Correlation between Multiple Attachment Relationships and Metacognitive Function in Clinically Stable Patients with Schizophrenia and Its Sex Difference

Neural Injury and Functional Reconstruction ›› 2025, Vol. 20 ›› Issue (6) : 311-315.

PDF(1000 KB)
中国科技核心期刊
美国《化学文摘》CAS数据库收录
日本科学技术振兴机构数据库收录
湖北省优秀期刊
中国知网网络首发期刊
PDF(1000 KB)
Neural Injury and Functional Reconstruction ›› 2025, Vol. 20 ›› Issue (6) : 311-315.
论著

Correlation between Multiple Attachment Relationships and Metacognitive Function in Clinically Stable Patients with Schizophrenia and Its Sex Difference

Author information +
History +

Abstract

This study aimed to explore the correlation between multiple attachment relationships and metacognitive function in clinically stable patients with schizophrenia and its sex differences. Methods: Eighty stable schizophrenia patients (45 males and 35 females) treated in Hefei Fourth People's Hospital were enrolled and divided into male and female groups. The Indiana Psychiatric Illness Interview (IPII) and the abbreviated Metacognition Assessment Scale (MAS-A) were used to assess the metacognitive function of all participants. The Experiences in Close Relationships-Relationship Structures Scale (ECR-RS) was adopted to evaluate multiple attachment relationships. Independent samples t-test or Mann-Whitney U test was used to compare the differences in metacognitive function and ECR-RS scores between the male and female groups. Partial correlation analysis was conducted to explore the association between multiple attachment relationships and metacognitive function in clinically stable patients with schizophrenia. Results: The female group had significantly higher total metacognitive scores (t=-1.989, P<0.05) and decentration scores (D scores) (Z=-3.775, P<0.001) than the male group. There were no statistically significant differences in the total scores and factor scores of the ECR-RS scale between the two groups (P>0.05). Partial correlation analysis showed that attachment anxiety in the partner attachment domain (ECR-RS-3) was significantly negatively correlated with decentration scores (D scores) (r=-0.250, P<0.05), mastery scores (M scores) (r=-0.292, P<0.05), and total scores (r=-0.266, P<0.05) of metacognition when the age, course and other factors were statistically controlled. Subgroup analysis revealed that in the male group, partner attachment anxiety was related to decentration scores (D scores); while in the female group, partner attachment anxiety was associated with mastery scores (M scores). Conclusion: The better partner relationship in clinically stable patients results better cognitive understanding of self and others and the ability to cope with social dilemmas, and there are significant sex differences.

Key words

schizophrenia

Cite this article

Download Citations
Correlation between Multiple Attachment Relationships and Metacognitive Function in Clinically Stable Patients with Schizophrenia and Its Sex Difference[J]. Neural Injury and Functional Reconstruction. 2025, 20(6): 311-315
PDF(1000 KB)

Accesses

Citation

Detail

Sections
Recommended

/