Practical Implications of Metacognitively Oriented Psychotherapy in Psychosis: Findings From a Pilot Study

Steven de Jong*, Rozanne J. M. van Donkersgoed, Andre Aleman, Mark van der Gaag, Lex Wunderink, Johan Arends, Paul H. Lysaker, Marieke Pijnenborg

*Corresponding author for this work

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Abstract

In preparation for a multicenter randomized controlled trial, a pilot study was conducted investigating the feasibility and acceptance of a shortened version (12 vs. 40 sessions) of an individual metacognitive psychotherapy (Metacognitive Reflection and Insight Therapy [MERIT]). Twelve participants with a diagnosis of schizophrenia were offered 12 sessions of MERIT. Effect sizes were calculated for changes from baseline to treatment end for metacognitive capacity measured by the Metacognition Assessment ScaleAbbreviated. Nine of twelve patients finished treatment. However, nonsignificant moderate to large effect sizes were obtained on the primary outcome measure. This study is among the first to suggest that patients with schizophrenia will accept metacognitive therapy and evidence improvements in metacognitive capacity. Despite limitations typical to a pilot study, including a small sample size and lack of a control group, sufficient evidence of efficacy was obtained to warrant further investigation.

Original languageEnglish
Pages (from-to)713-716
Number of pages4
JournalJOURNAL OF NERVOUS AND MENTAL DISEASE
Volume204
Issue number9
DOIs
Publication statusPublished - Sep-2016

Keywords

  • Psychosis
  • schizophrenia
  • metacognition
  • psychotherapy
  • recovery
  • SCHIZOPHRENIA SPECTRUM DISORDER
  • QUALITY-OF-LIFE
  • INDIVIDUAL PSYCHOTHERAPY
  • INSIGHT
  • SCALE
  • ASSOCIATIONS
  • SYMPTOMS
  • CAPACITY
  • SELF
  • REFLECTION

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