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

Psychological Medicine

Volumn 46, Issue 1, 2016, Pages 47-57

  Van Oosterhout, B ^a   Smit, F ^b,c,d   Krabbendam, L ^e   Castelein, S ^f,g   Staring, A B P ^h   Van Der Gaag, M ^d,i  

^a GGzE Foundation for Mental Health Care Eindhoven en de Kempen   (Netherlands)

^b NETHERLANDS INSTITUTE OF MENTAL HEALTH AND ADDICTION   (Netherlands)

^c VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^d UNIVERSITY OF AMSTERDAM   (Netherlands)

^e VU UNIVERSITY AMSTERDAM   (Netherlands)

^f Lentis   (Netherlands)

^g UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^h Altrecht Psychiatric Institute   (Netherlands)

ⁱ PARNASSIA PSYCHIATRIC INSTITUTE   (Netherlands)

Author keywords

Cognitive biases; metacognitive training; psychosis; schizophrenia

Indexed keywords

COGNITIVE THERAPY; HUMAN; META ANALYSIS; METACOGNITION; OUTCOME ASSESSMENT; PATHOPHYSIOLOGY; PHYSIOLOGY; PSYCHOLOGY; SCHIZOPHRENIA;

COGNITIVE THERAPY; HUMANS; METACOGNITION; OUTCOME ASSESSMENT (HEALTH CARE); SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY;

EID: 84949537592     PISSN: 00332917     EISSN: 14698978     Source Type: Journal    
DOI: 10.1017/S0033291715001105     Document Type: Article

References (58)

