We outline opportunities and challenges for this integration with the framework, and hope that this synthesis will open more conversations and collaborations across disciplines toward our shared goal in mental health. (3/3)

“Metacognition” has become increasingly important to advance mental health understanding and treatment, but integration between fields has been difficult with different methods and conceptualizations. We propose bridging these perspectives under a unified hierarchical framework. (2/3)

Lastly, we see that confidence alterations predict anxiety-depression symptoms very well, but compulsivity likely has other influences beyond confidence (which is important!). There is much more to unravel with this complex construct :) (4/4)

We also saw heterogeneous confidence patterns across the local to global metacognitive hierarchy in compulsivity versus a lowered confidence effect in anxiety-depression at all levels - again, irrespective of cognitive domain. (3/4)

We find that (local) overconfidence was linked to compulsivity regardless of whether it was about memory or perception… is the transdiagnostic approach revealing overshadowing effects of underconfidence in anxiety-depression in memory as well? (2/4)