Improvement in cognitive biases after group psychoeducation and metacognitive training in recent-onset psychosis: A randomized crossover clinical trial

Ahuir, Maribel; Cabezas, Ángel; Miñano, María José Camacho; Algora, Maria José; Estrada, Francesc; Solé, Montse; Gutiérrez-Zotes, Alfonso; Tost, Meritxell; Barbero, Juan David; Montalvo, Itziar; Monreal, José Antonio; Vilella, Elisabet; Palao, Diego; Labad, Javier

doi:10.1016/j.psychres.2018.10.066

Cited by 16 publications

(17 citation statements)

References 19 publications

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“…‘ 100% uncertain ’) of mental state perceptions assessed with the Reading the Mind in the Eyes test (Baron-Cohen, Wheelwright, Hill, Raste, & Plumb, 2001). Consistent with this, the three selected trials using an overall measure of cognitive insight, the BCIS Composite Index score, favoured MCT over TAU (Lam et al, 2015) or PSE (Ahuir et al, 2018; Ochoa et al, 2017).…”

Section: Discussionmentioning

confidence: 70%

“…Six studies reported on the effects of MCT on cognitive insight, that is, BCIS scores (Ahuir et al, 2018; Andreou et al, 2017; Balzan et al, 2019; Lam et al, 2015; Ochoa et al, 2017; van Oosterhout et al, 2014). Full details are provided in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Although only three studies reported on Composite Index (higher Composite Index score, greater insight) (Ahuir et al, 2018; Lam et al, 2015; Ochoa et al, 2017), based on the self-reflectiveness and self-certainty scores, we calculated the Composite Index for the remaining three studies (Andreou et al, 2017; Balzan et al, 2019; van Oosterhout et al, 2014). There were baseline differences between treatment-arms favouring MCT v. controls, d = 0.67, 95% CI 0.04–1.31, Z = 2.09, p = 0.04.…”

Section: Resultsmentioning

confidence: 99%

“…Full details are provided in Table 1. Sample sizes ranged from n = 28 (Ahuir et al, 2018) to n = 154 (van Oosterhout et al, 2014), totalling N = 443 participants. Details of the meta-analytic results of these six studies, including heterogeneity and publication bias, are provided in Table TS1 of the online Supplementary Material.…”

Section: Resultsmentioning

confidence: 99%

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Can metacognitive interventions improve insight in schizophrenia spectrum disorders? A systematic review and meta-analysis

et al. 2020

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Background Patients with schizophrenia spectrum disorders (SSD) tend to lack insight, which is linked to poor outcomes. The effect size of previous treatments on insight changes in SSD has been small. Metacognitive interventions may improve insight in SSD, although this remains unproved. Methods We carried out a systematic review and meta-analysis of randomized controlled trials (RCTs) to examine the effects of metacognitive interventions designed for SSD, namely Metacognitive Training (MCT) and Metacognitive Reflection and Insight Therapy (MERIT), on changes in cognitive and clinical insight at post-treatment and at follow-up. Results Twelve RCTs, including 10 MCT RCTs (n = 717 participants) and two MERIT trials (n = 90), were selected, totalling N = 807 participants. Regarding cognitive insight six RCTs (n = 443) highlighted a medium effect of MCT on self-reflectiveness at post-treatment, d = 0.46, p < 0.01, and at follow-up, d = 0.30, p < 0.01. There was a small effect of MCT on self-certainty at post-treatment, d = −0.23, p = 0.03, but not at follow-up. MCT was superior to controls on an overall Composite Index of cognitive insight at post-treatment, d = 1.11, p < 0.01, and at follow-up, d = 0.86, p = 0.03, although we found evidence of heterogeneity. Of five MCT trials on clinical insight (n = 244 participants), which could not be meta-analysed, four of them favoured MCT compared v. control. The two MERIT trials reported conflicting results. Conclusions Metacognitive interventions, particularly Metacognitive Training, appear to improve insight in patients with SSD, especially cognitive insight shortly after treatment. Further long-term RCTs are needed to establish whether these metacognitive interventions-related insight changes are sustained over a longer time period and result in better outcomes.

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Section: Discussionmentioning

confidence: 70%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Can metacognitive interventions improve insight in schizophrenia spectrum disorders? A systematic review and meta-analysis

et al. 2020

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“…Psychoeducational programs have been developed to enhance health literacy and corresponding health and wellness behavior; namely, teaching people how to make sense of mental and physical health symptoms and corresponding evidence-based interventions [14,15]. Psychoeducational programs are adapted to address the cognitive and social disabilities that undermine skill learning [16,17]. Hence, psychoeducational programs are needed to help people answer the three key questions.…”

mentioning

confidence: 99%