Brain and behavior · 2026
The Mediating Role of Metacognitive Beliefs in Self-Compassion and Schizophrenia Recovery.
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Darwish Safia Samir, Al-Sarahneh Ahlam, Dibas Mohammed, Ali Aml, Hamed Alaa, Barakat Abeer, Othman Ahmed, ElBoraie Haitham, Hamzaa Huda, Ali Wafaa
Аннотация
INTRODUCTION: Schizophrenia is a chronic psychiatric disorder that significantly affects individuals' mental health. Sustained personal recovery in schizophrenia is a multidimensional process that extends beyond symptom reduction and may be significantly influenced by psychological resources and cognitive appraisals. While self-compassion and metacognitive beliefs are known to affect mental health outcomes independently, their interacting roles in predicting personal recovery remain unclear.
OBJECTIVE: This study examined the mediating role of metacognitive beliefs in the relationship between self-compassion and recovery among individuals diagnosed with schizophrenia.
METHODS: A cross-sectional correlational design was used. A purposive sample of 150 clinically stable adults diagnosed with schizophrenia (DSM-5 criteria) was recruited from psychiatric outpatient clinics at Helwan University Hospitals, Egypt, between April and September 2024. Data were collected through structured face-to-face interviews using the Arabic versions of the Metacognition Questionnaire-30, the Self-Compassion Scale-Short Form, and the Recovery Assessment Scale-Domains and Stages.
RESULTS: Bivariate analyses revealed a significant positive correlation between self-compassion and personal recovery (r = 0.374, p < 0.001). While total metacognitive belief scores correlated positively with recovery (r = 0.346, p < 0.001), subscale analysis indicated this was driven primarily by the Cognitive Self-Consciousness subscale (r = 0.598, p < 0.001). The association between self-compassion and total metacognitive beliefs was non-significant (r = 0.084, p = 0.304). Consequently, mediation analysis demonstrated that self-compassion showed a significant direct association with recovery (B = 0.5726, p < 0.001); however, the indirect pathway through metacognitive beliefs was not significant (B = 0.0442, 95% Bootstrap CI [-0.045, 0.147]).
CONCLUSION: Metacognitive beliefs were not found to mediate the association between self-compassion and recovery; instead, self-compassion was independently associated with multidimensional recovery. Clinically, these findings support the integration of self-compassion training into long-term schizophrenia treatment plans. Future longitudinal and intervention-based studies are warranted to clarify the temporal dynamics of these relationships.
OBJECTIVE: This study examined the mediating role of metacognitive beliefs in the relationship between self-compassion and recovery among individuals diagnosed with schizophrenia.
METHODS: A cross-sectional correlational design was used. A purposive sample of 150 clinically stable adults diagnosed with schizophrenia (DSM-5 criteria) was recruited from psychiatric outpatient clinics at Helwan University Hospitals, Egypt, between April and September 2024. Data were collected through structured face-to-face interviews using the Arabic versions of the Metacognition Questionnaire-30, the Self-Compassion Scale-Short Form, and the Recovery Assessment Scale-Domains and Stages.
RESULTS: Bivariate analyses revealed a significant positive correlation between self-compassion and personal recovery (r = 0.374, p < 0.001). While total metacognitive belief scores correlated positively with recovery (r = 0.346, p < 0.001), subscale analysis indicated this was driven primarily by the Cognitive Self-Consciousness subscale (r = 0.598, p < 0.001). The association between self-compassion and total metacognitive beliefs was non-significant (r = 0.084, p = 0.304). Consequently, mediation analysis demonstrated that self-compassion showed a significant direct association with recovery (B = 0.5726, p < 0.001); however, the indirect pathway through metacognitive beliefs was not significant (B = 0.0442, 95% Bootstrap CI [-0.045, 0.147]).
CONCLUSION: Metacognitive beliefs were not found to mediate the association between self-compassion and recovery; instead, self-compassion was independently associated with multidimensional recovery. Clinically, these findings support the integration of self-compassion training into long-term schizophrenia treatment plans. Future longitudinal and intervention-based studies are warranted to clarify the temporal dynamics of these relationships.