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How do people know when they are right? Confidence judgments - the ability to assess the correctness of one's own decisions - are a key aspect of human metacognition. This self-evaluative act plays a central role in learning, memory, consciousness, and group decision-making. In this paper, I reframe metacognition as a structured exchange of information between stimulus, decision-maker (the actor), and confidence judge (the rater), akin to a multi-agent communication system. Within this framework, the actor aims to resolve stimulus uncertainty, while the rater seeks to infer the accuracy of the actor's response. Applying techniques from information theory, I develop three novel measures of metacognitive efficiency: meta- , meta- , and meta- . These indices are derived from entropy and divergence principles, and quantify how effectively confidence judgments transmit information about both external stimuli and internal decisions. Simulations show that these measures possess several advantages over traditional signal detection theory metrics such as meta- and the M-ratio, including more interpretable scaling, robustness to performance imbalances, and sensitivity to structural constraints. By formalizing metacognitive sensitivity as an information-processing problem, this framework offers a unified, theoretically grounded approach to studying confidence and sheds light on the sources of metacognitive inefficiency across individuals and contexts.
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http://dx.doi.org/10.3758/s13423-025-02752-z | DOI Listing |
Arch Psychiatr Nurs
October 2025
College of Nursing, Auburn University, 710 South Donahue Drive, Auburn, AL 36849, United States of America. Electronic address:
This study investigates the integration of Virtual Reality Simulation (VRS) in undergraduate mental health nursing education. Utilizing SPSS, data from Qualtrics were analyzed for reliability and research questions. Results demonstrate that VRS significantly enhances students' self-efficacy, clinical judgment, and therapeutic communication skills.
View Article and Find Full Text PDFObes Pillars
December 2025
Conway Institute, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Introduction: Obesity is a disease that represents a major global health problem, affecting over a quarter of European adults and straining healthcare systems. Despite its multifactorial causes, many healthcare professionals lack adequate training and confidence in delivering effective, person-centered obesity care. Weight stigma and misconceptions further impair outcomes.
View Article and Find Full Text PDFPediatr Neurol
August 2025
Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Background: The Burden of AmplitudeS and Epileptiform Discharges (BASED) and "Hypsarrhythmia Scoring System" (HSS) serve to evaluate the interictal EEG in infantile epileptic spasms (ES) syndrome (IESS). We aimed to assess these scoring systems' reliability and diagnostic utility in infants with IESS and other developmental and epileptic encephalopathies (DEEs) without ES.
Methods: Three epileptologists from a single medical center scored the deidentified EEG tracings of 110 infants, 58 with IESS, and 52 with other DEEs (of similar age and sex distributions), according to the BASED and HSS scoring systems.
J Med Internet Res
September 2025
Department of Psychiatry & Behavioral Health, Rhode Island Hospital, Providence, RI, United States.
Background: Survivors of sexual victimization face a critical juncture when disclosing their experiences. How others react to their disclosure can significantly influence survivors' psychological well-being.
Objective: We aimed to address how survivors of sexual victimization would like to be supported when disclosing their experiences either in person or online.
Psychon Bull Rev
September 2025
Department of Psychology, Ariel University, Ariel, Israel.
How do people know when they are right? Confidence judgments - the ability to assess the correctness of one's own decisions - are a key aspect of human metacognition. This self-evaluative act plays a central role in learning, memory, consciousness, and group decision-making. In this paper, I reframe metacognition as a structured exchange of information between stimulus, decision-maker (the actor), and confidence judge (the rater), akin to a multi-agent communication system.
View Article and Find Full Text PDF