Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized...

Area of Science:

• Psychiatry
• Clinical Psychology

Background:

• Metacognitive training (MCT) is a group intervention for psychosis combining cognitive-behavioral therapy and psychoeducation.
• MCT effectively reduces psychotic symptoms and corrects cognitive biases.
• Patient satisfaction with MCT is understudied but crucial for treatment adherence and success.

Purpose of the Study:

• To systematically review randomized clinical trials assessing patient satisfaction with MCT in adults with psychotic spectrum disorders.

Main Methods:

• A systematic review of randomized clinical trials was conducted.
• Searches were performed in Embase, MEDLINE, PsycINFO, and CENTRAL.
• PRISMA guidelines and Cochrane Risk of Bias Tool were used; evidence certainty was assessed using GRADE.

Main Results:

• Patient satisfaction was the primary outcome in 3 of 10 reviewed studies.
• Compared to other interventions, MCT showed significantly higher satisfaction in 2 of 4 comparative studies.
• Most participants found MCT comprehensible, important, recommendable, and valued the group setting, expressing high overall satisfaction.

Conclusions:

• Evidence suggests MCT is associated with high patient satisfaction in clinical trials focused on this outcome.
• Further research is needed to confirm these findings, particularly for extended versions of MCT.