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Effects of Metacognitive Training on Cognitive Insight in a Sample of Patients with Schizophrenia

Author

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  • Miguel Simón-Expósito

    (Clinical Psychologist, SESPE, Regional Government of Extremadura, 1003 Cáceres, Spain)

  • Elena Felipe-Castaño

    (Lecturer in Psychological Treatment, Evaluation & Personality, University of Extremadura, 1003 Cáceres, Spain)

Abstract

Metacognitive training (MCT) is a group intervention that addresses cognitive biases and distortions that could help maintain delusions and hallucinations in people with schizophrenia. This program has proven its effectiveness in reducing the symptoms, but its impact on cognitive insight has scarcely been investigated. Therefore, the aim of the study was to assess the program’s impact on cognitive insight in patients with long-term schizophrenia. A sample of 22 patients with schizophrenia was divided into two groups: one received 16 sessions of MCT ( n = 11), while the other received the usual treatment ( n = 11). They were assessed using the Beck Cognitive Insight Scale which measures two components, self-reflection and self-certainty, and the Positive and Negative Syndrome Scale (PANSS). The experimental group showed high levels of adherence, an increase in self-reflection, and a decrease in self-assurance levels as hypothesized. We found statistically significant differences between the control and experimental groups in excitation, hostility, positive symptomatology total score, hallucinatory behavior, and suspicion. In the usual treatment group, a non-significant decrease in positive symptoms was also observed. The findings showed that the implementation of the MCT program in real clinical settings can contribute to an improvement in the metacognitive ability and symptomatology of people with schizophrenia.

Suggested Citation

  • Miguel Simón-Expósito & Elena Felipe-Castaño, 2019. "Effects of Metacognitive Training on Cognitive Insight in a Sample of Patients with Schizophrenia," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4541-:d:287778
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    References listed on IDEAS

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    1. Sarah Randjbar & Ruth Veckenstedt & Francesca Vitzthum & Birgit Hottenrott & Steffen Moritz, 2011. "Attributional biases in paranoid schizophrenia: Further evidence for a decreased sense of self‐causation in paranoia," Psychosis, Taylor & Francis Journals, vol. 3(1), pages 74-85.
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