Lecture Notes in Education Psychology and Public Media

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Lecture Notes in Education Psychology and Public Media

Vol. 15, 26 October 2023

Open Access | Article

Metacognition and Mentalization in Patients with Major Depressive Disorder

Calliope Amy Chen * 1
1 University College London (UCL)

* Author to whom correspondence should be addressed.

Lecture Notes in Education Psychology and Public Media, Vol. 15, 1-7
Published 26 October 2023. © 2023 The Author(s). Published by EWA Publishing
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Citation Calliope Amy Chen. Metacognition and Mentalization in Patients with Major Depressive Disorder. LNEP (2023) Vol. 15: 1-7. DOI: 10.54254/2753-7048/15/20231015.


Social cognition is necessary to comprehend and interpret the behavioural intentions of oneself and others in social contexts. Despite an increasing understanding of social cognition deficits in mental illness, the relationship between Major Depressive Disorder (MDD) and high-order social cognition deficits (i.e., mentalization and metacognition) remains under-investigated. This paper aims to provide a holistic review of the existing empirical evidence on mentalization and metacognition in patients with MDD and suggest areas in need of further research. While a close relationship between MDD and metacognition has been consistently reported, some disagreement was raised regarding the association between mentalization capacity and MDD. Besides, the direction of the association between MDD, mentalization and metacognition was also underlined by studies examining the outcomes of high-order social cognition therapies. Mentalization and metacognition were both found to be predictors or at least moderators, of MDD diagnosis and symptom severity. Future evidence from developmental and neuroimaging studies may provide valuable insights into the field of study by uncovering the varying degrees of the impact caused by social cognition deficits and their associated neural mechanisms.


social functioning, mentalization, metacognition, depression, Major Depressive Disorder


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Data Availability

The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.

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Volume Title
Proceedings of the 4th International Conference on Educational Innovation and Philosophical Inquiries
ISBN (Print)
ISBN (Online)
Published Date
26 October 2023
Lecture Notes in Education Psychology and Public Media
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ISSN (Online)
26 October 2023
Open Access
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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