Metacognitive therapy (MCT+) in patients with psychosis not receiving antipsychotic medication: A case study
Open accessAbstract
BACKGROUND: Psychotherapies for psychosis typically aim to develop an awareness of the implausible content of a delusion or target the underlying cognitive biases (i.e., problematic thinking styles, such as hasty decisions and illusory control) that foster and maintain delusional beliefs. A recently designed individual-based treatment entitled metacognitive therapy (MCT+) combines these two approaches. Emerging evidence suggests individualized MCT+, when used concurrently with antipsychotic medication, may be an effective psychological treatment for reducing delusional symptoms. However, it remains to be tested whether MCT+ can be effective in patients with active delusions who are not currently receiving psychotropic drugs. METHOD: We present two cases (one patient with schizophrenia and the other with delusional disorder) experiencing active delusions who underwent 4-weeks of intensive MCT+, without concurrent antipsychotic medication (minimum 6-months unmedicated). Baseline and 6-week follow-up data are presented on a variety of measures assessing delusion symptom severity (i.e., PANSS, PSYRATS, SAPS), clinical insight, and cognitive bias propensity. RESULTS: After 4-weeks of MCT+, both patients showed substantial reduction in delusional symptoms, reported improved clinical insight, and were less prone to making illusory correlations. CONCLUSIONS: The presented case studies provide preliminary evidence for the feasibility of MCT+ in treating patients not taking, or resistant to, antipsychotic medication.
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Insight improved after four weeks of metacognitive training in detailed case work.
“Detailed case work has described how insight improved after four weeks of MCT 179 .”
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 [179]
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Cites
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378 · see citing works
Effectiveness of Antipsychotic Drugs in Patients with Chronic Schizophrenia
Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S., Rosenheck, R. A., Perkins, D. O., Keefe, R. S. E., Davis, S. M., Davis, C. E., Lebowitz, B. D., et al. (2005) · New England Journal of Medicine · doi:10.1056/nejmoa051688 · Cited by 5,892 · see citing works
Negative v Positive Schizophrenia
Andreasen, N. C. (1982) · Archives of General Psychiatry · doi:10.1001/archpsyc.1982.04290070025006 · Cited by 2,008 · see citing works
HADDOCK, G., McCARRON, J., TARRIER, N., & FARAGHER, E. B. (1999) · Psychological Medicine · doi:10.1017/s0033291799008661 · Cited by 1,461 · see citing works
David, A. S. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.156.6.798 · Cited by 1,164 · see citing works
Wykes, T., Steel, C., Everitt, B., & Tarrier, N. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm114 · Cited by 1,029 · see citing works
Leucht, S., Tardy, M., Komossa, K., Heres, S., Kissling, W., Salanti, G., & Davis, J. M. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60239-6 · Cited by 931 · see citing works
Measuring Delusional Ideation: The 21-Item Peters et al. Delusions Inventory (PDI)
Peters, E., Joseph, S., Day, S., & Garety, P. (2004) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007116 · Cited by 607 · see citing works
Leucht, S., Komossa, K., Rummel‐Kluge, C., Corves, C., Hunger, H., Schmid, F., Lobos, C. A., Schwarz, S., & Davis, J. M. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08030368 · Cited by 489 · see citing works
Adverse effects of antipsychotic medications.
