Cited by 325Schizophrenia research and treatmentMental Health and PsychiatryPsychological Treatments and Assessments

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Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia

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Moritz, Steffen, Andreou, Christina, Schneider, Brooke C., Wittekind, Charlotte E., Menon, Mahesh, Balzan, Ryan P., Woodward, Todd S.·2014·Clinical Psychology Review

DOI 10.1016/j.cpr.2014.04.004

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Abstract

The present article provides a narrative review of empirical studies on metacognitive training in psychosis (MCT). MCT represents an amalgam of cognitive-behavioral therapy (CBT), cognitive remediation (CRT) and psychoeducation. The intervention is available in either a group (MCT) or an individualized (MCT+) format. By sowing the seeds of doubt in a playful and entertaining fashion, the program targets positive symptoms, particularly delusions. It aims to raise patients' awareness for common cognitive traps or biases (e.g., jumping to conclusions, overconfidence in errors, bias against disconfirmatory evidence) that are implicated in the formation and maintenance of psychosis. The majority of studies confirm that MCT meets its core aim, the reduction of delusions. Problems (e.g., potential allegiance effects) and knowledge gaps (i.e., outcome predictors) are highlighted. The preliminary data suggest that the individual MCT format is especially effective in addressing symptoms, cognitive biases and insight. We conclude that MCT appears to be a worthwhile complement to pharmacotherapy.

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Authors: Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S.
Affiliations: University Medical Center Hamburg-Eppendorf (DE)
University of British Columbia (CA)
Flinders University (AU)
Corresponding author: Moritz, Steffen
ORCID: Moritz, Steffen
Andreou, Christina
Schneider, Brooke C.
Wittekind, Charlotte E.
Menon, Mahesh
Balzan, Ryan P.
Woodward, Todd S.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2014-06
Volume: 34
Issue: 4
Pages: 358-366
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2014.04.004
OpenAlex: W2125152710
Cited by: 325
References: 68
Citations by year: 2026: 20 · 2025: 17 · 2024: 17 · 2023: 19 · 2022: 27 · 2021: 20 · 2020: 32 · 2019: 45 · 2018: 35 · 2017: 31 · 2016: 27 · 2015: 28 · 2014: 6
FWCI: 4.26
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-sa/3.0/ (vor)
Locations: Clinical Psychology Review (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by-nc-sa)
Funders: National Alliance for Research on Schizophrenia and Depression
Deutsche Forschungsgemeinschaft
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 › Psychological Treatments and Assessments
Keywords: metacognitive training, schizophrenia, psychosis, delusions, cognitive biases, jumping to conclusions, cognitive remediation, cognitive behavioral therapy, psychoeducation, insight, positive symptoms
MeSH terms: Emotions, Humans, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Self Concept, Cognitive Behavioral Therapy

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Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia

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