Nursing School of São João de Deus, University of Évora, Évora, Portugal.
Health School of the Portalegre Polytechnic Institute, Portalegre, Portugal.
J Adv Nurs. 2020 Jan;76(1):356-363. doi: 10.1111/jan.14240. Epub 2019 Nov 4.
To evaluate the efficacy of the Portuguese version of the metacognitive training (MCT) programme for schizophrenia and its effects on psychotic symptoms, insight into the disorder and functionality.
This is a randomized controlled trial that will be undertaken in six psychiatric institutions in Portugal.
This study was approved in March 2019. The sample will consist of people with schizophrenia. The evaluation instruments will include sociodemographic and clinical questionnaires, the Psychotic Symptom Rating Scales, the Beck Cognitive Insight Scale, the World Health Disability Assessment Schedule, and the Personal and Social Performance Scale, applied to both groups at three different times. In the experimental group, the eight MCT modules will be applied over 4 weeks.
It is expected that at the end of the programme, the experimental group will have reduced severity of psychotic symptoms and improved insight into the disease and functionality.
Schizophrenia is a severe mental disorder that, in most cases, leads to the deterioration of cognitive and social functioning as a result of psychotic symptoms. Metacognitive training for schizophrenia has been used in several countries, but its efficacy remains unclear. It is a type of programme that consists of changing the cognitive infrastructure of delusions.
评估葡萄牙版元认知训练（MCT）方案治疗精神分裂症的疗效及其对精神症状、疾病认知和功能的影响。
这是一项在葡萄牙六家精神病院进行的随机对照试验。
该研究于 2019 年 3 月获得批准。样本将包括精神分裂症患者。评估工具将包括社会人口学和临床问卷、精神病症状评定量表、贝克认知洞察量表、世界卫生组织残疾评估量表和个人和社会表现量表，两组患者将在三个不同时间点进行评估。在实验组中，将在 4 周内应用 8 个 MCT 模块。
预计在方案结束时，实验组的精神症状严重程度将降低，对疾病的认知和功能将得到改善。
精神分裂症是一种严重的精神障碍，大多数情况下会导致认知和社会功能因精神症状而恶化。元认知训练已在多个国家用于治疗精神分裂症，但疗效仍不清楚。它是一种改变妄想认知基础的方案。
