The Effects of Metacognition-Oriented Social Skills Training on Psychosocial Outcome in Schizophrenia-Spectrum Disorders: A Randomized Controlled Trial

Inchausti, Félix; García-Poveda, Nancy V.; Ballesteros-Prados, Alejandro; Ortuño‐Sierra, Javier; Sánchez-Reales, Sergio; Prado-Abril, Javier; Aldaz-Armendáriz, José Antonio; Mole, J; Dimaggio, Giancarlo; Ottavi, Paolo; Fonseca‐Pedrero, Eduardo

doi:10.1093/schbul/sbx168

Cited by 50 publications

(51 citation statements)

References 54 publications

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“…8,9,25,26 In accordance with the literature, the functioning levels of schizophrenia patients are low. 10,13,31,38,39 Similarly, functioning levels of patients were also found to be lower in this study.…”

Section: Discussionsupporting

confidence: 64%

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

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2020

Perspect Psychiatr Care

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Purpose: This research is conducted to evaluate the effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level.Design and methods: The research is designed as a randomized controlled trial with a pretest and posttest control group and repeated measures. Assertiveness training was carried out for a total of 8 weeks with the experimental group.Findings: Assertiveness training in schizophrenic patients was found to be effective in increasing the functional remission and assertiveness levels of patients. Practice implications:Assertiveness training in schizophrenia should be implemented by psychiatric nurses within the scope of rehabilitation services. K E Y W O R D S assertiveness, assertiveness training, functional recovery, psychiatric nurse, schizophrenia 1 | INTRODUCTION Defined as one of the lifelong and destructive mental disorders,schizophrenia is a disorder that disrupts social, occupational, and interpersonal functioning, leads to disability, and it is characterized by a significant deterioration in thought, perception, emotion, movement, and behavior. 1,2 In the treatment of schizophrenia, which affects 1% of the population, a multidimensional approach is considered, and pharmacological and psychosocial treatment methods are implemented together. 3,4 While drug therapy in schizophrenia targets positive and negative symptoms, disorganized behaviors, mood, and cognitive symptoms; psychosocial interventions including programs such as individual interviews, family education, social skills training, holistic approach group therapies, supportive therapy, and cognitive-behavioral therapies are provided for self-care deficiencies, poor quality of life, interpersonal relationship problems, noncompliance with treatment, dysfunctions, addiction, and signs of disability in social and professional skills. [5][6][7][8][9] It has been reported that psychosocial skills training, which is frequently applied in the rehabilitation of schizophrenia patients, increases quality of life, social functioning levels, self-esteem, communication skills, compliance to treatment levels, and insights of the patients; reduces disability, relapse, and repeated hospitalization; and has positive effects on positive and negative symptoms. [10][11][12][13][14][15] It is also reported that social skills training programs increase interpersonal relationships and assertiveness skills in schizophrenia. 14,[16][17][18] Assertiveness is the individualʼs expression of his own feelings, thoughts, and beliefs, his personal rights in a clear and honest manner while paying attention to the feelings and thoughts of others, and respecting their rights. [19][20][21] Being assertive requires the ability to defend oneʼs rights without hesitation and without being aggressive. 19,21 Patients with schizophrenia are usually exposed to cognitive disorders and cannot express their feelings and thoughts effectively.They have a fear of social anxiety, of being judged by others, or of negative evaluation. These conditio...

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Section: Discussionsupporting

confidence: 64%

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

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2020

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“…Findings for the group‐based approach to MIT have been reported in an open trial and in a pilot study including clients with borderline personality disorder . Of note, evidence from an RCT supports the effectiveness of an MIT‐based treatment for psychosis: metacognition‐oriented social skills training …”

Section: Introductionmentioning

confidence: 89%

“…Evidence supporting MIT includes several case series that indicated a reliable clinical change in symptoms and interpersonal functioning, including a pilot RCT reporting encouraging results for a group intervention on PD . Findings for the group‐based approach to MIT have been reported in an open trial and in a pilot study including clients with borderline personality disorder . Of note, evidence from an RCT supports the effectiveness of an MIT‐based treatment for psychosis: metacognition‐oriented social skills training …”

Section: Introductionmentioning

confidence: 97%

“…43 Findings for the group-based approach to MIT have been reported in an open trial 44 and in a pilot study including clients with borderline personality disorder. 45 Of note, evidence from an RCT supports the effectiveness of an MIT-based treatment for psychosis: metacognition-oriented social skills training. 45,46 Metacognitive reflection and insight therapy is an integrative form of psychotherapy developed for persons primarily with psychotic disorders that targets interventions to increase capacity for selfreflectivity, awareness of others and mastery, which allows individuals to develop their own sense of their psychiatric challenges and decide how to meaningfully address them.…”

Section: Introductionmentioning

confidence: 99%

“…45 Of note, evidence from an RCT supports the effectiveness of an MIT-based treatment for psychosis: metacognition-oriented social skills training. 45,46 Metacognitive reflection and insight therapy is an integrative form of psychotherapy developed for persons primarily with psychotic disorders that targets interventions to increase capacity for selfreflectivity, awareness of others and mastery, which allows individuals to develop their own sense of their psychiatric challenges and decide how to meaningfully address them. 36 The intervention does not use lockstep methodologies or specific sequence of interventions but is defined by eight core elements or processes that should individually and synergistically promote integration.…”

Section: Introductionmentioning

confidence: 99%

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Metacognitively oriented psychotherapy for schizotypal personality disorder: A two‐case series

Cheli

Lysaker

Dimaggio

2019

Personality & Mental Health

Self Cite

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Schizotypal personality disorder represents a broad range of maladaptive behaviour, which has been linked to both personality disorder and schizophrenia spectrum disorders; however, to date, little effort has been devoted to developing psychosocial treatment approaches to address it. In response, we conducted two case studies exploring the effects of two metacognitively oriented forms of psychotherapy: metacognitive interpersonal therapy and metacognitive reflection and insight therapy for patients with schizotypal personality disorder. We chose these two forms of therapy as they have been successfully delivered, respectively, to persons with other personality disorders and schizophrenia spectrum disorders. Both treatments consisted of weekly individual psychotherapy sessions over a period of 6 months. General symptoms were assessed during the first week of treatment, at treatment end and at 1 month following treatment using the Symptom Check List‐90—Revised, while schizotypal traits were assessed with the Structured Clinical Interview for DSM‐5. Both patients completed all sessions, and there were no reports of any adverse outcomes. Both patients achieved reliable change in symptoms (ranging from 4.98 to 9.81) and a significant reduction in schizotypal features. Results provide preliminary evidence of the feasibility of metacognitively oriented interventions for schizotypal personality disorder. © 2019 John Wiley & Sons, Ltd.

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Cognitive behavioural therapy plus standard care versus standard care for persistent aggressive behaviour or agitation in people with schizophrenia

Ballesteros

Moreno-Calvete

Santos-Zorrozúa

et al. 2023

CDSR

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The Effects of Metacognition-Oriented Social Skills Training on Psychosocial Outcome in Schizophrenia-Spectrum Disorders: A Randomized Controlled Trial

Cited by 50 publications

References 54 publications

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

Metacognitively oriented psychotherapy for schizotypal personality disorder: A two‐case series

Cognitive behavioural therapy plus standard care versus standard care for persistent aggressive behaviour or agitation in people with schizophrenia

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