ArticleNature communications2025
Distorted learning from local metacognition supports transdiagnostic underconfidence.
Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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
9 citing papers in PubMed.
- Towards an integrative neuroscience of metacognition.Nature reviews. Neuroscience · 2026Review
- Drops in confidence precede symptoms of obsessive-compulsive disorder.Nature communications · 2026Article
- Gender and anxiety reveal distinct computational sources of underconfidence.Psychological medicine · 2026Article
- Building worlds of your own: the functional role of metacognitive bias in metacognition.Frontiers in psychology · 2026Article
- Cognitive awareness in people with multiple sclerosis before and after neuropsychological assessment.Journal of neurology · 2025Observational
- Perceptual metacognition and self-esteem: the role of feedback valence in local and global monitoring bias.BMC psychology · 2025Article
- Distorted learning from local metacognition supports transdiagnostic underconfidence.Nature communications · 2025Article
- Diminished reactivity effect of confidence rating on perceptual decision-making in depression.Frontiers in neuroscience · 2025Article
- Metacognitive biases in anxiety-depression and compulsivity extend across perception and memory.PLOS mental health · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Individuals experiencing symptoms of anxiety and depression have been shown to exhibit persistent underconfidence. The origin of such metacognitive biases presents a puzzle, given that individuals should be able to learn appropriate levels of confidence from observing their own performance. In two large general population samples (N = 230 and N = 278), we measure both 'local' confidence in individual task instances and 'global' confidence as longer-run self-performance estimates while manipulating external feedback. Global confidence is sensitive to both local confidence and feedback valence-more frequent positive (negative) feedback increases (respectively decreases) global confidence, with asymmetries in feedback also leading to shifts in affective self-beliefs. Notably, however, global confidence exhibits reduced sensitivity to instances of higher local confidence in individuals with greater subclinical anxious-depression symptomatology, despite sensitivity to feedback valence remaining intact. Our finding of blunted sensitivity to increases in local confidence offers a mechanistic basis for how persistent underconfidence is maintained in the face of intact performance.
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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.