Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder

Paul H. Lysaker, Sunita George, Kelly A. Chaudoin–Patzoldt, Ondrej Pec, Petr Bob, Bethany L. Leonhardt, Jenifer Vohs, Alison V. James, Amanda Wickett, Kelly D. Buck, Giancarlo Dimaggio

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Deficits in the ability to recognize and think about mental states are broadly understood to be a root cause of dysfunction in Borderline Personality Disorder (PD). This study compared the magnitude of those deficits relative to other forms of serious mental illness or psychiatric conditions. Assessments were performed using the metacognition assessment scale-abbreviated (MAS-A), emotion recognition using the Bell Lysaker Emotion Recognition Test and alexithymia using the Toronto Alexithymia Scale among adults with schizophrenia (n = 65), Borderline PD (n = 34) and Substance Use disorder without psychosis or significant Borderline traits (n = 32). ANCOVA controlling for age revealed the Borderline PD group had significantly greater levels of metacognitive capacity on the MAS-A than the schizophrenia group and significantly lower levels of metacognitive capacity than the Substance Use group. Multiple comparisons revealed the Borderline PD group had significantly higher self-reflectivity and awareness of the other's mind than the schizophrenia group but lesser mastery and decentration on the MAS-A than substance use group, after controlling for self-report of psychopathology and overall number of PD traits. The Borderline PD and Schizophrenia group had significantly higher levels of alexithymia than the substance use group. No differences were found for emotion recognition. Results suggest metacognitive functioning is differentially affected in different mental disorders.

Original languageEnglish (US)
Pages (from-to)393-399
Number of pages7
JournalPsychiatry Research
Volume257
DOIs
StatePublished - Nov 1 2017

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Borderline Personality Disorder
Affective Symptoms
Substance-Related Disorders
Schizophrenia
Emotions
Aptitude
Personality Disorders
Psychopathology
Mental Disorders
Psychotic Disorders
Self Report
Psychiatry
Metacognition
Recognition (Psychology)

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder. / Lysaker, Paul H.; George, Sunita; Chaudoin–Patzoldt, Kelly A.; Pec, Ondrej; Bob, Petr; Leonhardt, Bethany L.; Vohs, Jenifer; James, Alison V.; Wickett, Amanda; Buck, Kelly D.; Dimaggio, Giancarlo.

In: Psychiatry Research, Vol. 257, 01.11.2017, p. 393-399.

Research output: Contribution to journalArticle

Lysaker, PH, George, S, Chaudoin–Patzoldt, KA, Pec, O, Bob, P, Leonhardt, BL, Vohs, J, James, AV, Wickett, A, Buck, KD & Dimaggio, G 2017, 'Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder', Psychiatry Research, vol. 257, pp. 393-399. https://doi.org/10.1016/j.psychres.2017.08.001
Lysaker, Paul H. ; George, Sunita ; Chaudoin–Patzoldt, Kelly A. ; Pec, Ondrej ; Bob, Petr ; Leonhardt, Bethany L. ; Vohs, Jenifer ; James, Alison V. ; Wickett, Amanda ; Buck, Kelly D. ; Dimaggio, Giancarlo. / Contrasting metacognitive, social cognitive and alexithymia profiles in adults with borderline personality disorder, schizophrenia and substance use disorder. In: Psychiatry Research. 2017 ; Vol. 257. pp. 393-399.
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