Further evidence for the efficacy of a metacognitive group training in schizophrenia

Moritz, Steffen; Kerstan, Andrea; Veckenstedt, Ruth; Randjbar, Sarah; Vitzthum, Francesca; Schmidt, Christiane Sybille; Heise, Marisol; Woodward, Todd S.

doi:10.1016/j.brat.2010.11.010

Cited by 160 publications

(117 citation statements)

References 47 publications

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“…However, decentering is not exclusive to mindfulness practicing. There are other therapies such as Acceptance and Commitment Therapy (Hayes, Strosahl, & Wilson, 1999) or Metacognitive-based Therapy, where decentering constitutes a key process in their beneficial effects, without involving meditation practices (Moritz et al, 2011;van der Heiden, Muris, & van der Molen, 2012;Wells et al, 2010). In this regard, some authors already suggested that efficacy of Cognitive Behavior Therapy (CBT) to treat depression may rely on metacognitive awareness rather than on cognitive-content modification (Teasdale, Segal, & Williams, 1995).…”

Section: Accepted Manuscript Introductionmentioning

confidence: 99%

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

et al. 2014

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Section: Accepted Manuscript Introductionmentioning

confidence: 99%

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

et al. 2014

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“…Dimensional approaches to psychopathology and the use of a categorical system of discrete clinical diagnoses are not necessarily mutually exclusive: both can be used to construct a threshold mode of disease (Kendell & Jablensky, 2003), and help building staging and profiling models that can guide clinical decision making (Hetrick et al 2008;McGorry & van Os, 2013). Future studies will have to show whether the presence of lifetime or current psychotic experiences warrant modification of standard antidepressant treatments such as the addition of cognitive skills training or metacognitive training to psychotherapeutic approaches (Singer & Dobson, 2007;Barahmand et al 2008;Moritz et al 2011) and the addition of antipsychotics to antidepressants (Farahani & Correll, 2012).…”

Section: Discussionmentioning

confidence: 99%

Subclinical psychotic experiences and bipolar spectrum features in depression: association with outcome of psychotherapy

Wigman

Abidi

et al. 2013

Psychol. Med.

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Background. Subthreshold psychotic and bipolar experiences are common in major depressive disorder (MDD). However, it is unknown if effectiveness of psychotherapy is altered in depressed patients who display such features compared with those without. The current paper aimed to investigate the impact of the co-presence of subclinical psychotic experiences and subclinical bipolar symptoms on the effectiveness of psychological treatment, alone or in combination with pharmacotherapy.Method. In a naturalistic study, patients with MDD (n = 116) received psychological treatment (cognitive behavioural therapy or interpersonal psychotherapy) alone or in combination with pharmacotherapy. Depression and functioning were assessed six times over 2 years. Lifetime psychotic experiences and bipolar symptoms were assessed at the second time point.Results. Subclinical psychotic experiences predicted more depression over time (β = 0.20, p < 0.002), non-remission [odds ratio (OR) 7.51, p < 0.016] and relapse (OR 3.85, p < 0.034). Subthreshold bipolar symptoms predicted relapse (OR 1.16, p < 0.037).Conclusions. In general, subclinical psychotic experiences have a negative impact on the course and outcome of psychotherapy in MDD. Effects of subclinical bipolar experiences were less prominent.

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“…Furthermore, the outcomes for both programs differ. While social cognition programs tend to emphasize improvement on social cognitive tests (e.g., Combs et al, 2007a), metacognitive training usually demonstrates the potential to reduce symptoms (particularly delusions) and biases (e.g., Moritz et al, 2011a).…”

Section: Introductionmentioning

confidence: 99%

Metacognitive and social cognition training (MSCT) in schizophrenia: A preliminary efficacy study

Rocha

Queirós

2013

Schizophrenia Research

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A B S T R A C TPsychosocial interventions have proven to be effective in treating social cognition in people with psychotic disorders. The current study aimed to determine the effects of a metacognitive and social cognition training (MSCT) program, designed to both remediate deficits and correct biases in social cognition. Thirty-five clinically stable outpatients were recruited and assigned to the MSCT program (n = 19) for 10 weeks (18 sessions) or to the TAU group (n = 16), and they all completed pre-and post-treatment assessments of social cognition, cogni-tive biases, functioning and symptoms. The MSCT group demonstrated a significant improvement in theory of mind, social perception, emotion recognition and social functioning. Additionally, the tendency to jump to conclusions was significantly reduced among the MSCT group after training. There were no differential benefits regarding clinical symptoms except for one trend group effect for general psychopathology. The results support the efficacy of the MSCT format, but further development of the training program is required to increase the benefits related to attributional style. K e y w o r d s : Schizophrenia Social cognition Rehabilitation Cognitive bias Metacognition

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Further evidence for the efficacy of a metacognitive group training in schizophrenia

Cited by 160 publications

References 47 publications

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

Subclinical psychotic experiences and bipolar spectrum features in depression: association with outcome of psychotherapy

Metacognitive and social cognition training (MSCT) in schizophrenia: A preliminary efficacy study

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