Effects of Metacognitive Training on Cognitive Insight in a Sample of Patients with Schizophrenia

Simón-Expósito, Miguel; Castaño, Elena Felipe

doi:10.3390/ijerph16224541

Cited by 9 publications

(6 citation statements)

References 39 publications

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“…Table 1 presents the main characteristics of included studies and reports (Z. Fekete, MA, personal communication, September 2021; J.M. Lopez, PhD, personal communication, July 2021; and D. Raucher-Chéné, MD, personal communication, August 2021) and Table 2 displays participant characteristics. Table 3 and eAppendix 1 in the Supplement present the narrative review results of the 6 nonincluded studies and reports (eg, did not report ES values, secondary analyses).…”

Section: Resultsmentioning

confidence: 99%

Immediate and Sustained Outcomes and Moderators Associated With Metacognitive Training for Psychosis

et al. 2022

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Key Points Question What are the immediate and sustained outcomes associated with metacognitive training (MCT) for psychosis, and are there specific treatment- or participant-related moderators of associations? Findings This systematic review and meta-analysis of 43 studies (40 reports synthesized in meta-analysis, N=1816; 6 reports included in narrative review) on individuals with schizophrenia spectrum and related psychotic disorders found MCT was associated with reduced delusions, hallucinations, and cognitive biases. Metacognitive training was also associated with reduced negative symptoms and improved self-esteem and functioning. Meaning The findings of this study suggest that MCT is an accessible evidence-based intervention, deliverable by a variety of mental health care professionals, and appears to be ready for large-scale implementation; MCT may merit inclusion in clinical guideline recommendations for the treatment of individuals with schizophrenia.

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Section: Resultsmentioning

confidence: 99%

Immediate and Sustained Outcomes and Moderators Associated With Metacognitive Training for Psychosis

et al. 2022

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“…However, previous studies on whether cognitive insight changes over time as a result of MCT have yielded mixed results. For example, some studies support the hypothesis that MCT improves cognitive insight among people with schizophrenia (Erawati, Keliat, Helena, & Hamid, 2014; Ferwerda, de Boer, & van der Gaag, 2010; Lam et al, 2015), whereas other studies have found no effects on cognitive insight (Balzan, Delfabbro, Galletly, & Woodward, 2014; Simón‐Expósito & Felipe‐Castaño, 2019; van Oosterhout et al, 2014). These variable findings necessitate more studies focusing on whether and how MCT affects cognitive insight among people with schizophrenia and/or other mental disorders.…”

Section: Discussionmentioning

confidence: 98%

Clinical effectiveness of metacognitive training as a transdiagnostic program in routine clinical settings: A prospective, multicenter, single‐group study

Tanoue

Yoshinaga

Hayashi

et al. 2020

Japan Journal Nursing Sci

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Aim To evaluate the clinical effectiveness of metacognitive training (MCT) as a transdiagnostic program, on a diverse population with mental disorders in routine Japanese day‐care settings. Methods This study employed a prospective, multicenter, single‐group pre‐post design. Participants diagnosed with various mental disorders received 10 MCT group sessions. We set transdiagnostic outcomes to assess quality of life, global functioning, cognitive insight, and depressive symptoms. At the end of the MCT, we also evaluated participants' satisfaction with treatment. Assessments were conducted at baseline (Pre), Week 5 (Mid), Week 10 (Post), and Week 14 (follow‐up: FU). Results Thirty‐four participants enrolled in the study and received MCT (schizophrenia = 22, non‐schizophrenia = 12). Intent‐to‐treat analyses revealed significant improvements in quality of life/global functioning during the intervention period, and further improvements were observed during the follow‐up (all p < .05). The Pre–FU treatment effect sizes for quality of life and global functioning were small (Hedge's g = 0.44 and 0.47, respectively). Significant improvements were also found in depressive symptoms during both the intervention and follow‐up periods (all p < .05), but not in cognitive insight. Overall, participants were highly satisfied with the MCT content and format. Scores on almost all outcomes (except for depression) at each assessment point were not significantly different between the schizophrenic and non‐schizophrenic sub‐groups. Conclusions Despite several limitations, mainly due to small sample size and having no control conditions, our results suggest that MCT for a diverse population with mental disorders is a potentially effective approach in improving quality of life/global functioning and other clinical outcomes in routine day‐care settings.

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“… 82 These interventions have been found to be acceptable by patients with schizophrenia spectrum disorders, with MERIT and MCT linked to significant improvements in clinical and cognitive insight. 83 , 84 …”

Section: Discussionmentioning

confidence: 99%

Co-occurring Deficits in Clinical and Cognitive Insight in Prolonged Schizophrenia-Spectrum Disorders: Relationship to Metacognitive Deficits

Mervis

Bonfils

Cooper

et al. 2021

Schizophrenia Bulletin Open

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People diagnosed with schizophrenia have been broadly observed to experience deficits in clinical and cognitive insight; however, less is understood about how these deficits are related. One possibility is that these deficits co-occur among people when other deficits in cognition are present, such as in executive function, social cognition, and metacognition, which may either promote the development of both forms of poor insight or allow one to negatively influence the other. To explore this possibility, we conducted a cluster analysis using assessments of clinical and cognitive insight among 95 adults with a schizophrenia spectrum disorder. As predicted, this analysis yielded a group with concurrently poor clinical and cognitive insight (n = 36). Additional groups were found with concurrently good clinical and cognitive insight (n = 28) and poor clinical insight and good cognitive insight (n = 31). Groups were then compared on assessments of executive function, social cognition, and metacognition. The group with concurrently lower levels of cognitive and clinical insight had significantly poorer metacognition relative to the other groups. In particular, they tended to form more fragmented and less integrated ideas about themselves and others. No differences were found for executive function or social cognition. Result may suggest that while clinical and cognitive insight are partially orthogonal phenomena, relatively lower levels of metacognition, or difficulties forming integrated ideas about oneself and others, may be a condition leading to the confluence of lower clinical and cognitive insight. Interventions targeting metacognition may be of particular use for this group.

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Effects of Metacognitive Training on Cognitive Insight in a Sample of Patients with Schizophrenia

Cited by 9 publications

References 39 publications

Immediate and Sustained Outcomes and Moderators Associated With Metacognitive Training for Psychosis

Immediate and Sustained Outcomes and Moderators Associated With Metacognitive Training for Psychosis

Clinical effectiveness of metacognitive training as a transdiagnostic program in routine clinical settings: A prospective, multicenter, single‐group study

Co-occurring Deficits in Clinical and Cognitive Insight in Prolonged Schizophrenia-Spectrum Disorders: Relationship to Metacognitive Deficits

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