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

Abstract

In the present study, MCT did not affect delusion scores and self-reported cognitive insight, or subjective experience of cognitive biases and metacognitive beliefs. MCT was not cost-effective.

Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments

“…Ussorio et al 183 compared the effects of MCT on patients with schizophrenia with a longer or shorter duration of untreated psychosis and found that both groups experienced gains in cognitive insight. However, van Oosterhout et al 184 found no effects on cognitive insight in a randomized controlled trial comparing MCT to treatment as usual.…”

Decreasing self-reported cognitive biases and increasing clinical insight through meta-cognitive training in patients with chronic schizophrenia

“…Ross, Freeman, Dunn, & Garety, 2011;Waller et al, 2013;Warman, Martin, & Lysaker, 2013). Moritz and Woodward (2007) developed meta-cognitive training for schizophrenia (MCT), whose primary goal is to ameliorate cognitive biases by increasing cognitive awareness (metacognitive competence). MCT is based on CBTp principles, however, MCT takes on the form of group training with no individual case formulation.…”

“…A number of studies have shown that MCT significantly reduces cognitive biases and improves positive symptoms (Aghotor, Pfueller, Moritz, Weisbrod, & Roesch-Ely, 2010;Balzan, Delfabbro, Galletly, & Woodward, 2015;Favrod et al, 2014; for a review see: Moritz, Kerstan, et al, 2011;Moritz, Veckenstedt et al, 2014;Moritz et al, 2013;Moritz, Veckenstedt, Randjbar, Vitzthum, & Woodward, 2011), with only one exception to date (van Oosterhout et al, 2014). Some studies have also shown that MCT increases clinical insight among patients with schizophrenia (Favrod et al, 2014).…”

Individualized metacognitive therapy for delusions: A randomized controlled rater-blind study

“…Several randomized controlled studies (Moritz et al, 2014a) as well as a recent meta-analysis (Eichner and Berna, 2016) have shown promising results regarding the short-and long-term efficacy of group MCT on delusions and/or positive psychotic symptoms in general (although there have also been negative results (van Oosterhout et al, 2014;van Oosterhout et al, 2016)). …”

“…However, the group intervention format may not be suited for some patients, including those with high level of suspiciousness (van Oosterhout et al, 2014), or patients with negative and/or disorganized symptoms that may require more intensive and structured work (Moritz et al, 2005). On the other hand, it has been suggested that the effects of metacognitive interventions on reasoning and delusions might be promoted with use of personalized material and individual therapy sessions (Garety et al, 2015;van Oosterhout et al, 2014).…”