Can metacognitive interventions improve insight in schizophrenia spectrum disorders? A systematic review and meta-analysis.

ABSTRACT:

Background

Patients with schizophrenia spectrum disorders (SSD) tend to lack insight, which is linked to poor outcomes. The effect size of previous treatments on insight changes in SSD has been small. Metacognitive interventions may improve insight in SSD, although this remains unproved.

Methods

We carried out a systematic review and meta-analysis of randomized controlled trials (RCTs) to examine the effects of metacognitive interventions designed for SSD, namely Metacognitive Training (MCT) and Metacognitive Reflection and Insight Therapy (MERIT), on changes in cognitive and clinical insight at post-treatment and at follow-up.

Results

Twelve RCTs, including 10 MCT RCTs (n = 717 participants) and two MERIT trials (n = 90), were selected, totalling N = 807 participants

SUBMITTER: Lopez-Morinigo JD 

PROVIDER: S-EPMC7610184 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature