Individualized metacognitive therapy program for patients with psychosis (MCT+): introduction of a novel approach for psychotic symptoms.
@article{Vitzthum2014IndividualizedMT,
title={Individualized metacognitive therapy program for patients with psychosis (MCT+): introduction of a novel approach for psychotic symptoms.},
author={Francesca Vitzthum and Ruth Veckenstedt and Steffen Moritz},
journal={Behavioural and cognitive psychotherapy},
year={2014},
volume={42 1},
pages={
105-10
}
}BACKGROUND
Metacognitive Group Training for Schizophrenia Patients (MCTg) focuses on dysfunctional thinking styles (e.g. cognitive biases) putatively involved in the formation and maintenance of delusions. Recently, the Individualized Metacognitive Therapy Program for Patients with Psychosis (MCT+), an extension of the group training, was released. MCT+ sessions aim to correct false metacognitive beliefs, which in turn should challenge a patient's personal delusional convictions.
AIMS
The…
Figures and Topics from this paper
21 Citations
Investigating the efficacy of an individualized metacognitive therapy program (MCT+) for psychosis: study protocol of a multi-center randomized controlled trial
- Psychology, MedicineBMC Psychiatry
- 2016
This is the first multi-center randomized controlled trial to test the efficacy of individualized MCT+ in a large sample of patients with psychosis, and seeks to elucidate mediating factors that promote versus impede symptom improvement across time.
Metacognitive therapy (MCT+) in patients with psychosis not receiving antipsychotic medication: A case study
- Psychology, MedicineFront. Psychol.
- 2015
Preliminary evidence is provided for the feasibility of MCT+ in treating patients not taking, or resistant to, antipsychotic medication in patients with active delusions who are not currently receiving psychotropic drugs.
Individualized Metacognitive Training (MCT+) Reduces Delusional Symptoms in Psychosis: A Randomized Clinical Trial
- Psychology, MedicineSchizophrenia bulletin
- 2019
This study adds further efficacy to the MCT program, and suggests that even brief psychotherapy can help to ameliorate the symptoms of psychosis.
Treatment A critical review of metacognitive training (MCT) for psychosis: Efficacy, proposed mechanisms of action and significance for functional outcomes
- Psychology, Medicine
- 2014
MCT represents a promising new direction in intervention research for psychosis that can complement standard treatment approaches as initial evidence indicates that improvement in the JTC bias contributes to better vocational outcomes and improved social relationships.
Metacognitive training for delusions (MCTd): effectiveness on data-gathering and belief flexibility in a Chinese sample
- Psychology, MedicineFront. Psychol.
- 2015
The results support the use of process-based interventions that target psychological mechanisms underlying specific psychotic symptoms as adjuncts to more conventional approaches.
A randomised controlled trial of metacognitive training for psychosis, depression, and belief flexibility.
- Psychology, MedicineJournal of affective disorders
- 2020
Effects of Group Cognitive-Behavioral Therapy in Young Patients in the Early Stage of Psychosis
- PsychologyPsychiatry investigation
- 2017
The group CBT program had a positive effect on subjective wellbeing, attitude toward treatment, perceived stress, and suspiciousness of young Korean patients with early psychosis.
Metacognitive training in patients recovering from a first psychosis: an experience sampling study testing treatment effects
- Psychology, MedicineEuropean Archives of Psychiatry and Clinical Neuroscience
- 2017
It is tentatively suggest that patients with an early psychosis seemed to benefit from MCT in emotional learning compared with the OT condition, and subsequent individual MCT (MCT+) may be indicated for stronger favorable effects on paranoid ideation.
Effects of a Korean version of the metacognitive training program for outpatients with schizophrenia on theory of mind, positive symptoms, and interpersonal relationships.
- Psychology, MedicineBehavioural and cognitive psychotherapy
- 2019
The results suggest that the MCT program can be a complementary psychotherapy that contributes to symptom relief and interpersonal functioning in patients with schizophrenia, and is effective in the Korean culture, beyond the Western context.
Metacognitive training: a useful complement to community-based rehabilitation for schizophrenia patients in China
- Psychology, MedicineBMC Psychiatry
- 2021
Preliminary evidence is provided for the usefulness of MCT as a complementary measure for community-based rehabilitation of schizophrenia patients and a significant improvement in SQLS psychosocial aspect.
References
SHOWING 1-8 OF 8 REFERENCES
Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia
- Psychology, MedicineCurrent opinion in psychiatry
- 2010
This review introduces new evidence on cognitive biases involved in the pathogenesis of schizophrenia and demonstrates how the MCT raises the patients' (metacognitive) awareness to detect and defuse such ‘cognitive traps’.
Cognitive Behavior Therapy for Schizophrenia: Effect Sizes, Clinical Models, and Methodological Rigor
- Psychology, MedicineSchizophrenia bulletin
- 2008
CBTp had beneficial effect on positive symptoms, however, psychological treatment trials that make no attempt to mask the group allocation are likely to have inflated effect sizes.
The Positive and Negative Syndrome Scale (PANSS): Rationale and Standardisation
- Psychology, MedicineBritish Journal of Psychiatry
- 1989
It is proposed that two distinct syndromes can be discerned from the phenomenological profiles, and the positive syndrome represents productive features superadded to the mental status and the negative syndrome represents absence of normal functions.
Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS).
- Psychology, MedicinePsychological medicine
- 1999
It is concluded that the PSYRATS are useful assessment instruments and can complement existing measures and have excellent inter-rater reliability.
Metacognitive Training for Patients with Schizophrenia (MCT). Hamburg: VanHam Campus
- 2010
Individualized Metacognitive Therapy Program for Patients with Psychosis (MCT+)
- 2011
