Kühne Franziska, Meister Ramona, Jansen Alessa, Härter Martin, Moritz Steffen, Kriston Levente
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Psychology, University of Postdam, Potsdam, Germany.
BMJ Open. 2017 Jun 22;7(6):e015428. doi: 10.1136/bmjopen-2016-015428.
Whereas the efficacy of cognitive-behavioural therapy has been demonstrated for a variety of mental disorders, there is still need for improvement, especially regarding less prevalent or more severe disorders. Recently, metacognitive interventions have been developed and are now available for a variety of diagnoses. Still, a systematic review investigating the effectiveness of different metacognitive interventions for various mental disorders is missing.
Randomised controlled trials (RCTs), cross-over and cluster RCTs and non-randomised controlled trials on metacognitive interventions (ie, metacognitive therapy, metacognitive training, others) in adults with any mental disorder will be included. As comparators, another psychological or pharmacological treatment, a combined psychological and pharmacological treatment, treatment as usual or no active treatment are eligible. Outcomes refer to efficacy and acceptability of metacognitive interventions.
In light of the popularity of metacognitive interventions, the systematic review will provide researchers, clinicians and patients with substantial information on the intervention's effectiveness across different mental disorders. Results will be published in peer-reviewed journals and disseminated through a patient workshop.
尽管认知行为疗法对多种精神障碍的疗效已得到证实，但仍有改进的空间，尤其是对于不太常见或更严重的障碍。最近，元认知干预措施已被开发出来，目前可用于多种诊断。然而，尚缺乏一项系统评价来研究不同元认知干预措施对各种精神障碍的有效性。
将纳入针对患有任何精神障碍的成年人进行的关于元认知干预措施（即元认知疗法、元认知训练等）的随机对照试验（RCT）、交叉试验和整群RCT以及非随机对照试验。作为对照，另一种心理或药物治疗、心理和药物联合治疗、常规治疗或无积极治疗均符合条件。结局指标涉及元认知干预措施的疗效和可接受性。
鉴于元认知干预措施的普及，该系统评价将为研究人员、临床医生和患者提供有关该干预措施在不同精神障碍中的有效性的大量信息。研究结果将发表在同行评审期刊上，并通过患者研讨会进行传播。