1. Abdel-Hamid M, Lehmkamper C, Sonntag C, Juckel G, Daum I, Brune M (2009). Theory of mind in schizophrenia: The role of clinical symptomatology and neurocognition in understanding other people's thoughts and intentions. Psychiatry Research 165, 19-26.
2. Aghotor J, Pfueller U, Moritz S, Weisbrod M, Roesch-Ely D (2010). Metacognitive training for patients with schizophrenia (MCT): feasibility and preliminary evidence for its efficacy. Journal of Behavior Therapy and Experimental Psychiatry 41, 207-211.
3. Balzan RP, Delfabbro PH, Galletly CA, Woodward TS (2014). Metacognitive training for patients with schizophrenia: preliminary evidence for a targeted, single-module programme. Australian and New Zealand Journal of Psychiatry 48, 1126-1136.
4. Bennett K, Corcoran R (2010). Biases in everyday reasoning: Associations with subclinical anxiety, depression and paranoia. Psychosis 2, 227-237.
5. Bentall RP, Rowse G, Shryane N, Kinderman P, Howard R, Blackwood N, Moore R, Corcoran R (2009). The cognitive and affective structure of paranoid delusions: A transdiagnostic investigation of patients with schizophrenia spectrum disorders and depression. Archives of General Psychiatry 66, 236-247. Metacognitive training for schizophrenia spectrum patients 55
6. Briki M, Monnin J, Haffen E, Sechter D, Favrod J, Netillard C, Cheraitia E,Marin K, Govyadovskaya S, Tio G, Bonin B, Chauvet-Gelinier JC, Leclerc S, Hode Y, Vidailhet P, Berna F, Bertschy AZ, Vandel P (2014). Metacognitive training for schizophrenia: A multicentre randomised controlled trial. Schizophrenia Research 157, 99-106.
7. Burns AM, Erickson DH, Brenner CA (2014). Cognitive-behavioral therapy for medication-resistant psychosis: A meta-analytic review. Psychiatric Services 65, 874-880.
8. Colbert SM, Peters ER (2002). Need for closure and jumping-to-conclusions in delusion-prone individuals. Journal of Nervous and Mental Disease 190, 27-31.
9. Colbert SM, Peters ER, Garety PA (2010). Delusions and belief flexibility in psychosis. Psychology and Psychotherapy: Theory, Research and Practice 83, 45-57.
10. Craig JS, Hatton C, Craig FB, Bentall RP (2004). Persecutory beliefs, attributions and theory of mind: comparison of patients with paranoid delusions, Asperger's syndrome and healthy controls. Schizophrenia Research 69, 29-33.
11. Cuijpers P, Driessen E, Hollon SD, van Oppen P, Barth J, Andersson G (2012). The efficacy of non-directive supportive therapy for adult depression: A meta-analysis. Clinical Psychology Review 32, 280-291.
12. Duval S, Tweedie R (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56, 455-463.
13. Erawati E, Keliat BA, Helena N, Hamid A (2014). The influence of metacognitive training on delusion severity and metacognitive ability in schizophrenia. Journal of Psychiatric and Mental Health Nursing 21, 841-847.
14. Favrod J, Maire A, Bardy S, Pernier S, Bonsack C (2011). Improving insight into delusions: A pilot study of metacognitive training for patients with schizophrenia. Journal of Advanced Nursing 67, 401-407.
15. Favrod J, Rexhaj S, Bardy S, Ferrari P, Hayoz C, Moritz S, Conus P, Bonsack C (2014). Sustained antipsychotic effect of metacognitive training in psychosis: A randomizedcontrolled study. European Psychiatry 29, 275-281.
16. Fernyhough C, Jones SR, Whittle C, Waterhouse J, Bentall RP (2008). Theory of mind, schizotypy, and persecutory ideation in young adults. Cognitive Neuropsychiatry 13, 233-249.
17. Ferwerda J, de Boer K, van der GaagM(2010). Metacognitive training for patients with psychotic vulnerability [in Dutch]. Directieve Therapie 30, 263-279.
18. Fine C, GardnerM, Craigie J, Gold I (2007). Hopping, skipping or jumping to conclusions? Clarifying the role of the JTC bias in delusions. Cognitive Neuropsychiatry 12, 46-77.
19. Freeman D (2007). Suspicious minds: The psychology of persecutory delusions. Clinical Psychological Review 27, 425-457.
20. Freeman D, Startup H, Dunn G, Cernis E, Wingham G, Pugh K, Cordwell J, Mander H, Kingdon D (2014). Understanding jumping to conclusions in patients with persecutory delusions: working memory and intolerance of uncertainty. Psychological Medicine 44, 3017-3024.
21. Garety PA, Freeman D, Jolley S, Dunn G, Bebbington PE, Fowler DG, Kuipers E, Dudley R (2005). Reasoning, emotions, and delusional conviction in psychosis. Journal of Abnormal Psychology 114, 373-384.
22. Garety PA, Hemsley DR, Wessely S (1991). Reasoning in deluded schizophrenic and paranoid patients. Biases in performance on a probabilistic inference task. Journal of Nervous and Mental Disease 179, 194-201.
23. Garety PA, Kuipers E, Fowler D, Freeman D, Bebbington PE (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine 31, 189-195.
24. Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003). Measuring inconsistency in meta-analyses. British Medical Journal 327, 557-560.
25. Janssen I, Versmissen D, Campo JA, Myin-Germeys I, van Os J, Krabbendam L (2006). Attribution style and psychosis: evidence for an externalizing bias in patients but not in individuals at high risk. Psychological Medicine 36, 771-778.
26. Jauhar S, McKenna PJ, Radua J, Fung E, Salvador R, Laws KR (2014). Cognitive-behavioural therapy for the symptoms of schizophrenia: systematic review and meta-analysis with examination of potential bias. British Journal of Psychiatry 204, 20-29.
27. Kaney S, Bentall RP (1989). Persecutory delusions and attributional style. British Journal of Medical Psychology 62, 191-198.
28. Kinderman P, Bentall RP (1997). Causal attributions in paranoia and depression: internal, personal, and situational attributions for negative events. Journal of Abnormal Psychology 106, 341-345.
29. Kumar D, Zia Ul Haq M, Dubey I, Dotivala KN, Veqar Siddiqui S, Prakash R, Abhishek P, Nizamie SH (2010). Effect of meta-cognitive training in the reduction of positive symptoms in schizophrenia. European Journal of Psychotherapy and Counselling 12, 149-158.
