The Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
University Medical Center Hamburg-Eppendorf, Germany.
J Nerv Ment Dis. 2022 Sep 1;210(9):655-658. doi: 10.1097/NMD.0000000000001512. Epub 2022 Mar 25.
Individuals with psychotic disorders have deficits in metacognition. Thirty-four adults with schizophrenia were randomized to 2 months of metacognitive training (MCT) or a healthy living skills control group. All participants were enrolled in a work therapy program, followed by a supported employment program. Assessments were conducted at baseline, at the end of the 2-month active intervention, and at 4- and 12-month follow-ups. At the end of active intervention, the MCT group demonstrated greater improvement and better work behavior relative to controls. At follow-up, the MCT group demonstrated significantly greater insight and fewer positive symptoms and a greater percentage were employed in the community. We speculate that being better able to think about one's thoughts, recognize biases in thinking, and correct those thoughts may aid in responding to workplace challenges and hence improve work outcomes.
患有精神病的个体在元认知方面存在缺陷。34 名精神分裂症患者被随机分配到 2 个月的元认知训练（MCT）或健康生活技能对照组。所有参与者都参加了工作治疗计划，然后参加了支持性就业计划。评估在基线时、2 个月的积极干预结束时以及 4 个月和 12 个月的随访时进行。在积极干预结束时，MCT 组相对于对照组表现出更大的改善和更好的工作行为。在随访时，MCT 组表现出明显更好的洞察力，更少的阳性症状，并且更多的人在社区中就业。我们推测，能够更好地思考自己的想法、认识到思维中的偏见并纠正这些想法，可能有助于应对工作场所的挑战，从而改善工作结果。
