Aim
The self‐regulatory executive function model suggests that metacognitive beliefs play a role in all forms of psychological disorder, including psychosis. However, our understanding of these beliefs and their relationship with symptoms in adolescents with an at‐risk mental state (ARMS) for psychosis is limited.
Methods
The Metacognitions Questionnaire short form (MCQ‐30) was administered to 31 adolescents with an identified ARMS. Scores were subsequently compared to a control group of 76 adolescents drawn from a community population.
Results
As predicted, ARMS patients scored significantly higher on metacognition subscales, with negative beliefs (F = 42.97, P = 0.001), cognitive confidence (F = 17.11, P = 0.001) and need for control (F = 22.48, P = 0.001) subscales of the MCQ‐30 distinguishing them from the comparison group.
Conclusions
The finding that metacognitive beliefs are significantly elevated in comparison to a community sample of adolescents is in keeping with previous adult‐orientated research. Possible implications for clinical practice are discussed.