University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Martinistrasse 52, D-20246 Hamburg, Germany.
Behav Res Ther. 2011 Mar;49(3):151-7. doi: 10.1016/j.brat.2010.11.010. Epub 2010 Dec 7.
Metacognitive training (MCT) for patients with schizophrenia is a novel psychological group treatment targeting cognitive biases putatively involved in the pathogenesis of schizophrenia (e.g. jumping to conclusions, overconfidence in errors). Its eight modules are available cost-free online in many languages. In the present study, 36 subacute or remitted patients were randomly allocated to either the MCT or a wait-list group who received treatment-as-usual (TAU). Baseline and post assessments were 8 weeks apart and were performed blind to group status. MCT showed significantly greater improvement on the following parameters relative to the TAU group: delusion distress (PSYRATS), memory and social quality of life. In the MCT group, the rate of jumping to conclusions bias was reduced after training. No differences occurred on the PANSS. The present study confirms prior reports that MCT exerts beneficial effects on some cognitive and symptomatic parameters.
元认知训练（MCT）是一种针对精神分裂症患者的新型心理团体治疗方法，旨在针对精神分裂症发病机制中涉及的认知偏差（例如草率结论、错误过度自信）进行治疗。该治疗方法共有 8 个模块，以多种语言免费提供在线使用。在本研究中，36 名亚急性或缓解期的患者被随机分配到 MCT 组或等待名单组（即接受常规治疗）。基线和随访评估间隔 8 周，且评估人员对分组情况不知情。与常规治疗组相比，MCT 组在以下参数上有显著改善：妄想困扰（PSYRATS）、记忆和社会生活质量。在 MCT 组中，在训练后草率结论偏差的发生率有所降低。PANSS 评分无差异。本研究证实了之前的报告，即 MCT 对一些认知和症状参数有有益的影响。
