Metacognitive reflection and insight therapy (MERIT) for patients with schizophrenia
| Autor: | Marieke E. Timmerman, André Aleman, M. aan het Rot, Paul H. Lysaker, Lex Wunderink, Johan Arends, Gerdina H. M. Pijnenborg, R. J. M. van Donkersgoed, S. de Jong, M. van der Gaag |
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| Přispěvatelé: | Clinical Psychology and Experimental Psychopathology, Psychometrics and Statistics, Perceptual and Cognitive Neuroscience (PCN), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Neuropsychology, Clinical Cognitive Neuropsychiatry Research Program (CCNP), Clinical Psychology, APH - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male SYMPTOMS media_common.quotation_subject Theory of Mind Metacognition Empathy law.invention CAPACITY 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) PSYCHOSIS Randomized controlled trial Social cognition law INTERNALIZED STIGMA Theory of mind Outcome Assessment Health Care Humans Interpersonal Relations Social Behavior Applied Psychology SCALE media_common ASSOCIATIONS SELF-REFLECTION INDIVIDUAL PSYCHOTHERAPY Cognition metacognition MERIT RCT Middle Aged Self Concept 030227 psychiatry Psychotherapy Psychiatry and Mental health Social Perception SOCIAL COGNITION Schizophrenia Female NEUROCOGNITION Psychology Neurocognitive 030217 neurology & neurosurgery Follow-Up Studies Clinical psychology |
| Zdroj: | Psychological Medicine, 49(2), 303-313. Cambridge University Press de Jong, S, van Donkersgoed, R J M, Timmerman, ME, aan het Rot, M, Wunderink, L, Arends, J, van der Gaag, M, Aleman, A, Lysaker, P H & Pijnenborg, G H M 2019, ' Metacognitive reflection and insight therapy (MERIT) for patients with schizophrenia ', Psychological Medicine, vol. 49, no. 2, pp. 303-313 . https://doi.org/10.1017/S0033291718000855 |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundImpaired metacognition is associated with difficulties in the daily functioning of people with psychosis. Metacognition can be divided into four domains: Self-Reflection, Understanding the Other's Mind, Decentration, and Mastery. This study investigated whether Metacognitive Reflection and Insight Therapy (MERIT) can be used to improve metacognition.MethodsThis study is a randomized controlled trial. Patients in the active condition (n = 35) received forty MERIT sessions, the control group (n = 35) received treatment as usual. Multilevel intention-to-treat and completers analyses were performed for metacognition and secondary outcomes (psychotic symptomatology, cognitive insight, Theory of Mind, empathy, depression, self-stigma, quality of life, social functioning, and work readiness).ResultsEighteen out of 35 participants finished treatment, half the drop-out stemmed from therapist attrition (N = 5) or before the first session (N = 4). Intention-to-treat analysis demonstrated that in both groups metacognition improved between pre- and post-measurements, with no significant differences between the groups. Patients who received MERIT continued to improve, while the control group returned to baseline, leading to significant differences at follow-up. Completers analysis (18/35) showed improvements on the Metacognition Assessment Scale (MAS-A) scales Self Reflectivity and metacognitive Mastery at follow-up. No effects were found on secondary outcomes.ConclusionsOn average, participants in the MERIT group were, based on MAS-A scores, at follow-up more likely to recognize their thoughts as changeable rather than as facts. MERIT might be useful for patients whose self-reflection is too limited to benefit from other therapies. Given how no changes were found in secondary measures, further research is needed. Limitations and suggestions for future research are discussed. |
| Databáze: | OpenAIRE |
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