{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T10:28:27Z","timestamp":1790677707170,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,5,12]],"date-time":"2015-05-12T00:00:00Z","timestamp":1431388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NRS Research Scotland Career Research Fellowship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:label\/><jats:p>Significant metacognitive impairments are observed in first episode psychosis (FEP) and chronic psychosis samples. There is evidence of associations between metacognition and presentation in FEP, but the relative contribution of metacognitive understanding of the self and the other is as yet unclear. The current study is a secondary analysis of date on metacognition, symptoms and engagement with treatment (help\u2010seeking) in an FEP sample. In a cross\u2010sectional cohort study, individuals in the first 12\u2009months of treatment metacognition were assessed with the Metacognition Assessment Scale\u2010Revised version (MAS\u2010R). Psychotic symptomatology and help\u2010seeking within treatment (clinician\u2010rated service engagement) were also measured. An item level analysis of the MAS\u2010R was conducted exploring associations between symptoms and cognitive, emotional, differentiation, integration and decentration aspects of metacognition. We report that associations between negative symptoms and deficits in the understanding of other's mental states extend across cognitive, emotional, integrative and decentration aspects of metacognition. We also report associations between negative symptoms and understanding one's own mind. We also note that cognitive and decentration aspects of metacognition were significantly associated with help\u2010seeking once in treatment. Our findings suggest that an appreciation of metacognitive processes may inform treatment frameworks for FEP. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Messages<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Individual components of metacognition including the capacity to relate cognitive and emotional variables are important in first episode phychosis.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Impaired metacognitive understanding of both one's own and others' mental states is associated with increased negative symptoms.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Metacognitive variables may be important in understanding how different individuals seek help or engage with services after the initiation of treatment.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1959","type":"journal-article","created":{"date-parts":[[2015,5,12]],"date-time":"2015-05-12T07:02:13Z","timestamp":1431414133000},"page":"329-339","source":"Crossref","is-referenced-by-count":29,"title":["Metacognition in First Episode Psychosis: Item Level Analysis of Associations with Symptoms and Engagement"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0618-044X","authenticated-orcid":false,"given":"Angus","family":"MacBeth","sequence":"first","affiliation":[{"name":"The University of Edinburgh  Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Gumley","sequence":"additional","affiliation":[{"name":"University of Glasgow  Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Schwannauer","sequence":"additional","affiliation":[{"name":"The University of Edinburgh  Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Carcione","sequence":"additional","affiliation":[{"name":"Terzo Centro di Psicoterapia Cognitiva  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamish J.","family":"McLeod","sequence":"additional","affiliation":[{"name":"University of Glasgow  Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Dimaggio","sequence":"additional","affiliation":[{"name":"Centre for Metacognitive Interpersonal Therapy  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp129"},{"key":"e_1_2_7_3_1","volume-title":"Diagnostic & statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12019"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.150.9.1349"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.125500"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2013.787562"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000067"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/8.3.470"},{"key":"e_1_2_7_10_1","unstructured":"Carcione A. 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