对精神病进行超认知训练 (MCT) 是否能提高神经认知表现? 一个系统的审查和元分析
Clayton Jeffrey1, Danielle Penney2, Geneviève Sauvé3
1Douglas Research Centre, Montreal, Canada; Department of Psychiatry, McGill University, Montreal, Canada.
Schizophrenia research
|December 15, 2024
概括
对精神病的超认知训练 (MCT) 在精神分裂症谱系障碍患者中没有显著改善神经认知. 观察到的改善很可能是由于一般的学习效应,而不是干预本身.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
背景情况:
- 对精神病的超认知训练 (MCT) 对精神分裂症谱系障碍有希望,改善认知偏见和症状.
- MCT对神经认知的影响尚不清楚,需要进一步调查.
研究的目的:
- 综合审查MCT与精神病中的神经认知之间的关系.
- 确定MCT作为精神病的认知干预的附加值.
主要方法:
- 一项对14项研究 (1312个来源确定) 的系统审查和元分析.
- 包括12项研究 (11项RCT) 与673名参与者.
- 使用Hedge的g计算效应大小;使用Cochrane的Q进行调节者分析.
主要成果:
- 在MCT和对照组之间没有发现神经认知表现的显著差异 (g ≤0.1,p >0.05).
- 另外两项研究在叙述性综述中支持了这些发现.
结论:
- 与对照条件相比,MCT没有提供统计学上显著的神经认知益处.
- 观察到的神经认知改善很可能归因于一般的学习效应,而不是MCT的特异性.
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