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Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis

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Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis. / Ochoa, S; López-Carrilero, R; Barrigón, M L; Pousa, E; Barajas, A; Lorente-Rovira, E; González-Higueras, F; Grasa, E; Ruiz-Delgado, I; Cid, J; Birulés, I; Esteban-Pinos, I; Casañas, R; Luengo, A; Torres-Hernández, P; Corripio, I; Montes-Gámez, M; Beltran, M; De Apraiz, A; Domínguez-Sánchez, L; Sánchez, E; Llacer, B; Pélaez, T; Bogas, J L; Moritz, S; Spanish Metacognition Study Group.

In: PSYCHOL MED, Vol. 47, No. 9, 07.2017, p. 1573-1584.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Ochoa, S, López-Carrilero, R, Barrigón, ML, Pousa, E, Barajas, A, Lorente-Rovira, E, González-Higueras, F, Grasa, E, Ruiz-Delgado, I, Cid, J, Birulés, I, Esteban-Pinos, I, Casañas, R, Luengo, A, Torres-Hernández, P, Corripio, I, Montes-Gámez, M, Beltran, M, De Apraiz, A, Domínguez-Sánchez, L, Sánchez, E, Llacer, B, Pélaez, T, Bogas, JL, Moritz, S & Spanish Metacognition Study Group 2017, 'Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis', PSYCHOL MED, vol. 47, no. 9, pp. 1573-1584. https://doi.org/10.1017/S0033291716003421

APA

Ochoa, S., López-Carrilero, R., Barrigón, M. L., Pousa, E., Barajas, A., Lorente-Rovira, E., González-Higueras, F., Grasa, E., Ruiz-Delgado, I., Cid, J., Birulés, I., Esteban-Pinos, I., Casañas, R., Luengo, A., Torres-Hernández, P., Corripio, I., Montes-Gámez, M., Beltran, M., De Apraiz, A., ... Spanish Metacognition Study Group (2017). Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis. PSYCHOL MED, 47(9), 1573-1584. https://doi.org/10.1017/S0033291716003421

Vancouver

Ochoa S, López-Carrilero R, Barrigón ML, Pousa E, Barajas A, Lorente-Rovira E et al. Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis. PSYCHOL MED. 2017 Jul;47(9):1573-1584. https://doi.org/10.1017/S0033291716003421

Bibtex

@article{97ae9db0ab17432294a0615ab47fe5e3,
title = "Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis",
abstract = "BACKGROUND: Aims were to assess the efficacy of metacognitive training (MCT) in people with a recent onset of psychosis in terms of symptoms as a primary outcome and metacognitive variables as a secondary outcome.METHOD: A multicenter, randomized, controlled clinical trial was performed. A total of 126 patients were randomized to an MCT or a psycho-educational intervention with cognitive-behavioral elements. The sample was composed of people with a recent onset of psychosis, recruited from nine public centers in Spain. The treatment consisted of eight weekly sessions for both groups. Patients were assessed at three time-points: baseline, post-treatment, and at 6 months follow-up. The evaluator was blinded to the condition of the patient. Symptoms were assessed with the PANSS and metacognition was assessed with a battery of questionnaires of cognitive biases and social cognition.RESULTS: Both MCT and psycho-educational groups had improved symptoms post-treatment and at follow-up, with greater improvements in the MCT group. The MCT group was superior to the psycho-educational group on the Beck Cognitive Insight Scale (BCIS) total (p = 0.026) and self-certainty (p = 0.035) and dependence self-subscale of irrational beliefs, comparing baseline and post-treatment. Moreover, comparing baseline and follow-up, the MCT group was better than the psycho-educational group in self-reflectiveness on the BCIS (p = 0.047), total BCIS (p = 0.045), and intolerance to frustration (p = 0.014). Jumping to Conclusions (JTC) improved more in the MCT group than the psycho-educational group (p = 0.021). Regarding the comparison within each group, Theory of Mind (ToM), Personalizing Bias, and other subscales of irrational beliefs improved in the MCT group but not the psycho-educational group (p < 0.001-0.032).CONCLUSIONS: MCT could be an effective psychological intervention for people with recent onset of psychosis in order to improve cognitive insight, JTC, and tolerance to frustration. It seems that MCT could be useful to improve symptoms, ToM, and personalizing bias.",
keywords = "Journal Article",
author = "S Ochoa and R L{\'o}pez-Carrilero and Barrig{\'o}n, {M L} and E Pousa and A Barajas and E Lorente-Rovira and F Gonz{\'a}lez-Higueras and E Grasa and I Ruiz-Delgado and J Cid and I Birul{\'e}s and I Esteban-Pinos and R Casa{\~n}as and A Luengo and P Torres-Hern{\'a}ndez and I Corripio and M Montes-G{\'a}mez and M Beltran and {De Apraiz}, A and L Dom{\'i}nguez-S{\'a}nchez and E S{\'a}nchez and B Llacer and T P{\'e}laez and Bogas, {J L} and S Moritz and {Spanish Metacognition Study Group}",
year = "2017",
month = jul,
doi = "10.1017/S0033291716003421",
language = "English",
volume = "47",
pages = "1573--1584",
journal = "PSYCHOL MED",
issn = "0033-2917",
publisher = "Cambridge University Press",
number = "9",

