{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:30:13Z","timestamp":1789047013177,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Schizophrenia is a chronic psychiatric disorder that significantly affects individuals\u2019 mental health. Sustained personal recovery in schizophrenia is a multidimensional process that extends beyond symptom reduction and may be significantly influenced by psychological resources and cognitive appraisals. While self\u2010compassion and metacognitive beliefs are known to affect mental health outcomes independently, their interacting roles in predicting personal recovery remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the mediating role of metacognitive beliefs in the relationship between self\u2010compassion and recovery among individuals diagnosed with schizophrenia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational design was used. A purposive sample of 150 clinically stable adults diagnosed with schizophrenia (DSM\u20105 criteria) was recruited from psychiatric outpatient clinics at Helwan University Hospitals, Egypt, between April and September 2024. Data were collected through structured face\u2010to\u2010face interviews using the Arabic versions of the Metacognition Questionnaire\u201030, the Self\u2010Compassion Scale\u2010Short Form, and the Recovery Assessment Scale\u2013Domains and Stages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Bivariate analyses revealed a significant positive correlation between self\u2010compassion and personal recovery (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.374,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). While total metacognitive belief scores correlated positively with recovery (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.346,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), subscale analysis indicated this was driven primarily by the Cognitive Self\u2010Consciousness subscale (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.598,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The association between self\u2010compassion and total metacognitive beliefs was non\u2010significant (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.084,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.304). Consequently, mediation analysis demonstrated that self\u2010compassion showed a significant direct association with recovery (\n                      <jats:italic>B<\/jats:italic>\n                      \u00a0=\u00a00.5726,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001); however, the indirect pathway through metacognitive beliefs was not significant (\n                      <jats:italic>B<\/jats:italic>\n                      \u00a0=\u00a00.0442, 95% Bootstrap CI [\u22120.045, 0.147]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Metacognitive beliefs were not found to mediate the association between self\u2010compassion and recovery; instead, self\u2010compassion was independently associated with multidimensional recovery. Clinically, these findings support the integration of self\u2010compassion training into long\u2010term schizophrenia treatment plans. Future longitudinal and intervention\u2010based studies are warranted to clarify the temporal dynamics of these relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.71636","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T07:15:31Z","timestamp":1785914131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Mediating Role of Metacognitive Beliefs in Self\u2010Compassion and Schizophrenia Recovery"],"prefix":"10.1002","volume":"16","author":[{"given":"Safia Samir","family":"Darwish","sequence":"first","affiliation":[{"name":"Nursing Administration Department, Faculty of Nursing Menoufia University Cairo Egypt"},{"name":"Faculty of Nursing Al\u2010Zaytoonah University of Jordan Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlam","family":"Al\u2010Sarahneh","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Al\u2010Zaytoonah University of Jordan Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7324-264X","authenticated-orcid":false,"given":"Mohammed","family":"Dibas","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences An\u2010Najah National University Nablus Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aml","family":"Ali","sequence":"additional","affiliation":[{"name":"Psychiatric and Mental Health Nursing Department, Faculty of Nursing Qena University Qina Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"Hamed","sequence":"additional","affiliation":[{"name":"College of Nursing Northern Border University Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer","family":"Barakat","sequence":"additional","affiliation":[{"name":"Maternal and Newborn Health Nursing 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