Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia

Shu Ping Chuang,1 Jo Yung Wei Wu,2 Chien Shu Wang3 1Department of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Good-Day Psychology Clinic, Tainan, Taiwan; 3Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, TaiwanCorrespondence...

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Autores principales:	Chuang SP, Wu JYW, Wang CS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	empathy metacognition psychiatric symptoms cognitive functioning schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2de70817ece1414098816d946b53975c
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spelling	oai:doaj.org-article:2de70817ece1414098816d946b53975c2021-12-02T18:34:24ZMetacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia1178-2021https://doaj.org/article/2de70817ece1414098816d946b53975c2021-07-01T00:00:00Zhttps://www.dovepress.com/metacognitive-beliefs-cognitive-functioning-psychiatric-symptoms-and-e-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Shu Ping Chuang,1 Jo Yung Wei Wu,2 Chien Shu Wang3 1Department of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Good-Day Psychology Clinic, Tainan, Taiwan; 3Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, TaiwanCorrespondence: Shu Ping ChuangDepartment of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, No. 553, Jiunshiau Road, Zuoying District, Kaohsiung, 81342, TaiwanTel +886-7-5817121 #3352Fax +886-7-5818816Email xota5139@gmail.comBackground: People with schizophrenia often exhibit deficits in empathy, which plays a major role in social cognition and interpersonal relationship. However, little work has investigated potential factors that influence empathy in schizophrenia. The study aimed to investigate the relationship among metacognition, psychiatric symptoms, cognitive functioning and empathy in patients diagnosed with schizophrenia.Methods: Forty-eight people with schizophrenia were enrolled in the study group. All subjects participated in the metacognitions questionnaire-30 (MCQ-30), brief psychiatric rating scale (BPRS), neurocognitive functioning, interpersonal reactivity index (IRI), and the pictorial empathy test (PET).Results: Stepwise regression analysis revealed that cognitive self-consciousness (domain of metacognitions questionnaire-30) accounted for 37% of the variance in perspective taking scores (domain of interpersonal reactivity index). Resistance (subscale of brief psychiatric rating scale) and positive beliefs about worry (domain of metacognitions questionnaire-30) accounted for 34% of the variance in fantasy (domain of interpersonal reactivity index). Activation (subscale of brief psychiatric rating scale) was a significant predictor for empathic concern (domain of interpersonal reactivity index). Resistance, cognitive confidence (domain of metacognitions questionnaire-30), intellectual processes and inhibitory control (go-no-go task) accounted for 38% of the variance in personal distress. Negative symptoms (subscale of brief psychiatric rating scale) and cognitive self-consciousness were significant predictors for the pictorial empathy test.Conclusion: The study was aimed to examine self-perception of metacognitive beliefs and empathy. More research is needed to explore the association between metacognitive beliefs, cognitive functioning and psychiatric symptoms on empathy in people with schizophrenia.Keywords: empathy, metacognitive beliefs, psychiatric symptoms, cognitive functioning, schizophreniaChuang SPWu JYWWang CSDove Medical Pressarticleempathymetacognitionpsychiatric symptomscognitive functioningschizophreniaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2209-2217 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	empathy metacognition psychiatric symptoms cognitive functioning schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	empathy metacognition psychiatric symptoms cognitive functioning schizophrenia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Chuang SP Wu JYW Wang CS Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
description	Shu Ping Chuang,1 Jo Yung Wei Wu,2 Chien Shu Wang3 1Department of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan; 2Good-Day Psychology Clinic, Tainan, Taiwan; 3Department of Psychiatry, Kaohsiung Armed Forces General Hospital, Kaohsiung, TaiwanCorrespondence: Shu Ping ChuangDepartment of Psychiatry, Zuoying Branch of Kaohsiung Armed Forces General Hospital, No. 553, Jiunshiau Road, Zuoying District, Kaohsiung, 81342, TaiwanTel +886-7-5817121 #3352Fax +886-7-5818816Email xota5139@gmail.comBackground: People with schizophrenia often exhibit deficits in empathy, which plays a major role in social cognition and interpersonal relationship. However, little work has investigated potential factors that influence empathy in schizophrenia. The study aimed to investigate the relationship among metacognition, psychiatric symptoms, cognitive functioning and empathy in patients diagnosed with schizophrenia.Methods: Forty-eight people with schizophrenia were enrolled in the study group. All subjects participated in the metacognitions questionnaire-30 (MCQ-30), brief psychiatric rating scale (BPRS), neurocognitive functioning, interpersonal reactivity index (IRI), and the pictorial empathy test (PET).Results: Stepwise regression analysis revealed that cognitive self-consciousness (domain of metacognitions questionnaire-30) accounted for 37% of the variance in perspective taking scores (domain of interpersonal reactivity index). Resistance (subscale of brief psychiatric rating scale) and positive beliefs about worry (domain of metacognitions questionnaire-30) accounted for 34% of the variance in fantasy (domain of interpersonal reactivity index). Activation (subscale of brief psychiatric rating scale) was a significant predictor for empathic concern (domain of interpersonal reactivity index). Resistance, cognitive confidence (domain of metacognitions questionnaire-30), intellectual processes and inhibitory control (go-no-go task) accounted for 38% of the variance in personal distress. Negative symptoms (subscale of brief psychiatric rating scale) and cognitive self-consciousness were significant predictors for the pictorial empathy test.Conclusion: The study was aimed to examine self-perception of metacognitive beliefs and empathy. More research is needed to explore the association between metacognitive beliefs, cognitive functioning and psychiatric symptoms on empathy in people with schizophrenia.Keywords: empathy, metacognitive beliefs, psychiatric symptoms, cognitive functioning, schizophrenia
format	article
author	Chuang SP Wu JYW Wang CS
author_facet	Chuang SP Wu JYW Wang CS
author_sort	Chuang SP
title	Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
title_short	Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
title_full	Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
title_fullStr	Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
title_full_unstemmed	Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia
title_sort	metacognitive beliefs, cognitive functioning, psychiatric symptoms and empathy in people with schizophrenia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/2de70817ece1414098816d946b53975c
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_version_	1718377850900316160

Metacognitive Beliefs, Cognitive Functioning, Psychiatric Symptoms and Empathy in People with Schizophrenia

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