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Related Experiment Video

Updated: Dec 9, 2025

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

Metacognitive interpersonal therapy in group: a feasibility study.

Raffaele Popolo¹, Angus MacBeth², Stefano Brunello³

¹Centro di Terapia Metacognitiva Interpersonale, Rome, Italy.

Research in Psychotherapy (Milano)

|September 11, 2020

Summary

Metacognitive Interpersonal Therapy in Groups (MIT-G) effectively improved wellbeing and reduced emotional dysregulation in patients with personality disorders. This short-term group intervention showed sustained gains and high acceptability, suggesting its potential for wider use.

Keywords:

Effectiveness Group Metacognition Personality disorder Psychotherapy

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Area of Science:

Psychiatry
Clinical Psychology
Group Therapy

Background:

Patients with personality disorders (PDs) often exhibit social inhibition and emotional over-regulation, necessitating specialized interventions.
Poor metacognition and maladaptive interpersonal schemas characterize these individuals, impacting their daily functioning.
Existing treatments may not adequately address the specific needs of PDs with over-controlled emotional states.

Purpose of the Study:

To evaluate the effectiveness and acceptability of Metacognitive Interpersonal Therapy in Groups (MIT-G), a novel short-term group intervention.
To assess the replication of positive outcomes from a previous pilot study in a new cohort of patients.
To examine changes in metacognition, emotional dysregulation, alexithymia, and overall wellbeing.

Main Methods:

A 16-session group program (MIT-G) was administered to 17 young adult outpatients diagnosed with PDs.
Effect sizes were calculated for changes in symptoms, functioning (CORE-OM), metacognition, emotional dysregulation, and alexithymia from baseline to post-treatment.
Qualitative methods assessed treatment acceptability and subjective impact, with follow-up assessments to evaluate maintenance of gains.

Main Results:

MIT-G demonstrated medium to large effect sizes for improvements in wellbeing, emotion dysregulation, alexithymia, and metacognition.
Participants reported high acceptability of the treatment, with no drop-outs observed.
Clinically significant changes were noted across key outcome variables, with gains maintained at follow-up.

Conclusions:

MIT-G is an acceptable and effective intervention for personality disorders characterized by social inhibition and emotional over-regulation.
The therapy shows promise in enhancing metacognition and improving emotional and interpersonal functioning.
Further investigation in larger trials is warranted for broader dissemination of MIT-G.