RT Journal Article SR 00 ID 10.1016/j.comppsych.2013.08.027 A1 MacBeth, Angus A1 Gumley, Andrew A1 Schwannauer, Matthias A1 Carcione, Antonino A1 Fisher, Rebecca A1 McLeod, Hamish J. A1 Dimaggio, Giancarlo T1 Metacognition, symptoms and premorbid functioning in a first episode psychosis sample JF Comprehensive Psychiatry YR 2014 FD 2014-02 VO 55 IS 2 SP 268 OP 273 AB Significant metacognitive impairments are observed in chronic psychosis samples but metacognition is less understood in first episode psychosis (FEP). The current study explored correlations between metacognition, symptoms and premorbid functioning in an FEP sample. In a cross-sectional cohort study, individuals in the first 12 months of treatment metacognition were assessed with the Metacognition Assessment Scale-Revised version (MAS-R). Psychotic symptomatology, premorbid adjustment, and clinician rated service engagement were also measured. Lower scores for metacognitive understanding of other's minds were significantly correlated with greater negative symptoms, poorer early adolescent social adjustment and poorer clinician rated help-seeking. Our findings suggest that FEP individuals with difficulties in understanding other's minds have more social deficits and may be less able to make effective use of treatment. SN 0010-440X LK https://eprints.gla.ac.uk/92374/