Metacognitieve training voor patiënten met een psychotische kwetsbaarheid

Ferwerda, J.D.; Boer, Karin; Gaag, Mark van der

doi:10.1007/s12433-010-0240-y

Cited by 9 publications

(5 citation statements)

References 36 publications

(34 reference statements)

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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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“…Moritz et al (2011b) reported that the combined MCT/MCT+ intervention yielded a superior improvement in severity and conviction of delusions as well as JTC bias than an active control condition. Ferwerda et al (2010) also reported a significant reduction in paranoid delusions, data-gathering and cognitive flexibility following MCT+. In Waller et al (2011) and Garety et al (2014), patients with delusions had significant improvements in JTC and delusional conviction following the one-session Maudsley Review Training Program (MRTP).…”

Section: Introductionmentioning

confidence: 85%

Metacognitive training for delusions (MCTd): effectiveness on data-gathering and belief flexibility in a Chinese sample

Chan

Chong

et al. 2015

Front. Psychol.

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Metacognitive training (MCT) was developed to promote awareness of reasoning biases among patients with schizophrenia. While MCT has been translated into 31 languages, most MCT studies were conducted in Europe, including newer evidence recommending an individualized approach of delivery. As reasoning biases covered in MCT are separable processes and are associated with different symptoms, testing the effect of selected MCT modules would help to develop a targeted and cost-effective intervention for specific symptoms and associated mechanisms. This study tested the efficacy of a four-session metacognitive training for delusions, MCTd (in Traditional Chinese with cultural adaptations, provided individually), as an adjunct to antipsychotics in reducing severity and conviction of delusions, jumping to conclusions (JTC) bias and belief inflexibility. Forty-four patients with delusions were randomized into the MCTd or the wait-list control condition. Patients on wait-list received the same MCTd after 4 weeks of treatment as usual (TAU). Assessment interviews took place before and after the treatment, and at 4-week follow-up. There was an additional baseline assessment for the controls. JTC and belief flexibility were measured by the beads tasks and the Maudsley Assessment of Delusions Scale. Attendance rate of the MCTd was satisfactory (84.5%). Compared to TAU, there was a greater reduction in psychotic symptoms, delusional severity and conviction following MCTd. There was a large treatment effect size in improvement in belief flexibility. Improvement in reaction to hypothetical contradiction predicted treatment effect in positive symptoms and delusions. JTC bias was reduced following MCTd, although the treatment effect was not significantly larger than TAU. Our results support the use of process-based interventions that target psychological mechanisms underlying specific psychotic symptoms as adjuncts to more conventional approaches.

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“…A decrease in the SC levels supposes casting doubt on one’s own convictions, so a high level of delusion contributes to making this task more difficult. Thus, some authors point out that MCT may not affect patients with moderate to serious delusions [28], and they establish high levels of delusional ideation as a criterion [29] or they include only mild delusions [30]. In our case, the inclusion of these patients had no influence on the development of the sessions, but it seems clear that it did limit the efficacy of the program.…”

Section: Discussionmentioning

confidence: 67%

“…Nevertheless, only Lam and colleagues [21] achieved significant increases in the SR and CI indices and a non-significant decrease in the SC. Other authors [20,28] found no significant differences, and the modification that was registered could even be said to be negligible [29]. Nevertheless, these studies differ from the sample and criteria used in this current work due to the application of the MCT program in its individual version and only partially [20] using younger samples [29] or not incorporating the prior delusional conviction in the analysis [21].…”

Section: Discussionmentioning

confidence: 67%

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

Simón-Expósito

Castaño

2019

IJERPH

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Metacognitive training (MCT) is a group intervention that addresses cognitive biases and distortions that could help maintain delusions and hallucinations in people with schizophrenia. This program has proven its effectiveness in reducing the symptoms, but its impact on cognitive insight has scarcely been investigated. Therefore, the aim of the study was to assess the program’s impact on cognitive insight in patients with long-term schizophrenia. A sample of 22 patients with schizophrenia was divided into two groups: one received 16 sessions of MCT (n = 11), while the other received the usual treatment (n = 11). They were assessed using the Beck Cognitive Insight Scale which measures two components, self-reflection and self-certainty, and the Positive and Negative Syndrome Scale (PANSS). The experimental group showed high levels of adherence, an increase in self-reflection, and a decrease in self-assurance levels as hypothesized. We found statistically significant differences between the control and experimental groups in excitation, hostility, positive symptomatology total score, hallucinatory behavior, and suspicion. In the usual treatment group, a non-significant decrease in positive symptoms was also observed. The findings showed that the implementation of the MCT program in real clinical settings can contribute to an improvement in the metacognitive ability and symptomatology of people with schizophrenia.

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Metacognitieve training voor patiënten met een psychotische kwetsbaarheid

Cited by 9 publications

References 36 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

Metacognitive training for delusions (MCTd): effectiveness on data-gathering and belief flexibility in a Chinese sample

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

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