Citation

de Jong S, van Donkersgoed R, Renard S, Carter S, Bokern H, Lysaker P, van der Gaag M, Aleman A, Pijnenborg GHM. Psychiatry Res. 2018; 265: 93-99.

Affiliation

GGZ Noord-Drenthe, Department of Psychotic Disorders, Dennenweg 9, 9404 LA, Assen, The Netherlands; University of Groningen, Department of Clinical Psychology and Experimental Psychopathology, 9712 TS, Groningen, The Netherlands.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.psychres.2018.04.048

PMID

29702307

Abstract

It has been proposed that mixed findings in studies investigating social cognition as a risk factor for violence in psychosis may be explained by utilizing a framework distinguishing between social-cognitive tests which measure relatively more basic operations (e.g. facial affect recognition) and measures of more complex operations (mentalizing, metacognition). The current study investigated which social cognitive and metacognitive processes are related to a violent history over and above illness-related deficits. Data from control participants (n = 33), patients with a psychotic disorder and no violent history (n = 27), and patients with a psychotic disorder in a forensic clinic (n = 23) were analyzed utilizing discriminant analysis. Metacognition and associative learning emerged as significant factors in predicting group membership between the three groups. In a follow-up analysis between only the patient groups, metacognitive Self-Reflectivity and Empathic Accuracy emerged as statistically significant predictors of group membership. The control group presented with higher levels of social cognitive and metacognitive capacity than patient groups, and the forensic patient group had lower levels than the non-forensic patient group. Our findings support previous research findings implying impaired metacognitive Self-Reflectivity in particular as a risk factor for violence.

Copyright © 2018. Published by Elsevier B.V.

Language: en