NDLI: Metacognitive training for patients with schizophrenia: preliminary evidence for a targeted, single-module programme.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Balzan, Ryan P. Delfabbro, Paul H. Galletly, Cherrie A. Woodward, Todd S.
Description	Country affiliation: Australia Author Affiliation: Balzan RP ( School of Psychology, Flinders University, Australia School of Psychology, University of Adelaide, Australia Discipline of Psychiatry, University of Adelaide, Australia drbalzan@gmail.com.); Delfabbro PH ( School of Psychology, University of Adelaide, Australia.); Galletly CA ( Discipline of Psychiatry, University of Adelaide, Australia.); Woodward TS ( Department of Psychiatry, University of British Columbia, Canada.)
Abstract	OBJECTIVE: Metacognitive training is an eight-module, group-based treatment programme for people with schizophrenia that targets the cognitive biases (i.e. problematic thinking styles) thought to contribute to the genesis and maintenance of delusions. The present article is an investigation into the efficacy of a shorter, more targeted, single-module metacognitive training programme, administered individually, which focuses specifically on improving cognitive biases that are thought to be driven by a 'hypersalience of evidence-hypothesis matches' mechanism (e.g. jumping to conclusions, belief inflexibility, reasoning heuristics, illusions of control). It was hypothesised that a more targeted metacognitive training module could still improve performance on these bias tasks and reduce delusional ideation, while improving insight and quality of life. METHOD: A sample of 28 patients diagnosed with schizophrenia and mild delusions either participated in the hour-long, single-session, targeted metacognitive training programme (n = 14), or continued treatment as usual (n = 14). All patients were assessed using clinical measures gauging overall positive symptomology, delusional ideation, quality of life and insight, and completed two cognitive bias tasks designed to elucidate the representativeness and illusion of control biases. RESULTS: After a 2-week, post-treatment interval, targeted metacognitive training patients exhibited significant decreases in delusional severity and conviction, significantly improved clinical insight, and significant improvements on the cognitive bias tasks, relative to the treatment-as-usual controls. Performance improvements on the cognitive bias tasks significantly correlated with the observed reductions in overall positive symptomology. Patients also evaluated the training positively. CONCLUSIONS: Although interpretations of these results are limited due to the lack of an optimally designed, randomised controlled trial and a small sample size, the results are promising and warrant further investigation into targeted versions of the metacognitive training programme.
File Format	HTM / HTML
ISSN	00048674
Issue Number	12
Volume Number	48
e-ISSN	14401614
Journal	Australian & New Zealand Journal of Psychiatry
Language	English
Publisher	Wiley
Publisher Date	2014-12-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Cognitive Therapy Methods Delusions Therapy Schizophrenia Schizophrenic Psychology Adult Psychology Female Humans Male Middle Aged Neuropsychological Tests Psychiatric Status Rating Scales Quality Of Life Retrospective Studies Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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