Muench, J., & Hamer, A. M. (2010) · PubMed · Cited by 427 · see citing works
The past and future of delusions research: from the inexplicable to the treatable
Garety, P. A., & Freeman, D. H. (2013) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.126953 · Cited by 345 · see citing works
Huhn, M., Tardy, M., Spineli, L. M., Kissling, W., Förstl, H., Pitschel-Walz, G., Leucht, C., Samara, M., Dold, M., Davis, J. M., et al. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.112 · Cited by 333 · see citing works
Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.04.004 · Cited by 325 · see citing works
Self-citationHopping, skipping or jumping to conclusions? Clarifying the role of the JTC bias in delusions
Fine, C., Gardner, M. R., Craigie, J., & Gold, I. (2006) · Cognitive Neuropsychiatry · doi:10.1080/13546800600750597 · Cited by 291 · see citing works
Morrison, A. P., Turkington, D., Pyle, M., Spencer, H. M., Brabban, A., Dunn, G., Christodoulides, T., Dudley, R. E. J., Chapman, N., Callcott, P., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)62246-1 · Cited by 250 · see citing works
Explaining delusions: a cognitive perspective
Bell, V., Halligan, P. W., & Ellis, H. D. (2006) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2006.03.004 · Cited by 216 · see citing works
Further evidence for the efficacy of a metacognitive group training in schizophrenia
Moritz, S., Kerstan, A., Veckenstedt, R., Randjbar, S., Vitzthum, F., Schmidt, C. S., Heise, M., & Woodward, T. S. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.11.010 · Cited by 194 · see citing works
Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia
Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R., & Woodward, T. S. (2010) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32833d16a8 · Cited by 182 · see citing works
Sustained and “Sleeper” Effects of Group Metacognitive Training for Schizophrenia
Moritz, S., Veckenstedt, R., Andreou, C., Bohn, F., Hottenrott, B., Leighton, L., Köther, U., Woodward, T. S., Treszl, A., Menon, M., et al. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.1038 · Cited by 165 · see citing works
Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F., & Woodward, T. S. (2011) · Psychological Medicine · doi:10.1017/s0033291710002618 · Cited by 158 · see citing works
Aghotor, J., Pfueller, U., Moritz, S., Weisbrod, M., & Roesch-Ely, D. (2010) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2010.01.004 · Cited by 156 · see citing works
Complementary group Metacognitive Training (MCT) reduces delusional ideation in schizophrenia.
Moritz, S., Veckenstedt, R., Bohn, F., Hottenrott, B., Scheu, F., Randjbar, S., Aghotor, J., Köther, U., Woodward, T. S., Treszl, A., et al. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.10.007 · Cited by 146 · see citing works
Antipsychotics in the Treatment of Schizophrenia
Tandon, R. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10075su1.01 · Cited by 137 · see citing works
Lecomte, T., Leclerc, C., Corbière, M., Wykes, T., Wallace, C. J., & Spidel, A. L. (2008) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31818ee231 · Cited by 123 · see citing works
(2012) · SpringerReference · doi:10.1007/springerreference_223480 · Cited by 116 · see citing works
Matute, H. (1995) · The Quarterly Journal of Experimental Psychology Section B · doi:10.1080/14640749508401444 · Cited by 105 · see citing works
Sustained antipsychotic effect of metacognitive training in psychosis: A randomized-controlled study
Favrod, J., Rexhaj, S., Bardy, S., Ferrari, P., Hayoz, C., Moritz, S., Conus, P., & Bonsack, C. (2013) · European Psychiatry · doi:10.1016/j.eurpsy.2013.08.003 · Cited by 101 · see citing works
Balzan, R. P., Delfabbro, P., Galletly, C. A., & Woodward, T. S. (2012) · British Journal of Clinical Psychology · doi:10.1111/bjc.12000 · Cited by 64 · see citing works
Self-citationBalzan, R. P., Delfabbro, P. H., Galletly, C. A., & Woodward, T. S. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867413508451 · Cited by 63 · see citing works
Self-citationBechdolf, A., Knost, B., Nelson, B., Schneider, N., Veith, V., Yung, A. R., & Pukrop, R. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048670903393571 · Cited by 58 · see citing works
Balzan, R. P., Delfabbro, P., Galletly, C. A., & Woodward, T. S. (2012) · Cognitive Neuropsychiatry · doi:10.1080/13546805.2012.663901 · Cited by 37 · see citing works
Self-citationVitzthum, F., Veckenstedt, R., & Moritz, S. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465813000246 · Cited by 29 · see citing works
Illusory Correlations and Control Across the Psychosis Continuum
Balzan, R. P., Delfabbro, P., Galletly, C. A., & Woodward, T. S. (2013) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e318288e229 · Cited by 25 · see citing works
Self-citation(2012) · Wiley eBooks · doi:10.1002/9781118330029 · Cited by 15 · see citing works
Cognitive and behavioural therapies for psychosis
Farhall, J., & Thomas, N. (2013) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867413483370 · Cited by 14 · see citing works
Cognitive and Behavioural Therapies
Howe, D. (2008) · doi:10.1007/978-0-230-36521-6_8 · Cited by 4 · see citing works
Flagged first, then by citations
2 of the 38 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Balzan R. P. Woodward T. S. Menon M. Moritz S. (2014b). Non-pharmacological treatment targeting cognitive biases underlying delusions in schizophrenia: Metacognitive training and therapy, in Aberrant Beliefs and Reasoning, ed Galbraith N. D. (Hove: Psychology Press Ltd), 154– 170.
