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Cited by 5Schizophrenia research and treatmentMental Health and PsychiatryCounseling, Therapy, and Family Dynamics

Effectiveness of a Metacognitive Intervention for Schizophrenia (MCI-S) Program for Symptom Relief and Improvement in Social Cognitive Functioning in Patients with Schizophrenia

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Han, Mihwa, Lee, Kyunghee·2022·Archives of Psychiatric Nursing
DOI 10.1016/j.apnu.2022.07.010
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Abstract

This study investigated the effectiveness of a metacognitive intervention program for symptom relief and improvement in social cognitive functioning among adults with schizophrenia. The program focused on enhancing metacognition to encourage self-awareness and step-by-step perspective expansion. There were 24 participants in the experimental group and 19 participants in the control group. Delusions decreased, and social cognition and social functioning improved in the experimental group compared to the control group. The program demonstrated utility as a treatment modality, which can be part of an overall program of a mental health promotion institution to improve functioning in patients with schizophrenia.

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  • Metacognitive interventions improved social functioning in schizophrenia in one study, but not in another.

    “This study found statistically significant improvements in social functioning, social activity levels and social interactions and reduced auditory hallucinations and delusions in psychosis compared to TAU (Han and Lee 2022).”

    From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Han and Lee 2022

    The Discussion reports improved personal and social functioning and reduced delusions with MCI-S; it also reports significant between-group differences in socially useful activities and personal and social relationships. But the Results state that, although auditory hallucinations decreased in both groups, the difference between groups was not statistically significant. The citing sentence therefore overstates the finding for hallucinations compared with usual care. (LLM, conf=0.91)

    Experimental — accuracy not yet measured

  • One metacognitive study found significant improvements in social functioning, social activity levels and social interactions and reduced auditory hallucinations and delusions compared to TAU.

    “This study found statistically significant improvements in social functioning, social activity levels and social interactions and reduced auditory hallucinations and delusions in psychosis compared to TAU (Han and Lee 2022).”

    From Social Functioning Interventions in Psychosis: A Systematic Review. (2025) · cites this paper as Han and Lee 2022

    The Results report significant between-group differences in delusions, socially useful activities, and personal and social relationships, as well as a significant group-by-time effect for personal and social performance. They also state that auditory hallucinations decreased in both groups, but the between-group difference was not statistically significant. Page numbers were not supplied in our copy. (LLM, conf=0.90)

    Experimental — accuracy not yet measured

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Cited by

Sorted by citations

Authors
Han, M., & Lee, K.
Affiliations
Sunlin University (KR)
ORCID
Han, Mihwa
Venue
Archives of Psychiatric Nursing
Publisher
Elsevier BV
Published
2022-12
Volume
41
Pages
43-50
ISSN
0883-9417 (ISSN-L)
DOI
10.1016/j.apnu.2022.07.010
OpenAlex
W4285500663
Cited by
5
References
9
Citations by year
2026: 1 · 2025: 3 · 2023: 1
FWCI
0.65
Type
journal article
Language
en
Open access
Licence
Locations
  • Archives of Psychiatric Nursing (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Research Foundation of Korea (2020R1A2C1009207)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords
schizophrenia, metacognitive intervention, metacognition, delusions, social cognition, social functioning, symptom relief, self-awareness, mental health promotion
MeSH terms
Metacognition, Social Interaction, Adult, Cognition, Humans, Schizophrenia, Schizophrenic Psychology

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