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The Efficacy of Metacognitive Training for Delusions in Patients With Schizophrenia: A Meta‐Analysis of Randomized Controlled Trials Informs Evidence‐Based Practice
Abstract
Background: Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear. Aims: To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variables (intervention approach, intervention dose, and participant factors) of an MCT study that could influence the effect size. Methods: Parallel‐arm design of MCT for delusions published from 2007 to 2016 were collected and then cross‐referenced using these keywords: delusion (psychosis or psychotic or schizophrenia) and metacognitive (training or therapy or intervention). The quality of the studies was evaluated and the effect size and the moderating variables of MCT on delusion were determined. Results: A total of 11 studies on the effect of MCT for delusion were investigated. The MCT had a moderate immediate postintervention effect (g = −0.38) and a lasting effect after 6 months (g = −0.35). In terms of immediate effect, moderating variables with significant differences between them were (a) individual approach versus group‐based approach and mixed approach, and (b) eastern country versus western country. Linking Evidence to Action: MCT could be used as a valuable nonpharmacologic intervention to reduce delusions in clinical settings. The individual modularized MCT approach had a beneficial effect and is recommended to healthcare professionals as an application for patients with schizophrenia or delusional disorder.
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“Two meta-analyses of MCT showed a moderate postintervention effect of g = − 0.34 [41] and g = − 0.38 [40].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [40]
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Fekete, Z., Vass, E., Balajthy, R., Tana, Ü., Nagy, A. C., Oláh, B., & Szabó, I. K. (2021) · Psychosis · doi:10.1080/17522439.2021.1952296 · Cited by 1
Psychosocial interventions for social dysfunction in psychosis
Lewandowski, K. E., Mesholam‐Gately, R. I., & Keshavan, M. S. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815315-4.00012-4
Psychotherapeutische und psychosoziale Interventionen (Modul 4b)
Gäebel, W., Hasan, A., & Falkai, P. (2019) · Springer eBooks · doi:10.1007/978-3-662-59380-6_6
Treatment Challenges of Delusional Disorders
Mikhaeil, A. (2018) · UND Scholarly Commons (University of North Dakota)
Apego, neurocognición y cognición social en el espectro de la esquizofrenia
Monfort-Escrig, C. (2021) · doi:10.6035/14109.2021.151500
„Unáhlené závěry“ u psychotických onemocnění: přehledová studie
Rodríguez, M., & Šustová, P. (2021) · PSYCHOLOGIE PRO PRAXI · doi:10.14712/23366486.2021.7
Individualisiertes Metakognitives Therapieprogramm für Menschen mit Psychose (MKT+)
Veckenstedt, R., Bohn, F., Moritz, S., & Fischer, R. (2021) · Psychotherapie · doi:10.30820/2364-1517-2021-2-149
Abordaje narrativo de la psicomotricidad: acción, palabra, narración
Mas, J. S. (2009) · Revista iberoamericana de psicomotricidad y técnicas corporales
Jelinek, L. (2021) · Psychotherapie: Praxis · doi:10.1007/978-3-662-62298-8_62
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Moritz, S., Krieger, E. C., Bohn, F., Elmers, J., & Veckenstedt, R. (2022) · Psychotherapie: Manuale · doi:10.1007/978-3-662-64467-6_1
Metacognitive Treatment in Patients with Thought Insertion
Ochoa, S., & García‐Mieres, H. (2023) · Oxford University Press eBooks · doi:10.1093/med/9780192896162.003.0015
الحميد, ه. ج. ع. (2023) · Journal of Educational Sciences - Qena Faculty of Education · doi:10.21608/maeq.2023.336409
Non-pharmacological Interventions for Mental Disorders
(2024) · Frontiers research topics · doi:10.3389/978-2-8325-4708-3
Tritsch, J., Körber, K., Pross, B., Strasser, K., Papazova, I., Hasan, A., Moritz, S., & Strube, W. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2512975
Metadata
- Authors
- Liu, Y., Tang, C., Hung, T., Tsai, P., & Lin, M.
- Affiliations
- National Cheng Kung University (TW)
- Purdue University in Indianapolis (US)
- Chia-Yi Christian Hospital (TW)
- Corresponding author
- Lin, Mei‐Feng
- Venue
- Worldviews on Evidence-Based Nursing
- Publisher
- Wiley
- Published
- 2018-02-28
- Volume
- 15
- Issue
- 2
- Pages
- 130-139
- ISSN
- 1545-102X (ISSN-L)
- 1741-6787
- OpenAlex
- W2793334816
- Cited by
- 109
- References
- 38
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 6 · 2023: 11 · 2022: 21 · 2021: 16 · 2020: 18 · 2019: 12 · 2018: 6
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Worldviews on Evidence-Based Nursing (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 › Counseling, Therapy, and Family Dynamics
- Keywords
- metacognitive training, delusions, schizophrenia, delusional disorder, psychosis, non-pharmacological treatment, intervention dosage, moderators of effect size, evidence-based practice
- MeSH terms
- Metacognition, Delusions, Humans, Schizophrenia, Cognitive Behavioral Therapy, Treatment Outcome
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