Metacognitive skill training for schizophrenic patients

Conditions

Schizophrenia Mental and Behavioural Disorders Schizophrenia

Steffen Moritz, Ruth Veckenstedt, Christina Andreou, Francesca Bohn, Birgit Hottenrott et al. (13 authors)

JAMA Psychiatry2014-08-07160 citations

10.1001/jamapsychiatry.2014.1038

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 TS, Treszl A, Andreou C, Pfueller U, Roesch-Ely D.

2013-10-3078 citations

10.1016/j.schres.2013.10.007

Interventions

Experimental intervention: MetaCognitive skill Training (MCT) focusing on delusion-relevant metacognitive biases in schizophrenia. Control intervention:

sessions are scheduled twice weekly.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients diagnosed with schizophrenia spectrum disorder 2. Current or prior delusional symptoms 3. Informed consent 4. Clinical stability

Exclusion criteria

Exclusion criteria: 1. Age beyond 65 2. Severe brain damage 3. Intelligence Quotient (IQ) less than 70 4. More than or equal to five for ratings on hostility and non-cooperativeness and more than or equal to six on suspiciousness according to Positive And Negative Symptoms Scale (PANSS) interview 5. Incapacity to give informed consent

Design outcomes

Primary

Measure	Time frame
Current primary outcome measure as of 01/11/2012: A delusion score derived from the Positive and Negative Syndrome Scale (PANSS): sum score of items p1 (delusions), p5 (grandiosity) and p6 (suspiciousness) Previous primary outcome measures until 01/11/2012: 1. Decline on PANSS positive subscale from T1 (baseline) to T2 (four weeks/assessment immediately after the end of intervention) 2. Conventional algorithm (i.e., sum of PANSS positive items one to seven)	—

Measure

Time frame

Current primary outcome measure as of 01/11/2012: A delusion score derived from the Positive and Negative Syndrome Scale (PANSS): sum score of items p1 (delusions), p5 (grandiosity) and p6 (suspiciousness) Previous primary outcome measures until 01/11/2012: 1. Decline on PANSS positive subscale from T1 (baseline) to T2 (four weeks/assessment immediately after the end of intervention) 2. Conventional algorithm (i.e., sum of PANSS positive items one to seven)

—

Secondary

Measure	Time frame
1. Improvement of dysfunctional metacognitive biases (i.e., self-serving bias, jumping to conclusions bias, incorrigibility, over-confidence in errors, enhanced need for closure) 2. Subsequent to intervention represents secondary outcome parameter (i.e., difference T1-T2) Secondary analyses will include follow-up.	—

Countries

Germany

Outcome results

None listed