'You are trying to teach us to think more slowly!' Adapting Metacognitive Training for the acute care setting-A case report
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'You are trying to teach us to think more slowly!' Adapting Metacognitive Training for the acute care setting-A case report. / Fischer, Rabea; Scheunemann, Jakob; Bohlender, Alison; Duletzki, Patric; Nagel, Matthias; Moritz, Steffen.
In: CLIN PSYCHOL PSYCHOT, Vol. 29, No. 6, 11.2022, p. 1877-1885.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - 'You are trying to teach us to think more slowly!' Adapting Metacognitive Training for the acute care setting-A case report
AU - Fischer, Rabea
AU - Scheunemann, Jakob
AU - Bohlender, Alison
AU - Duletzki, Patric
AU - Nagel, Matthias
AU - Moritz, Steffen
N1 - © 2022 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.
PY - 2022/11
Y1 - 2022/11
N2 - Psychological group interventions for the acute inpatient care setting are scarce. Whereas Metacognitive Training for patients with Psychosis (MCT) provides a widely accessible, easy-to-implement intervention for patients with mild to moderate symptoms, it is less adequate for the acute care setting with respect to length and density of information. We present the adaptation process and the resulting adaptation of MCT, MCT-Acute, for the acute inpatient care setting. We report the case of a first patient, NK, who participated in MCT-Acute during her mandated stay on the locked acute ward due to an exacerbation of schizophrenia. NK participated in MCT-Acute 12 times, evaluated the training overall as positive and reported that she used exercises she had learned during training to improve her mood. She also described changing her behaviour in everyday life to think more slowly and make less hasty decisions, which is a central topic discussed in MCT and MCT-Acute. Conducting an adapted version of MCT in the acute care setting is feasible, and the present case report suggests that MCT-Acute may be a useful complement to a multidisciplinary treatment plan to stabilize patients with severe mental illness in acute inpatient care.
AB - Psychological group interventions for the acute inpatient care setting are scarce. Whereas Metacognitive Training for patients with Psychosis (MCT) provides a widely accessible, easy-to-implement intervention for patients with mild to moderate symptoms, it is less adequate for the acute care setting with respect to length and density of information. We present the adaptation process and the resulting adaptation of MCT, MCT-Acute, for the acute inpatient care setting. We report the case of a first patient, NK, who participated in MCT-Acute during her mandated stay on the locked acute ward due to an exacerbation of schizophrenia. NK participated in MCT-Acute 12 times, evaluated the training overall as positive and reported that she used exercises she had learned during training to improve her mood. She also described changing her behaviour in everyday life to think more slowly and make less hasty decisions, which is a central topic discussed in MCT and MCT-Acute. Conducting an adapted version of MCT in the acute care setting is feasible, and the present case report suggests that MCT-Acute may be a useful complement to a multidisciplinary treatment plan to stabilize patients with severe mental illness in acute inpatient care.
KW - Female
KW - Humans
KW - Cognitive Behavioral Therapy/methods
KW - Metacognition
KW - Psychotic Disorders/therapy
KW - Schizophrenia/therapy
KW - Treatment Outcome
U2 - 10.1002/cpp.2755
DO - 10.1002/cpp.2755
M3 - SCORING: Journal article
C2 - 35586971
VL - 29
SP - 1877
EP - 1885
JO - CLIN PSYCHOL PSYCHOT
JF - CLIN PSYCHOL PSYCHOT
SN - 1063-3995
IS - 6
ER -