Effectiveness of Adding Metacognitive Training to Occupational Therapy in Patients With Schizophrenia Under Long-Term Hospitalization: A Pilot Randomized Controlled Trial
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View abstract on PubMed
Summary
This summary is machine-generated.Metacognitive training (MCT) combined with occupational therapy (OT) appears feasible for long-term hospitalized schizophrenia patients, potentially improving psychiatric symptoms, especially in older individuals. Cognitive function did not show significant improvement.
Area Of Science
- Psychiatry
- Cognitive Neuroscience
- Gerontology
Background
- Schizophrenia is a chronic mental illness often requiring long-term hospitalization.
- Long-term inpatients with schizophrenia frequently experience persistent psychiatric symptoms and cognitive deficits.
- Metacognitive training (MCT) is a therapeutic approach aimed at improving cognitive and emotional regulation.
Purpose Of The Study
- To investigate the effects of metacognitive training (MCT) combined with occupational therapy (OT) on psychiatric symptoms and cognitive function in long-term hospitalized schizophrenia patients.
- To assess the feasibility and potential benefits of MCT in an elderly, chronically hospitalized schizophrenia population.
- To explore age-related effects on cognitive function and treatment response.
Main Methods
- A randomized controlled trial involving long-term inpatients with schizophrenia in Japan.
- Participants were assigned to either occupational therapy (OT) plus 16 weekly MCT sessions or OT alone for four months.
- Cognitive function (MoCA-J), psychiatric symptoms (PANSS), cognitive insight (BCIS), and overall functioning (GAF) were assessed pre- and post-intervention.
Main Results
- Both groups showed upward trends in cognitive function (MoCA-J), with no significant between-group differences.
- A negative correlation between age and MoCA-J scores was observed.
- The OT+MCT group showed significant improvements in negative symptoms, general psychopathology, and total PANSS scores compared to OT alone, particularly in older participants (≥68 years).
Conclusions
- Metacognitive training (MCT) is feasible for long-term hospitalized elderly schizophrenia patients when combined with occupational therapy (OT).
- OT+MCT may be particularly beneficial for older patients in managing persistent psychiatric symptoms, though cognitive function did not significantly improve.
- Further research is needed to explore cognitive effects, optimal treatment parameters, and medication interactions.
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