Metacognition and social function in schizophrenia: Associations over a period of five months

Paul H. Lysaker, Molly A. Erickson, Benjamin Buck, Kelly D. Buck, Kyle Olesek, Megan L.A. Grant, Giampaolo Salvatore, Raffaele Popolo, Giancarlo Dimaggio

Research output: Contribution to journalArticlepeer-review

62 Scopus citations


Introduction. Deficits in the ability to think about thinking have been widely observed in persons with schizophrenia and linked with concurrent assessments of various forms of function. Less is known though about their links to outcome over time. To address this issue, the current study explores whether Mastery, a domain of metacognition that reflects the ability to use knowledge about one's own mental states and those of others to respond to psychological challenges, is related to the frequency of social contact and persons' capacity for social relatedness. Methods. Participants were 72 adults with schizophrenia spectrum disorders enrolled in vocational rehabilitation; these patients completed a baseline assessment as well as a follow-up assessment 5 months later. Mastery was assessed using the Metacognitive Assessment Scale and social functioning by the Quality of Life Scale. Results. Using structural equation modelling, the proposed model demonstrated acceptable fit even when a range of possible confounding variables were entered as covariates. Conclusions. Results are consistent with the possibility that certain forms of metacognition affect social function among persons with schizophrenia, both concurrently and over time.

Original languageEnglish (US)
Pages (from-to)241-255
Number of pages15
JournalCognitive Neuropsychiatry
Issue number3
StatePublished - May 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Cognitive Neuroscience


  • Metacognition
  • Neurocognition
  • Recovery
  • Schizophrenia
  • Social function
  • Theory of Mind


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