Metacognitive training for schizophrenia spectrum patients: a meta-analysis on outcome studies

@article{vanOosterhout2015MetacognitiveTF,
  title={Metacognitive training for schizophrenia spectrum patients: a meta-analysis on outcome studies},
  author={Bas van Oosterhout and Filip Smit and Lydia Krabbendam and S. Castelein and Anton B.P. Staring and Mark van der Gaag},
  journal={Psychological Medicine},
  year={2015},
  volume={46},
  pages={47 - 57}
}
Background. Metacognitive training (MCT) for schizophrenia spectrum is widely implemented. It is timely to systematically review the literature and to conduct a meta-analysis. Method. Eligible studies were selected from several sources (databases and expert suggestions). Criteria included comparative studies with a MCT condition measuring positive symptoms and/or delusions and/or data-gathering bias. Three meta-analyses were conducted on data gathering (three studies; 219 participants… Expand
View on Cambridge Press
dare.ubvu.vu.nl
52 Citations
Highly Influential Citations
3
Background Citations
7
Methods Citations
1
Results Citations
3

52 Citations

Citation Type

Citation Type

Efficacy of psychological interventions targeting cognitive biases in schizophrenia: A systematic review and meta-analysis.
TLDR
Cognitive biases are malleable via psychological interventions, which also exert, either directly or indirectly through reduced cognitive biases, beneficial effects on positive symptoms and insight. Expand
Can metacognitive interventions improve insight in schizophrenia spectrum disorders? A systematic review and meta-analysis
TLDR
Metacognitive interventions, particularly Metacognitive Training, appear to improve insight in patients with SSD, especially cognitive insight shortly after treatment, although long-term RCTs are needed to establish whether these metac cognitive interventions-related insight changes are sustained over a longer time period and result in better outcomes. Expand
Acceptance and Efficacy of Metacognitive Training (MCT) on Positive Symptoms and Delusions in Patients With Schizophrenia: A Meta-analysis Taking Into Account Important Moderators.
TLDR
This meta-analysis demonstrates that MCT exerts a small to moderate effect on delusions and positive symptoms and a large effect on acceptance of the intervention. Expand
The Efficacy of Metacognitive Training for Delusions in Patients With Schizophrenia: A Meta‐Analysis of Randomized Controlled Trials Informs Evidence‐Based Practice
TLDR
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. Expand
Group therapy for schizophrenia: A meta-analysis.
TLDR
A meta-analysis of randomized controlled trials of group treatment for people with schizophrenia tested the effectiveness of 7 frequently used group treatments on positive and negative symptoms and if treatment-specific outcome improvement was associated with improvement on schizophrenia symptoms. Expand
Moderators of Symptomatic Outcome in Metacognitive Training for Psychosis (MCT). Who Benefits and Who Does Not?
Metacognitive training (MCT) for psychosis is a group intervention targeted at reducing positive symptoms in schizophrenia through an improvement of cognitive biases in these patients. Despite… Expand
Effectiveness of metacognitive interventions for mental disorders in adults-A systematic review and meta-analysis (METACOG).
TLDR
Metacognitive interventions are likely to be effective in alleviating symptom severity in mental disorders and their add-on value against existing psychological interventions awaits to be established, potential advantages are their low threshold and economy. Expand
A randomised controlled trial of metacognitive training for psychosis, depression, and belief flexibility.
TLDR
Large and stable symptom reductions in delusions and depression, and smaller (yet stable) improvement in belief flexibility across groups, following a 4-session MCT are demonstrated, carrying implications for transdiagnostic process-based interventions and their mechanisms of change. Expand
Moderators of treatment efficacy in individualized metacognitive training for psychosis (MCT+).
TLDR
Patients with low self-esteem and those who are prone to jumping-to-conclusions seem to particularly benefit from MCT+, and these results can help inform clinical practice as they provide specific criteria for selecting patients for whom MCT+ is most appropriate. Expand
Is metacognitive training for psychosis effective?
Until the 1990s cognitive research in schizophrenia predominantly targeted ‘cold cognition’, that is deficits in neurocognitive faculties such as attention and memory impairment, which have been… Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 75 REFERENCES
Metacognitive training for schizophrenia: a systematic review
TLDR
More randomized trials that use standardized outcome measures, that use intention-to-treat analyses, and that follow-up participants at regular intervals after the intervention are needed to determine whether or not MCT should become a recommended adjunctive treatment for schizophrenia. Expand
Metacognitive training for patients with schizophrenia (MCT): feasibility and preliminary evidence for its efficacy.
TLDR
The present study confirms the feasibility of MCT and provides preliminary evidence for its efficacy ameliorating positive symptoms and the jumping to conclusions bias. Expand
Cognitive-behavioural therapy for the symptoms of schizophrenia: systematic review and meta-analysis with examination of potential bias.
TLDR
Cognitive-behavioural therapy has a therapeutic effect on schizophrenic symptoms in the 'small' range, which reduces further when sources of bias, particularly masking, are controlled for. Expand
Cognitive Behavior Therapy for Schizophrenia: Effect Sizes, Clinical Models, and Methodological Rigor
TLDR
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. Expand
Metacognitive group training for schizophrenia spectrum patients with delusions: a randomized controlled trial
TLDR
In the present study, MCT did not affect delusion scores and self-reported cognitive insight, or subjective experience of cognitive biases and metacognitive beliefs, and MCT was not cost-effective. Expand
Metacognitive training for schizophrenia: A multicentre randomised controlled trial
TLDR
It is indicated that the MCT has an effect on reducing positive symptomatology, and a trend impact on insight and social functioning, and underlines the need for specific approaches which target cognitive processes relevant for insight, and abilities in metacognition. Expand
Complementary group Metacognitive Training (MCT) reduces delusional ideation in schizophrenia
TLDR
MCT, a low-intensity training aimed at enhancing patients' awareness of cognitive biases subserving paranoia, led to improvement in delusion symptoms relative to the control condition and over and above the effects of antipsychotic medication. Expand
Further evidence for the efficacy of a metacognitive group training in schizophrenia.
TLDR
The present study confirms prior reports that MCT exerts beneficial effects on some cognitive and symptomatic parameters and reduces the rate of jumping to conclusions bias after training. Expand
Sustained and "sleeper" effects of group metacognitive training for schizophrenia: a randomized clinical trial.
TLDR
Metacognitive training demonstrated sustained effects in the reduction of delusions, which were over and above the effects of antipsychotic medication, and both self-esteem and quality of life were improved after 3 years. Expand
Sustained antipsychotic effect of metacognitive training in psychosis: A randomized-controlled study
TLDR
The results of this study indicate that MCT training has a surplus antipsychotic effect for patients suffering from schizophrenia-related disorders who demonstrate only a partial response to antipsychotics treatment and that the effect of the intervention persists for at least 6 months after the intervention. Expand
...
1
2
3
4
5
...