{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T19:19:31Z","timestamp":1781205571632,"version":"3.54.1"},"reference-count":70,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Chair Eli Lilly de recherche en Schizophr\u00e9nie du Canada","award":["2024"],"award-info":[{"award-number":["2024"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Subjective cognitive complaints, or neurocognitive insight, reflect to patients\u2019 awareness of cognitive functioning. In schizophrenia, these complaints show inconsistent links with objective cognition, psychiatric symptoms, and illness insight. The Subjective Scale to Investigate Cognition in Schizophrenia (SSTICS), a validated self-report tool developed in Canada and used internationally, enables a homogeneous synthesis.\n                    <jats:bold>Objective:<\/jats:bold>\n                    This meta-analysis examined whether subjective complaints measured with the SSTICS are associated with objective cognition, psychiatric symptoms, and illness insight, and reviewed its factorial structure.\n                    <jats:bold>Method:<\/jats:bold>\n                    We conducted a meta-analysis following PRISMA guidelines. Systematic searches of PubMed, Web of Science, and Google Scholar identified studies using the SSTICS in psychiatric populations. Eligible studies compared patients to healthy controls and\/or examined correlations with cognition, symptoms, or illness insight or conducted factor analyses of the SSTICS domains.\n                    <jats:bold>Results:<\/jats:bold>\n                    Twenty-five studies (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u20093,205) met criteria. Schizophrenia patients reported more cognitive complaints than controls (\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    \u2009=\u20090.746). No significant correlation emerged with global objective cognition (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.105). Complaints were unrelated to positive, negative, or general symptoms but showed a moderate association with depressive symptoms (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.300) and a small one with illness insight (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.155). Factor analyses consistently identified 3 domains: memory, attention, and daily living.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    SSTICS-based complaints are substantial in schizophrenia but largely dissociated from objective cognition, reflecting impaired neurocognitive insight. Instead, they are more strongly linked to depressive symptoms, suggesting complaints reflect emotional distress rather than actual deficits. Findings support refining SSTICS subscales and extending investigations to other psychiatric populations.\n                  <\/jats:p>","DOI":"10.1177\/07067437261425086","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:10:04Z","timestamp":1773223804000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Cognitive Complaints in Schizophrenia: A Meta-Analysis of Studies Using the Subjective Scale to Investigate Cognition in Schizophrenia (SSTICS): Les plaintes cognitives dans la schizophr\u00e9nie : Une m\u00e9ta-analyse des \u00e9tudes utilisant la\n                    <i>Subjective Scale To Investigate Cognition in Schizophrenia<\/i>\n                    (SSTICS)"],"prefix":"10.1177","author":[{"given":"Naomi","family":"White","sequence":"first","affiliation":[{"name":"Centre de recherche de l\u2019Institut Universitaire en Sant\u00e9 Mentale de Montr\u00e9al"},{"name":"Faculty of Medicine, University of Montreal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1624-378X","authenticated-orcid":false,"given":"St\u00e9phane","family":"Potvin","sequence":"additional","affiliation":[{"name":"Centre de recherche de l\u2019Institut Universitaire en Sant\u00e9 Mentale de Montr\u00e9al"},{"name":"Faculty of Medicine, University of Montreal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Do","sequence":"additional","affiliation":[{"name":"Centre de recherche de l\u2019Institut Universitaire en Sant\u00e9 Mentale de Montr\u00e9al"},{"name":"Faculty of Medicine, University of Montreal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2859-2100","authenticated-orcid":false,"given":"Emmanuel","family":"Stip","sequence":"additional","affiliation":[{"name":"Centre de recherche de l\u2019Institut Universitaire en Sant\u00e9 Mentale de Montr\u00e9al"},{"name":"Faculty of Medicine, University of Montreal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2022.2049757"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00966"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20508"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-022-01416-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/7854_2010_42"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2013.07.009"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/07067437251387565"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291724000096"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/07067437241261928"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1982.tb01421.x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/09658210050117735"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.163.3.426"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2011.10.002"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(03)00086-5"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2010.12.008"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0083774"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02274900"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1078390307303111"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.753130"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2016.08.021"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.7202\/1027839ar"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2004.06.023"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1125990"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.scog.2025.100354"},{"issue":"2","key":"e_1_3_3_26_2","first-page":"98","article-title":"Subjective scale to investigate cognition in schizophrenia (SSTICS): a validation study in Italian population","volume":"55","author":"Stratta P","year":"2020","unstructured":"Stratta P, Pacitti F, Rossi R, et al. 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