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Thirty-Third Annual Meeting of the Society for Research in Psychopathology

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165. Metacognition and the Relationship Between Early Childhood Experience and Attenuated Psychosis

While obstetric complications and childhood adversity are related to the development and transition to psychosis, the underlying mechanisms are not fully understood. Abnormalities in metacognition, an individual’s beliefs and awareness of their own cognitive processes, have also been implicated in the experience of psychotic symptoms. The development of maladaptive metacognitive beliefs is a possible cognitive pathway through which adverse early childhood experiences lead to psychosis. This study seeks to examine the interaction of obstetric complications and childhood adversity on attenuated psychotic symptoms (APS) and investigate metacognitive beliefs as mediating factor. Online self-report questionnaires through Amazon MTurk will assess exposure to childhood adversity, obstetric complications, metacognitions, APS, and other psychological symptoms. It is hypothesized that in line with previous research, obstetric complications will be associated with increased APS. This association will be moderated by exposure to childhood adversity, such that obstetric complications will increase APS for those exposed to childhood adversity. Furthermore, metacognitive beliefs will mediate the conditional relationship between obstetric complications and APS. Results from the present study will increase understanding of the interactive influence of neurodevelopmental environment factors and neurocognitive mechanisms on the experience of attenuated psychosis symptoms in adulthood. Applications for treatment and preventative strategies will be discussed.

Jeremy Feiger
University of Nebraska - Lincoln

Rebecca Wolfe
University of Nebraska - Lincoln

Jennifer Blank
University of Nebraska - Lincoln

William Spaulding
University of Nebraska - Lincoln


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