通过元认知反思与洞察疗法（MERIT）促进心理健康康复：一项系统文献综述
[Promoting mental health recovery through metacognitive reflection and insight therapy (MERIT): A systematic literature review].
作者信息
Violeau Louis, Valery Kévin-Marc, Waintraub Marc-Olivier, Prouteau Antoinette, Lysaker Paul
机构信息
Unité de remédiation cognitive et d'évaluation, centre hospitalier Edouard-Toulouse, 13015 Marseille, France.
EA 4139, LabPsy, université de Bordeaux, 33000 Bordeaux, France; Association proSpairs, 33400 Talence, France.
出版信息
Encephale. 2025 Apr;51(2):202-211. doi: 10.1016/j.encep.2024.06.004. Epub 2024 Oct 5.
OBJECTIVES
To demonstrate the effects of a metacognitive reflection and insight therapy (MERIT) in people suffering from psychiatric disorders.
METHOD
A systematic review was carried out on PubMed, PsychInfo, Psycharticles and Psychological and Behavioral Science Collection from 1980 to 2024.
RESULTS
The review included five randomized controlled studies, four observational group studies and 22 case studies with quantitative measures. Analyses indicated that MERIT significantly increases metacognitive abilities to reflect on oneself and others, as well as mastery of one's strategies. In addition, some studies found an improvement in insight and symptomatology. Most studies included participants with psychotic disorders.
CONCLUSION
MERIT is an effective therapy for promoting subjective recovery by improving metacognitive abilities in people with psychotic disorders. However, further studies are needed to generalize this result to other psychiatric disorders.
目的
证明元认知反思与洞察疗法（MERIT）对患有精神疾病的人的疗效。
方法
对1980年至2024年期间在PubMed、PsychInfo、Psycharticles以及心理学与行为科学数据库中进行了系统综述。
结果
该综述纳入了五项随机对照研究、四项观察组研究以及22项有定量测量的案例研究。分析表明，MERIT显著提高了对自己和他人进行反思的元认知能力，以及对自身策略的掌握。此外，一些研究发现洞察力和症状有所改善。大多数研究的参与者患有精神障碍。
结论
MERIT是一种通过提高精神障碍患者的元认知能力来促进主观康复的有效疗法。然而，需要进一步的研究将这一结果推广到其他精神疾病。
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