Metacognitive training for psychosis (MCT): past, present, and future

Steffen Moritz, Mahesh Menon, Ryan Balzan, Todd S. Woodward

Research output: Contribution to journalReview articlepeer-review

1 Downloads (Pure)

Abstract

This article provides an overview and retrospective on metacognitive training for psychosis (MCT), which first appeared approximately 2 decades ago. We recount how our empirical understanding of psychosis at that time led to the first preliminary version of the program. We describe setbacks and challenges that led to major changes, including revisions to existing modules (e.g., more focus on metacognitive variables, particularly on decision confidence as one of the primary targets of treatment) and the creation of new modules addressing mood, as well as attempts to improve sustainability of effects via homework exercises and a smartphone app (www.uke.de/mct_app). We have also enhanced dissemination efforts by creating new culturally sensitive language versions and facilitating low-threshold training through e-learning courses (www.uke.de/e-mct). Finally, we discuss several meta-analyses on the efficacy of MCT that have been published over the last decade. While reviews were initially inconsistent, possibly reflecting the insufficient statistical power and lower design quality of the first MCT studies, more recent meta-analyses have confirmed the efficacy of MCT on positive symptoms, insight, and cognitive biases, which has led to the inclusion of MCT in some national treatment guidelines for schizophrenia.

Original languageEnglish
Number of pages7
JournalEuropean Archives of Psychiatry and Clinical Neuroscience
Early online date25 Mar 2022
DOIs
Publication statusE-pub ahead of print - 25 Mar 2022

Keywords

  • Cognitive biases
  • Metacognitive training
  • Psychosis
  • Schizophrenia
  • Social cognition

Fingerprint

Dive into the research topics of 'Metacognitive training for psychosis (MCT): past, present, and future'. Together they form a unique fingerprint.

Cite this