Improving insight into delusions: a pilot study of metacognitive training for patients with schizophrenia

Favrod, Jérôme; Maire, Agnès; Bardy, Sabrina; Pernier, Sophie; Bonsack, Charles

doi:10.1111/j.1365-2648.2010.05470.x

Cited by 49 publications

(28 citation statements)

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“…As a result, MCT did not prove to be cost-effective. Similar to other uncontrolled findings (Ferwerda et al 2010;Favrod et al 2011), we found small to medium within-subject effect sizes on symptom reduction in the experimental group (Cohen's d ranging from 0.29 to 0.64). The control group improved even further, reflecting a strong time effect.…”

Section: Discussionsupporting

confidence: 91%

Metacognitive group training for schizophrenia spectrum patients with delusions: a randomized controlled trial

Oosterhout¹,

Krabbendam²,

Boer³

et al. 2014

Psychol. Med.

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Section: Discussionsupporting

confidence: 91%

Metacognitive group training for schizophrenia spectrum patients with delusions: a randomized controlled trial

Oosterhout¹,

Krabbendam²,

Boer³

et al. 2014

Psychol. Med.

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“…In line with the rationale of the training, most studies 30,32,[34][35][36][37] converge on the conclusion that MCT decreases delusion severity. A combination of MCT with social cognition training 38 showed significant positive effects on theory of mind, social perception, emotion recognition, and social functioning.…”

Section: -33mentioning

confidence: 67%

Sustained and “Sleeper” Effects of Group Metacognitive Training for Schizophrenia

et al. 2014

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IMPORTANCE Cognitive interventions increasingly complement psychopharmacological treatment to enhance symptomatic and functional outcome in schizophrenia. Metacognitive training (MCT) is targeted at cognitive biases involved in the pathogenesis of delusions.OBJECTIVE To examine the long-term efficacy of group MCT for schizophrenia in order to explore whether previously established effects were sustained. DESIGN, SETTING, AND PARTICIPANTSA 2-center, randomized, controlled, assessor-blind, parallel group trial was conducted. A total of 150 inpatients or outpatients with DSM-IV diagnoses of schizophrenia spectrum disorders were enrolled. All patients were prescribed antipsychotic medication. The second follow-up assessment took place 3 years later after the intervention phase was terminated. INTERVENTIONS Group MCT targeting cognitive biases vs neuropsychological training (COGPACK).Patients received a maximum of 16 sessions. MAIN OUTCOMES AND MEASURESThe primary outcome measure was a delusion score derived from the Positive and Negative Syndrome Scale (PANSS). The PANSS positive syndrome and total scores, the Psychotic Symptom Rating Scales, the jumping to conclusions bias, self-esteem, and quality of life served as secondary outcome measures. RESULTSThe intention-to-treat analyses demonstrated that patients in the MCT group had significantly greater reductions in the core PANSS delusion score, after 3 years compared with the control group (η 2 partial = .037; P = .05). Among the secondary outcomes, the intention-to-treat analyses also demonstrated that patients in the MCT group had significantly greater reductions in the PANSS positive syndrome score (η 2 partial = .055; P = .02) and the Psychotic Symptom Rating Scales delusion score (η 2 partial = .109; P = .001). Significant group differences at the 3-year follow-up were also found on measures of self-esteem and quality of life, which did not distinguish groups at earlier assessment points. Attention was improved in the neuropsychological training group relative to the MCT group. The completion rate was 61.3% after 3 years. CONCLUSIONS AND RELEVANCEMetacognitive training demonstrated sustained effects in the reduction of delusions, which were over and above the effects of antipsychotic medication. Moreover, there were some unanticipated ("sleeper") effects as both self-esteem and quality of life were improved after 3 years. Effects on self-esteem and well-being were found even in the absence of an improvement on the jumping to conclusions bias.

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“…Evidence for such metacognitive problems led to the emergence of metacognitiveoriented psychological therapies (Briki et al, 2014;Favrod, Maire, Bardy, Pernier, & Bonsack, 2011;Moritz et al, 2013;Morrison et al, 2014). CIRCuiTS (Computerized Interactive Remediation of Cognition Training for Schizophrenia; Reeder et al, 2015) is a CR program explicitly promoting metacognitive components by including strategy use and guided practice, whilst retaining the role of the therapist in supporting and targeting metacognitive processing.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of brief cognitive remediation targeting metacognition in acute inpatients with psychosis: a case series

Tsapekos

Taylor

Cella

2017

Neuropsychological Rehabilitation

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Improving insight into delusions: a pilot study of metacognitive training for patients with schizophrenia

Abstract: Metacognitive training appears to be a promising new technology which requires further research. It can be easily used by nurses to help patients with delusions to take into account their cognitive biases.

Cited by 49 publications

References 15 publications

Metacognitive group training for schizophrenia spectrum patients with delusions: a randomized controlled trial

Metacognitive group training for schizophrenia spectrum patients with delusions: a randomized controlled trial

Sustained and “Sleeper” Effects of Group Metacognitive Training for Schizophrenia

Feasibility and acceptability of brief cognitive remediation targeting metacognition in acute inpatients with psychosis: a case series

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