}

RIS

TY - JOUR

T1 - Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis

AU - Ochoa, S

AU - López-Carrilero, R

AU - Barrigón, M L

AU - Pousa, E

AU - Barajas, A

AU - Lorente-Rovira, E

AU - González-Higueras, F

AU - Grasa, E

AU - Ruiz-Delgado, I

AU - Cid, J

AU - Birulés, I

AU - Esteban-Pinos, I

AU - Casañas, R

AU - Luengo, A

AU - Torres-Hernández, P

AU - Corripio, I

AU - Montes-Gámez, M

AU - Beltran, M

AU - De Apraiz, A

AU - Domínguez-Sánchez, L

AU - Sánchez, E

AU - Llacer, B

AU - Pélaez, T

AU - Bogas, J L

AU - Moritz, S

AU - Spanish Metacognition Study Group

PY - 2017/7

Y1 - 2017/7

N2 - BACKGROUND: Aims were to assess the efficacy of metacognitive training (MCT) in people with a recent onset of psychosis in terms of symptoms as a primary outcome and metacognitive variables as a secondary outcome.METHOD: A multicenter, randomized, controlled clinical trial was performed. A total of 126 patients were randomized to an MCT or a psycho-educational intervention with cognitive-behavioral elements. The sample was composed of people with a recent onset of psychosis, recruited from nine public centers in Spain. The treatment consisted of eight weekly sessions for both groups. Patients were assessed at three time-points: baseline, post-treatment, and at 6 months follow-up. The evaluator was blinded to the condition of the patient. Symptoms were assessed with the PANSS and metacognition was assessed with a battery of questionnaires of cognitive biases and social cognition.RESULTS: Both MCT and psycho-educational groups had improved symptoms post-treatment and at follow-up, with greater improvements in the MCT group. The MCT group was superior to the psycho-educational group on the Beck Cognitive Insight Scale (BCIS) total (p = 0.026) and self-certainty (p = 0.035) and dependence self-subscale of irrational beliefs, comparing baseline and post-treatment. Moreover, comparing baseline and follow-up, the MCT group was better than the psycho-educational group in self-reflectiveness on the BCIS (p = 0.047), total BCIS (p = 0.045), and intolerance to frustration (p = 0.014). Jumping to Conclusions (JTC) improved more in the MCT group than the psycho-educational group (p = 0.021). Regarding the comparison within each group, Theory of Mind (ToM), Personalizing Bias, and other subscales of irrational beliefs improved in the MCT group but not the psycho-educational group (p < 0.001-0.032).CONCLUSIONS: MCT could be an effective psychological intervention for people with recent onset of psychosis in order to improve cognitive insight, JTC, and tolerance to frustration. It seems that MCT could be useful to improve symptoms, ToM, and personalizing bias.

AB - BACKGROUND: Aims were to assess the efficacy of metacognitive training (MCT) in people with a recent onset of psychosis in terms of symptoms as a primary outcome and metacognitive variables as a secondary outcome.METHOD: A multicenter, randomized, controlled clinical trial was performed. A total of 126 patients were randomized to an MCT or a psycho-educational intervention with cognitive-behavioral elements. The sample was composed of people with a recent onset of psychosis, recruited from nine public centers in Spain. The treatment consisted of eight weekly sessions for both groups. Patients were assessed at three time-points: baseline, post-treatment, and at 6 months follow-up. The evaluator was blinded to the condition of the patient. Symptoms were assessed with the PANSS and metacognition was assessed with a battery of questionnaires of cognitive biases and social cognition.RESULTS: Both MCT and psycho-educational groups had improved symptoms post-treatment and at follow-up, with greater improvements in the MCT group. The MCT group was superior to the psycho-educational group on the Beck Cognitive Insight Scale (BCIS) total (p = 0.026) and self-certainty (p = 0.035) and dependence self-subscale of irrational beliefs, comparing baseline and post-treatment. Moreover, comparing baseline and follow-up, the MCT group was better than the psycho-educational group in self-reflectiveness on the BCIS (p = 0.047), total BCIS (p = 0.045), and intolerance to frustration (p = 0.014). Jumping to Conclusions (JTC) improved more in the MCT group than the psycho-educational group (p = 0.021). Regarding the comparison within each group, Theory of Mind (ToM), Personalizing Bias, and other subscales of irrational beliefs improved in the MCT group but not the psycho-educational group (p < 0.001-0.032).CONCLUSIONS: MCT could be an effective psychological intervention for people with recent onset of psychosis in order to improve cognitive insight, JTC, and tolerance to frustration. It seems that MCT could be useful to improve symptoms, ToM, and personalizing bias.

KW - Journal Article

U2 - 10.1017/S0033291716003421

DO - 10.1017/S0033291716003421

M3 - SCORING: Journal article

C2 - 28166848

VL - 47

SP - 1573

EP - 1584

JO - PSYCHOL MED

JF - PSYCHOL MED

SN - 0033-2917

IS - 9

ER -