Metacognitive training for psychosis (MCT): past, present, and future

Springer Science and Business Media LLC - Tập 273 Số 4 - Trang 811-817 - 2023
Steffen Moritz1, Mahesh Menon2, Ryan Balzan3, Todd S. Woodward4
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
2Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
3College of Education, Psychology and Social Work, Flinders University, Bedford Park, SA, Australia
4Mental Health and Addictions Research Institute, Vancouver, BC, Canada

Tóm tắt

AbstractThis article provides an overview and retrospective on metacognitive training for psychosis (MCT), which first appeared approximately 2 decades ago. We recount how our empirical understanding of psychosis at that time led to the first preliminary version of the program. We describe setbacks and challenges that led to major changes, including revisions to existing modules (e.g., more focus on metacognitive variables, particularly on decision confidence as one of the primary targets of treatment) and the creation of new modules addressing mood, as well as attempts to improve sustainability of effects via homework exercises and a smartphone app (www.uke.de/mct_app). We have also enhanced dissemination efforts by creating new culturally sensitive language versions and facilitating low-threshold training through e-learning courses (www.uke.de/e-mct). Finally, we discuss several meta-analyses on the efficacy of MCT that have been published over the last decade. While reviews were initially inconsistent, possibly reflecting the insufficient statistical power and lower design quality of the first MCT studies, more recent meta-analyses have confirmed the efficacy of MCT on positive symptoms, insight, and cognitive biases, which has led to the inclusion of MCT in some national treatment guidelines for schizophrenia.

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Springer Science and Business Media LLC

Tập 273 Số 4

811-817

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