Decreasing self-reported cognitive biases and increasing clinical insight through meta-cognitive training in patients with chronic schizophrenia
Abstract
Background and objectives The aim of this study was to assess the impact of meta-cognitive training (MCT) on cognitive biases, symptoms, clinical insight, and general functioning among low-level functioning persons diagnosed with chronic schizophrenia who were attending a daily Community Social Support Group Program; we compared the treatment-as-usual (TAU) condition with the MCT + TAU condition.Methods Forty-four patients diagnosed with chronic schizophrenia were allocated to either the MCT + treatment-as-usual condition or the treatment-as-usual (TAU) condition. Delusion and hallucination severity, cognitive biases, clinical insight, and global functioning were assessed pre- and post-treatment (clinical trial NCT02187692).Results No significant changes were found in symptom severity as measured with the PSYRATS. Conversely, a medium to large effect size was observed for delusional ideation changes when assessed by the self-report measure (Paranoia Checklist). MCT was found to ameliorate cognitive biases as measured by the self-report scale at large effect size, however, no changes in jumping to conclusions (the Fish Task) and theory of mind deficits ("Reading the Mind in the Eyes" Test) were found in the behavioral tasks. MCT increased insight at large effect size. No changes in global functioning were found between the two conditions.Limitations Low intensity intervention. No follow-up assessment was provided. Only PSYRATS was assessed blind to patient allocation.Conclusions MCT has a beneficial effect on low-functioning chronic schizophrenic patients in ameliorating cognitive biases and increasing clinical insight.
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Metacognitive training had no effects on psychotic symptoms, reasoning bias, and theory of mind.
“Gaweda et al 178 reported that MCT led to significant improvements in clinical insight compared with treatment as usual, despite a lack of effects on psychotic symptoms, reasoning bias and theory of mind.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [178]
Metacognitive training led to significant improvements in clinical insight compared with treatment as usual.
“Gaweda et al 178 reported that MCT led to significant improvements in clinical insight compared with treatment as usual, despite a lack of effects on psychotic symptoms, reasoning bias and theory of mind.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [178]
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- Authors
- Gawęda, Ł., Krężołek, M., Olbryś, J., Turska, A., & Kokoszka, A.
- Affiliations
- Medical University of Warsaw (PL)
- The Maria Grzegorzewska University (PL)
- Uniwersytet SWPS (PL)
- Corresponding author
- Gawęda, Łukasz
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 48
- Pages
- 98-104
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2036711867
- Cited by
- 56
- References
- 39
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 2
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- chronic schizophrenia, cognitive biases, clinical insight, delusional ideation, jumping to conclusions, theory of mind, global functioning, self-report measures
- MeSH terms
- Metacognition, Adult, Chronic Disease, Delusions, Female, Hallucinations, Humans, Male, Middle Aged, Paranoid Disorders, Psychotic Disorders, Schizophrenia, Cognitive Behavioral Therapy, Treatment Outcome, Self Report
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