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Related Experiment Video

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Metacognitive training modified for negative symptoms: A feasibility study.

Linda Swanson1,2,3, Matthias Schwannauer1, Tim Bird1

  • 1Section of Clinical and Health Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.

Clinical Psychology & Psychotherapy
|November 18, 2021
PubMed
Summary
This summary is machine-generated.

A new psychological intervention, modified metacognitive training for negative symptoms (MCT-N), shows promise for patients with significant negative symptoms. The treatment is feasible and associated with improvements in depression, stigma, and reflective functioning.

Keywords:
depressionmentalizationmetacognitive trainingnegative symptomsstigma

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Interventions

Background:

  • Negative symptoms are a core feature of several psychiatric disorders, significantly impacting patient functioning and quality of life.
  • Despite their importance, effective psychological interventions specifically targeting negative symptoms remain scarce.
  • This study addresses the unmet need for interventions focused on negative symptom treatment.

Purpose of the Study:

  • To pilot a modified metacognitive training program (MCT-N) designed for patients with prominent negative symptoms.
  • To assess the feasibility and preliminary efficacy of MCT-N.
  • To explore potential mechanisms, including depression, stigma, and reflective functioning, that may mediate improvements in negative symptoms.

Main Methods:

  • A mixed methods case series design was employed.
  • Quantitative data were collected to track changes over time.
  • Qualitative interviews were conducted to gain in-depth understanding of the intervention's impact and mechanisms.

Main Results:

  • The MCT-N intervention demonstrated good feasibility, evidenced by high attendance rates and positive feedback from participants and the clinical team.
  • Participants showed improvements in negative symptoms following the intervention.
  • Multilevel modeling indicated that reductions in depression, internalized stigma, and enhanced reflective functioning explained the variance in negative symptom improvement.

Conclusions:

  • The pilot study suggests that MCT-N is a feasible intervention for patients with prominent negative symptoms.
  • Improvements in negative symptoms appear to be partially mediated by concurrent improvements in depression, internalized stigma, and reflective functioning.
  • These findings support further investigation of MCT-N in larger clinical trials.