Metacognitive training for schizophrenia: A multicentre randomised controlled trial
Abstract
A psychotherapeutic approach for schizophrenia is now recommended as an adjuvant for psychopharmacology, since antipsychotic medications only have a partial impact especially as regards positive symptoms and insight. In addition, cognitive distortions and the lack of metacognitive skills might increase positive symptoms leading to poor social functioning. This underlines the need for specific approaches which target cognitive processes relevant for insight, and abilities in metacognition. Metacognitive training (MCT) is a structured group intervention, which enhances a patient's reflection on cognitive biases and improves problem-solving. The aim of our study was to assess MCTs' short term impact on insight, symptoms and quality of life. Fifty patients with schizophrenia or schizoaffective disorders and persistent positive symptoms (delusions or hallucinations) were enrolled in the study. After baseline assessment participants were randomised either to supportive therapy or MCT. Both groups used the same design (1h-session twice a week during 8weeks) although the basic knowledge given to participants was different between interventions. Participants were assessed at eight weeks based on the Scale to Assess Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS), Psychotic Symptom Rating Scales, the Calgary Depression Scale for Schizophrenia and the Quality of Life Scale. Between-group differences were significant in favour of MCT on the PANSS positive sca…
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Relative to treatment as usual, metacognitive training led to improvements in insight only at a trend level.
“However, Briki et al 180 reported that, relative to treatment as usual, MCT led to improvements only at a trend level.”
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 [180]
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“For instance, positive symptom severity (as rated on the Positive and Negative Symptom Scale) ranged between 14 and 25 in the analysed inpatient MCT trials; our informal literature search identified a range between 14 and 24 in outpatient MCT/CBT trials using this measure (Briki et al., 2014; Lewis et al., 2002; Morit…”
Background
- Authors
- Briki, M., Monnin, J., Haffen, E., Sechter, D., Favrod, J., Netillard, C., Cheraitia, E., Marin, K., Govyadovskaya, S., Tio, G., Bonin, B., Chauvet-Gelinier, J.-C., Leclerc, S., Hodé, Y., Vidailhet, P., Berna, F., Bertschy, A. Z., & Vandel, P.
- Affiliations
- CHU Dijon Bourgogne (FR)
- Inserm (FR)
- Centre Hospitalier Universitaire de Besançon (FR)
- Centre Hospitalier Universitaire Vaudois (CH)
- Centre hospitalier de Rouffach (FR)
- Hôpitaux Universitaires de Strasbourg (FR)
- ORCID
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2014-08
- Volume
- 157
- Issue
- 1-3
- Pages
- 99-106
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2003175150
- Cited by
- 65
- References
- 43
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 8 · 2014: 3
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion)
- HAL (submittedVersion)
- IRIS (submittedVersion)
- 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
- metacognitive training, schizophrenia
- MeSH terms
- Adult, Delusions, Female, France, Hallucinations, Humans, Male, Psychiatric Status Rating Scales, Psychotic Disorders, Quality of Life, Schizophrenia, Schizophrenic Psychology, Social Adjustment, Thinking, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome
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