Reflective Thinking and Planning Ability in Light and Heavy Drinkers: A Metacognitive Study

This clinical trial examined whether metacognitive activation (reflective thinking about one's own cognitive abilities) improves visual planning performance in 122 alcohol-dependent men using the Porteus Maze Test. Results showed that reflective responders demonstrated better planning improvements after metacognitive activation, particularly those with initial planning difficulties, suggesting that reflective metacognitive processes may support executive function improvements in alcohol use disorder.