30. Kuokkanen R, Lappalainen R, Repo-Tiihonen E, Tiihonen J (2014). Metacognitive group training for forensic and dangerous non-forensic patients with schizophrenia: A randomised controlled feasibility trial. Criminal Behaviour and Mental Health 24, 345-357.
31. Langdon R, Still M, Connors MH,Ward PB, Catts SV (2013). Attributional biases, paranoia, and depression in early psychosis. British Journal of Clinical Psychology 52, 408-423.
32. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Moher D (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Medicine 6, e1000100.
33. McKay R, Langdon R, Coltheart M (2007). Jumping to delusions? Paranoia, probabilistic reasoning, and need for closure. Cognitive Neuropsychiatry 12, 362-376.
34. Moritz S, Kerstan A, Veckenstedt R, Randjbar S, Vitzthum F, Schmidt C, Heise M, Woodward TS (2011a). Further evidence for the efficacy of a metacognitive group training in schizophrenia. Behaviour Research and Therapy 49, 151-157.
35. Moritz S, Veckenstedt R, Andreou C, Bohn F, Hottenrott B, Leighton L, Kother U,Woodward TS, Treszl A, Menon M, Schneider BC, Pfueller U, Roesch-Ely D (2014). Sustained and "sleeper" effects of group metacognitive training for schizophrenia: A randomized clinical trial. JAMA Psychiatry 71, 1103-1111.
36. Moritz S, Veckenstedt R, Bohn F, Hottenrott B, Scheu F, Randjbar S, Aghotor J, Kother U,Woodward TS, Treszl A, Andreou C, Pfueller U, Roesch-Ely D (2013). Complementary group metacognitive training (MCT) reduces delusional ideation in schizophrenia. Schizophrenia Research 151, 61-69.
37. Moritz S, Veckenstedt R, Randjbar S, Vitzthum F, Woodward TS (2011b). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine 41, 1823-1832.
38. Moritz S, Woodward TS (2005). Jumping to conclusions in delusional and non-delusional schizophrenic patients. British Journal of Clinical Psychology 44, 193-207.
39. Moritz S, Woodward TS (2007). Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry 20, 619-625.
40. Morrison AP (2001). The interpretation of intrusions in psychosis: An integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy 29, 257-276.
41. National Institute of Clinical Excellence (2009). Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care (Update). National Institute of Clinical Excellence: London, UK.
42. Naughton M, Nulty A, Abidin Z, Davoren M, O'Dwyer S, Kennedy HG (2012). Effects of group metacognitive training (MCT) on mental capacity and functioning in patients with psychosis in a secure forensic psychiatric hospital: A prospective-cohort waiting list controlled study. BMC Research Notes 5, 302.
43. Rocha NB, Queiros C (2013). Metacognitive and social cognition training (MSCT) in schizophrenia: A preliminary efficacy study. Schizophrenia Research 150, 64-68.
44. Ross K, Freeman D, Dunn G, Garety P (2011). A randomized experimental investigation of reasoning training for people with delusions. Schizophrenia Bulletin 37, 324-333.
45. So SH, Garety PA, Peters ER, Kapur S (2010). Do antipsychotics improve reasoning biases? A review. Psychosomatic Medicine 72, 681-693.
46. Tarrier N, Wykes T (2004). Is there evidence that cognitive behaviour therapy is an effective treatment for schizophrenia? A cautious or cautionary tale? Behaviour Research and Therapy 42, 1377-1401.
47. Turner DT, van der Gaag M, Karyotaki E, Cuijpers P (2014). Psychological interventions for psychosis: A meta-analysis of comparative outcome studies. American Journal of Psychiatry 171, 523-538.
48. Van Dael F, Versmissen D, Janssen I, Myin-Germeys I, van Os J, Krabbendam L (2006). Data gathering: biased in psychosis? Schizophrenia Bulletin 32, 341-351.
49. van der Gaag M (2006). A neuropsychiatric model of biological and psychological processes in the remission of delusions and auditory hallucinations. Schizophrenia Bulletin 32 (Suppl. 1), S113-S122.
50. van der Gaag M, Hoffman T, Remijsen M, Hijman R, de Haan L, van Meijel B, van Harten PN, Valmaggia L, de Hert M, Cuijpers A, Wiersma D (2006). The five-factor model of the Positive and Negative Syndrome Scale II: A ten-fold cross-validation of a revised model. Schizophrenia Research 85, 280-287.
51. van der Gaag M, Valmaggia LR, Smit F (2014). The effects of individually tailored formulation-based cognitive behavioural therapy in auditory hallucinations and delusions: A meta-analysis. Schizophrenia Research 156, 30-37.
52. van Oosterhout B, Krabbendam L, de Boer K, Ferwerda J, van der Helm M, Stant AD, van der Gaag M (2014). Metacognitive group training for schizophrenia spectrum patients with delusions: A randomized controlled trial. Psychological Medicine 44, 3025-3035.
53. Versmissen D, Janssen I, Myin-Germeys I, Mengelers R, Campo JA, van Os J, Krabbendam L (2008). Evidence for a relationship between mentalising deficits and paranoia over the psychosis continuum. Schizophrenia Research 99, 103-110.
54. Walston F, Blennerhassett RC, Charlton BG (2000). "Theory of mind", persecutory delusions and the somatic marker mechanism. Cognitive Neuropsychiatry 5, 161-174.
55. Woodward TS, Moritz S, Menon M, Klinge R (2008). Belief inflexibility in schizophrenia. Cognitive Neuropsychiatry 13, 267-277.
56. Wykes T, Steel C, Everitt B, Tarrier N (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin 34, 523-537.
57. Young HF, Bentall RP (1997). Probabilistic reasoning in deluded, depressed and normal subjects: effects of task difficulty and meaningful versus non-meaningful material. Psychological Medicine 27, 455-465.
58. Zimmermann G, Favrod J, Trieu VH, Pomini V (2005). The effect of cognitive behavioral treatment on the positive symptoms of schizophrenia spectrum disorders: A meta-analysis. Schizophrenia Research 77, 1-9.