Cited by
Sorted by citations
Lysaker, P. H., Pattison, M. L., Leonhardt, B. L., Phelps, S., & Vohs, J. L. (2018) · World Psychiatry · doi:10.1002/wps.20508 · Cited by 247 · see citing works
Maccari, S., Polese, D., Reynaert, M., Amici, T., Morley‐Fletcher, S., & Fagioli, F. (2016) · Neuroscience · doi:10.1016/j.neuroscience.2016.05.042 · Cited by 101 · see citing works
Lysaker, P. H., Gagen, E. C., Wright, A. C., Vohs, J. L., Kukla, M., Yanos, P. T., & Hasson‐Ohayon, I. (2018) · Schizophrenia Bulletin · doi:10.1093/schbul/sby142 · Cited by 66 · see citing works
Balzan, R. P., Mattiske, J. K., Delfabbro, P., Liu, D., & Galletly, C. A. (2018) · Schizophrenia Bulletin · doi:10.1093/schbul/sby152 · Cited by 43 · see citing works
Self-citationIndividualized metacognitive therapy for delusions: A randomized controlled rater-blind study
Andreou, C., Wittekind, C. E., Fieker, M., Heitz, U., Veckenstedt, R., Bohn, F., & Moritz, S. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.11.013 · Cited by 42 · see citing works
Schilling, L., Moritz, S., Kriston, L., Krieger, M., & Nagel, M. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.09.024 · Cited by 40 · see citing works
Corral, L., Labad, J., Ochoa, S., Cabezas, Á., Muntané, G., Valero, J., Sánchez‐Gistau, V., Ahuir, M., Gallardo‐Pujol, D., Crosas, J. M., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.596625 · Cited by 14 · see citing works
Rakitzi, S., Georgila, P., & Becker-Woitag, A. P. (2020) · European Psychologist · doi:10.1027/1016-9040/a000400 · Cited by 8 · see citing works
Szczepanowski, R., Cichoń, E., Pasieczna, A. H., Gawęda, Ł., & Rosińćzuk, J. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00725 · Cited by 6 · see citing works
Metacognitive training for schizophrenia: a scoping review and phenomenological evaluation
Brar, P. S., Sass, L. A., Beck, D., & Kalarchian, M. A. (2021) · Psychosis · doi:10.1080/17522439.2021.1918753 · Cited by 3 · see citing works
Soumehsaraei, R. J., Zare, H., & Zare, S. (2019) · doi:10.22034/iepa.2019.198119.1121 · Cited by 2 · see citing works
Psychotherapy for Schizophrenia‐Spectrum Disorders
Ellenberg, S., Lynn, S. J., & Strauss, G. P. (2017) · Wiley eBooks · doi:10.1002/9781119462996.ch14 · Cited by 1 · see citing works
- Authors
- Balzan, R. P., & Galletly, C.
- Affiliations
- Flinders University (AU)
- The University of Adelaide (AU)
- Corresponding author
- Balzan, Ryan P.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2015-07-09
- Volume
- 6
- Pages
- 967-967
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC4496559
- OpenAlex
- W1865837578
- Cited by
- 12
- References
- 38
- Citations by year
- 2021: 2 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 › Psychotherapy Techniques and Applications
- Keywords
- metacognitive therapy, psychosis, delusions, schizophrenia, delusional disorder, unmedicated patients, antipsychotic resistance, cognitive biases, illusory correlation, clinical insight, psychotherapy of psychosis
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