Habilidades metacognitivas en adultos con abuso de sustancias bajo tratamiento en comunidad terapéutica

  1. Felix Inchausti 1
  2. Javier Ortuño-Sierra 2
  3. Nancy V. García-Poveda 3
  4. Alejandro Ballesteros-Prados 4
  1. 1 Centro de Salud Mental de San Juan
  2. 2 Departamento de Psicología, Universidad Loyola Andalucía
  3. 3 Hospital San Juan de Dios
    info

    Hospital San Juan de Dios

    Santiago de Chile, Chile

    ROR https://ror.org/03mt12903

  4. 4 Centro de Salud Mental de Estella
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Journal:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Year of publication: 2017

Volume: 29

Issue: 2

Pages: 74-82

Type: Article

DOI: 10.20882/ADICCIONES.719 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Adicciones: Revista de socidrogalcohol

Sustainable development goals

Abstract

Background: The term metacognition reflects a spectrum of psychological activities that allows people to form and integrate representations about their own mental states and those of others. The main goal of this study was to examine whether people with substance abuse disorders (SUDs), and treated in therapeutic community regime, displayed specific patterns of metacognitive deficits on Selfreflectivity, Understanding others’ mind, Decentration, and Mastery, comparing their scores with two clinical groups of patients with schizophrenia spectrum disorders (SSDs) and anxiety disorders. Method: A mixed-methods (qualitative-quantitative) study was designed. Two hundred and sixteen adults aged 18-65 with principal diagnoses of SUDs (n = 52), SSDs (n = 49), and anxiety disorders (n = 115) were recruited. Qualitative data were obtained with the Metacognition Assessment Interview, which was then rated using a quantitative scale, the Metacognition Assessment Scale–Abbreviated (MAS–A). Results: The anxiety disorders group had significantly higher MAS–A total scores than the SUDs group, and the SUDs group obtained significantly higher MAS–A total scores than the SSDs group. Concerning the MAS–A subscale scores, the SUDs group displayed significantly lower scores only on the Mastery subscale compared to the anxiety disorders group, with the SUDs and SSDs groups obtaining equivalent Mastery scores. Conclusions: According to these findings, current interventions for addiction should focus more specifically on improving metacognitive Mastery.

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