Kim Sung-Wan, Hyun Sumi, Kim Jae-Kyoung, Kim Honey, Jhon Min, Kim Ju-Wan, Park Cheol, Lee Ju-Yeon, Kim Jae-Min
Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Mindlink, Gwangju Bukgu Community Mental Health Center, Gwangju, Republic of Korea.
Early Interv Psychiatry. 2023 Jan;17(1):29-38. doi: 10.1111/eip.13288. Epub 2022 Mar 26.
To investigate group metacognitive training and cognitive-behavioural therapy (MCT/CBT) prospectively in a young population with various psychiatric disorders, including psychotic and mood disorders.
This was a prospective study to investigate the effectiveness of group MCT/CBT on quality of life, psychotic symptoms, depression, self-esteem, perceived stress, social function and social cognition. The objective measures included the Positive and Negative Syndrome Scale (PANSS), clinical global impression (CGI), personal and social performance scale for social functioning, a computerized continuous performance test for sustained attention and a computerized emotional recognition test for social cognition. Self-report measures administered included the Subjective Well-being under Neuroleptics for quality of life, Ambiguous Intentions Hostility Questionnaire for suspiciousness, Drug Attitude Inventory, Beck Depression Inventory, Perceived Stress Scale, Brief Resilience Scale, Rosenberg Self-esteem Scale and visual analogue scale for the EQ-5D.
Among 110 young patients with early psychosis and mood disorders who participated, 82 (74.5%) completed the study. Social functioning, quality of life, self-esteem, resilience, depression, suspiciousness, social cognition, sustained attention and scores on the PANSS and CGI improved significantly after completing group MCT/CBT. Perceived stress, resilience and suspiciousness improved significantly only in participants with a non-psychotic disorder. Improvements in subjective well-being of the participants were associated with increases in self-esteem and resilience and decreases in depression and perceived stress.
Our study showed that group transdiagnostic MCT/CBT for young patients with mental illness improved subjective wellbeing, self-esteem, resilience, social cognition and social functioning and significantly diminished suspiciousness, perceived stress and depression.
前瞻性地研究团体元认知训练和认知行为疗法（MCT/CBT）对患有各种精神疾病（包括精神病性和情绪障碍）的年轻人群的效果。
这是一项前瞻性研究，旨在调查团体MCT/CBT对生活质量、精神病性症状、抑郁、自尊、感知压力、社会功能和社会认知的有效性。客观测量包括阳性和阴性症状量表（PANSS）、临床总体印象（CGI）、社会功能个人和社会表现量表、用于持续注意力的计算机化连续性能测试以及用于社会认知的计算机化情绪识别测试。所采用的自我报告测量包括用于生活质量的抗精神病药物下的主观幸福感量表、用于猜疑的模糊意图敌意问卷、药物态度量表、贝克抑郁量表、感知压力量表、简易复原力量表、罗森伯格自尊量表以及EQ-5D的视觉模拟量表。
在参与研究的110名患有早期精神病和情绪障碍的年轻患者中，82名（74.5%）完成了研究。完成团体MCT/CBT后，社会功能、生活质量、自尊、复原力、抑郁、猜疑、社会认知、持续注意力以及PANSS和CGI评分均有显著改善。仅在患有非精神病性障碍的参与者中，感知压力、复原力和猜疑有显著改善。参与者主观幸福感的改善与自尊和复原力的增加以及抑郁和感知压力的降低相关。
我们的研究表明，针对患有精神疾病的年轻患者的团体跨诊断MCT/CBT改善了主观幸福感、自尊、复原力、社会认知和社会功能，并显著减少了猜疑、感知压力和抑郁。
