Rouault M, et al. - Researchers explored the relationship between decision-making, metacognition, and self-reported psychopathology. In this present study, self-reported psychiatric symptoms were associated with specific shifts in confidence but not performance in a controlled perceptual decision-making task. Between psychopathology and metacognition, two distinct relationships were observed: an ‘Anxious-Depression’ (AD) symptom dimension was associated with lower confidence level and heightened metacognitive efficiency, and a ‘Compulsive Behavior and Intrusive Thought’ (CIT) symptom dimension was associated with higher confidence level and disrupted metacognitive efficiency, despite accuracy and parameters governing decision formation remaining unaffected. Findings thereby suggested that shifts in metacognitive evaluation represent a specific and pervasive behavioral correlate of subclinical psychopathology.