and metacognition. Although previous studies have investigated the role of profiles of individuals in social cognition and metacognition in chronic schizophrenia, profiling subjects with first-episode psychosis in both domains remains to be investigated. We used latent profile analysis to derive profiles of the abilities in 174 persons with first-episode psychosis using the Beck's Cognitive Insight Scale, the Faces Test, the Hinting Task, the Internal, Personal and Situational Attributions Questionnaire, and the Beads Task. Participants received a clinical assessment and a neuropsychological assessment. The best-fitting model was selected according to the Bayesian information criterion (BIC). We assessed the importance of the variables via a classification tree (CART). We derived three clusters with distinct profiles. The first profile (33.3%) comprised individuals with low social cognition. The second profile (60.9%) comprised individuals that had more proneness to present jumping to conclusions. The third profile (5.7%) presented a heterogeneous profile of metacognitive deficits. Persons with lower social cognition presented worse clinical and neuropsychological features than cluster 2 and cluster 3. Cluster 3 presented significantly worst functioning. Our results suggest that individuals with FEP present distinct profiles that concur with specific clinical, neuropsychological, and functional challenges. Each subgroup may benefit from different interventions.
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Registered trials
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