'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.

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@article{30c2fe9c484641cf86a7dfe68fb6ad2a,
title = "'You are trying to teach us to think more slowly!' Adapting Metacognitive Training for the acute care setting-A case report",
abstract = "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.",
keywords = "Female, Humans, Cognitive Behavioral Therapy/methods, Metacognition, Psychotic Disorders/therapy, Schizophrenia/therapy, Treatment Outcome",
author = "Rabea Fischer and Jakob Scheunemann and Alison Bohlender and Patric Duletzki and Matthias Nagel and Steffen Moritz",
note = "{\textcopyright} 2022 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.",
year = "2022",
month = nov,
doi = "10.1002/cpp.2755",
language = "English",
volume = "29",
pages = "1877--1885",
journal = "CLIN PSYCHOL PSYCHOT",
issn = "1063-3995",
publisher = "John Wiley and Sons Ltd",
number = "6",

}

RIS

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 -