Original ArticlesContrasting Metacognitive, Emotion Recognition and Alexithymia Profiles in Bulimia, Anorexia, and SchizophreniaLysaker, Paul H. PhD∗,†; Chernov, Nikita‡; Moiseeva, Tatyana PhD‡; Sozinova, Marta‡; Dmitryeva, Nadezhda‡; Makarova, Anastasiya‡; Kukla, Marina PhD§,∥; Myers, Evan MS∗,∥; Karpenko, Olga MD, PhD‡; Kostyuk, Georgiy MD, PhD‡ Author Information ∗Department of Psychiatry, Richard L Roudebush VA Medical Center †Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana ‡Department of Psychiatry, Mental-health clinic №1 named after N.A. Alexeev, Moscow, Russia §HSR&D Center for Health Information and Communication, Richard L Roudebush VA Medical Center ∥Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana. Send reprint requests to Paul H. Lysaker, PhD, Richard L Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN 46254. E-mail: [email protected]. The Journal of Nervous and Mental Disease 211(5):p 348-354, May 2023. | DOI: 10.1097/NMD.0000000000001612 Buy Metrics Abstract Alexithymia, or deficits in emotion recognition, and metacognitive capacity have been noted both in psychosis and eating disorders and potentially linked to psychopathology. This study sought to compare levels of impairments in these phenomena and their associations with psychopathology in groups with eating disorders and psychosis. Participants with diagnoses of a schizophrenia spectrum disorder (SSD; n = 53), anorexia (n = 40), or bulimia (n = 40) were recruited from outpatient clinics. Alexithymia was measured with the Toronto Alexithymia Scale; emotion recognition, with the Ekman Faces Test; and metacognition, with the Metacognitive Assessment Scale–Abbreviated. Psychopathology was measured with the Eating Attitudes Test, Body Image Questionnaire, and Positive and Negative Syndrome Scale. Results indicated that the SSD group had significantly poorer metacognitive function than either eating disorder group. Metacognition was related to body image in the anorexia group and a range of different forms of general psychopathology in the bulimia group. Alexithymia was related to eating disorder behaviors in the bulimia group. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.