Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10284/9159 |
Resumo: | Aim: To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia.Design: Randomized controlled trial. It was carried out between July 2019-February 2020. Methods: Fifty-six patients with schizophrenia were enrolled and randomly as- signed to either a control group (N = 29) or a metacognitive training group (N = 27). Blinded assessments were made at baseline, 1-week post-treatment and at follow-up 3 months after treatment. The primary outcome measure was psychotic symptoms based on the Psychotic Symptom Rating Scales (PSYRATS). Secondary outcomes were assessed by the Beck Cognitive Insight Scale (BCIS), the Personal and Social Performance (PSP) scale and the World Health Organization Disability Assessment Schedule (WHODAS). Results: Completion at follow-up was high (92.86%). The intention-to-treat analy- ses demonstrated that patients in the metacognitive training group had significantly greater improvements of the Psychotic Symptom Rating Scales delusion score and total score and the Personal and Social Performance Scale, after 3 months, compared with the control group. The effect size was medium to large. The intention-to-treat analyses also demonstrated that patients in the metacognitive training group had significantly greater reductions of the Psychotic Symptom Rating Scales hallucination score and Beck Cognitive Insight Scale self-certainty score post-treatment, compared with the control group. The effect size was medium to large. Conclusion: The metacognitive training administered by psychiatric and mental health nurses was effective in ameliorating delusions and social functioning over time and it immediately reduced hallucinations post-treatment. Impact: Metacognitive training for treating psychosis in patients with schizophrenia is efficacious and administration is clinically feasible in the Portuguese context. |
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Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trialBeck Cognitive Insight Scale (BCIS)Cognitive insightMental health nursingMetacognitive trainingPersonal and Social Performance (PSP) scalePsychiatric nursingPsychotic Symptom Rating Scales (PSYRATS)Psychotic symptomsRandomized controlled trialSchizophreniaSocial functioningAim: To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia.Design: Randomized controlled trial. It was carried out between July 2019-February 2020. Methods: Fifty-six patients with schizophrenia were enrolled and randomly as- signed to either a control group (N = 29) or a metacognitive training group (N = 27). Blinded assessments were made at baseline, 1-week post-treatment and at follow-up 3 months after treatment. The primary outcome measure was psychotic symptoms based on the Psychotic Symptom Rating Scales (PSYRATS). Secondary outcomes were assessed by the Beck Cognitive Insight Scale (BCIS), the Personal and Social Performance (PSP) scale and the World Health Organization Disability Assessment Schedule (WHODAS). Results: Completion at follow-up was high (92.86%). The intention-to-treat analy- ses demonstrated that patients in the metacognitive training group had significantly greater improvements of the Psychotic Symptom Rating Scales delusion score and total score and the Personal and Social Performance Scale, after 3 months, compared with the control group. The effect size was medium to large. The intention-to-treat analyses also demonstrated that patients in the metacognitive training group had significantly greater reductions of the Psychotic Symptom Rating Scales hallucination score and Beck Cognitive Insight Scale self-certainty score post-treatment, compared with the control group. The effect size was medium to large. Conclusion: The metacognitive training administered by psychiatric and mental health nurses was effective in ameliorating delusions and social functioning over time and it immediately reduced hallucinations post-treatment. Impact: Metacognitive training for treating psychosis in patients with schizophrenia is efficacious and administration is clinically feasible in the Portuguese context.Repositório Institucional da Universidade Fernando PessoaPinho, Lara Guedes deSequeira, CarlosSampaio, FranciscoRocha, NunoOZASLAN, ZEYNEPFerre‐Grau, Carme2021-11-22T01:30:18Z2020-11-22T00:00:00Z2020-11-22T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10284/9159eng10.1111/jan.14627info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-06T02:08:31Zoai:bdigital.ufp.pt:10284/9159Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:46:00.601769Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
title |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
spellingShingle |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial Pinho, Lara Guedes de Beck Cognitive Insight Scale (BCIS) Cognitive insight Mental health nursing Metacognitive training Personal and Social Performance (PSP) scale Psychiatric nursing Psychotic Symptom Rating Scales (PSYRATS) Psychotic symptoms Randomized controlled trial Schizophrenia Social functioning |
title_short |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
title_full |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
title_fullStr |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
title_full_unstemmed |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
title_sort |
Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial |
author |
Pinho, Lara Guedes de |
author_facet |
Pinho, Lara Guedes de Sequeira, Carlos Sampaio, Francisco Rocha, Nuno OZASLAN, ZEYNEP Ferre‐Grau, Carme |
author_role |
author |
author2 |
Sequeira, Carlos Sampaio, Francisco Rocha, Nuno OZASLAN, ZEYNEP Ferre‐Grau, Carme |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Institucional da Universidade Fernando Pessoa |
dc.contributor.author.fl_str_mv |
Pinho, Lara Guedes de Sequeira, Carlos Sampaio, Francisco Rocha, Nuno OZASLAN, ZEYNEP Ferre‐Grau, Carme |
dc.subject.por.fl_str_mv |
Beck Cognitive Insight Scale (BCIS) Cognitive insight Mental health nursing Metacognitive training Personal and Social Performance (PSP) scale Psychiatric nursing Psychotic Symptom Rating Scales (PSYRATS) Psychotic symptoms Randomized controlled trial Schizophrenia Social functioning |
topic |
Beck Cognitive Insight Scale (BCIS) Cognitive insight Mental health nursing Metacognitive training Personal and Social Performance (PSP) scale Psychiatric nursing Psychotic Symptom Rating Scales (PSYRATS) Psychotic symptoms Randomized controlled trial Schizophrenia Social functioning |
description |
Aim: To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia.Design: Randomized controlled trial. It was carried out between July 2019-February 2020. Methods: Fifty-six patients with schizophrenia were enrolled and randomly as- signed to either a control group (N = 29) or a metacognitive training group (N = 27). Blinded assessments were made at baseline, 1-week post-treatment and at follow-up 3 months after treatment. The primary outcome measure was psychotic symptoms based on the Psychotic Symptom Rating Scales (PSYRATS). Secondary outcomes were assessed by the Beck Cognitive Insight Scale (BCIS), the Personal and Social Performance (PSP) scale and the World Health Organization Disability Assessment Schedule (WHODAS). Results: Completion at follow-up was high (92.86%). The intention-to-treat analy- ses demonstrated that patients in the metacognitive training group had significantly greater improvements of the Psychotic Symptom Rating Scales delusion score and total score and the Personal and Social Performance Scale, after 3 months, compared with the control group. The effect size was medium to large. The intention-to-treat analyses also demonstrated that patients in the metacognitive training group had significantly greater reductions of the Psychotic Symptom Rating Scales hallucination score and Beck Cognitive Insight Scale self-certainty score post-treatment, compared with the control group. The effect size was medium to large. Conclusion: The metacognitive training administered by psychiatric and mental health nurses was effective in ameliorating delusions and social functioning over time and it immediately reduced hallucinations post-treatment. Impact: Metacognitive training for treating psychosis in patients with schizophrenia is efficacious and administration is clinically feasible in the Portuguese context. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-22T00:00:00Z 2020-11-22T00:00:00Z 2021-11-22T01:30:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10284/9159 |
url |
http://hdl.handle.net/10284/9159 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1111/jan.14627 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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