Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations
Background: Recent meta-analyses support the inclusion of cognitive behavioral therapy (CBT) in schizophrenia treatment. Metacognitive Training (MCT) for psychosis is a psychoeducational program derived from CBT, with most meta-analyses showing favorable results. Although meta-analyses are commonly...
| Autores: | , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universitat Politècnica de Catalunya (UPC) |
| Repositorio: | UPCommons. Portal del coneixement obert de la UPC |
| Idioma: | inglés |
| OAI Identifier: | oai:upcommons.upc.edu:2117/438939 |
| Acceso en línea: | https://hdl.handle.net/2117/438939 https://dx.doi.org/10.1192/j.eurpsy.2025.10027 |
| Access Level: | acceso abierto |
| Palabra clave: | MCT Metacognitive training Systematic review Grade recommendation Psychosis Schizophrenia Àrees temàtiques de la UPC::Ciències de la salut::Salut mental |
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Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations Goncalves, Adrien|||0009-0000-4834-3043 Ochoa Güerre, Susana|||0000-0001-6792-1080 Moritz, Steffen Gaweda, Lukasz Cavieres, Álvaro König, Caroline|||0000-0002-7543-8686 Fischer, Rabea Meinhart, Antonia Lamarca, María Ayesa Arriola, Rosa|||0000-0003-0570-5352 Balzan, Ryan|||0000-0003-2007-4317 Böge, Kerem|||0000-0001-8263-4936 Lecomte, Tania|||0000-0002-0340-3759 Raffard, Stéphane|||0000-0001-5563-0323 Berna, Fabrice MCT Metacognitive training Systematic review Grade recommendation Psychosis Schizophrenia Àrees temàtiques de la UPC::Ciències de la salut::Salut mental Background: Recent meta-analyses support the inclusion of cognitive behavioral therapy (CBT) in schizophrenia treatment. Metacognitive Training (MCT) for psychosis is a psychoeducational program derived from CBT, with most meta-analyses showing favorable results. Although meta-analyses are commonly used in clinical practice to guide evidence-based decision-making, the grading system provides complementary results by offering a structured approach for assessing the strength and reliability of evidence and deriving grades of recommendations accordingly. Methods: Our research applies the guidelines from the World Federation of Societies of Biological Psychiatry (WFSBP) to propose grades of recommendation for MCT for psychosis, analyzing 38 randomized controlled trials (RCTs) (n = 1942) and 10 meta63 analyses. The primary outcome was positive symptoms, with secondary measures including negative symptoms, general psychopathology, self-esteem, functioning, insight, and cognitive function. Results: Our findings are primarily based on the risks of bias attributed to RCTs (11 high, 19 moderate, 6 low) and, when necessary, on the overall confidence attributed to meta68 analyses (3 low, 7 critically low). According to the WFSBP guidelines, strong recommendations should be made for using MCT for psychosis to improve post-treatment positive symptoms, delusions, and total psychotic symptoms (WFSBP-grade 1). Limited recommendation (WFSBP-grade 2) could be made for using MCT to improve post72 treatment visuospatial abilities and to maintain benefits over time in psychopathology, functioning, self-esteem, episodic memory, and attention. Conclusions: MCT for psychosis is an evidence-based program, especially for positive symptoms, with long-lasting clinical benefits. These recommendations should be interpreted with caution given potential residual biases and heterogeneity among studies. Peer Reviewed https://hdl.handle.net/2117/438939 https://dx.doi.org/10.1192/j.eurpsy.2025.10027 |
| title |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| spellingShingle |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations Goncalves, Adrien|||0009-0000-4834-3043 MCT Metacognitive training Systematic review Grade recommendation Psychosis Schizophrenia Àrees temàtiques de la UPC::Ciències de la salut::Salut mental |
| title_short |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| title_full |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| title_fullStr |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| title_full_unstemmed |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| title_sort |
Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations |
| author |
Goncalves, Adrien|||0009-0000-4834-3043 |
| author_facet |
Goncalves, Adrien|||0009-0000-4834-3043 Ochoa Güerre, Susana|||0000-0001-6792-1080 Moritz, Steffen Gaweda, Lukasz Cavieres, Álvaro König, Caroline|||0000-0002-7543-8686 Fischer, Rabea Meinhart, Antonia Lamarca, María Ayesa Arriola, Rosa|||0000-0003-0570-5352 Balzan, Ryan|||0000-0003-2007-4317 Böge, Kerem|||0000-0001-8263-4936 Lecomte, Tania|||0000-0002-0340-3759 Raffard, Stéphane|||0000-0001-5563-0323 Berna, Fabrice |
| author_role |
author |
| author2 |
Ochoa Güerre, Susana|||0000-0001-6792-1080 Moritz, Steffen Gaweda, Lukasz Cavieres, Álvaro König, Caroline|||0000-0002-7543-8686 Fischer, Rabea Meinhart, Antonia Lamarca, María Ayesa Arriola, Rosa|||0000-0003-0570-5352 Balzan, Ryan|||0000-0003-2007-4317 Böge, Kerem|||0000-0001-8263-4936 Lecomte, Tania|||0000-0002-0340-3759 Raffard, Stéphane|||0000-0001-5563-0323 Berna, Fabrice |
| author2_role |
author author author author author author author author author author author author author author |
| topic |
MCT Metacognitive training Systematic review Grade recommendation Psychosis Schizophrenia Àrees temàtiques de la UPC::Ciències de la salut::Salut mental |
| topic_facet |
MCT Metacognitive training Systematic review Grade recommendation Psychosis Schizophrenia Àrees temàtiques de la UPC::Ciències de la salut::Salut mental |
| description |
Background: Recent meta-analyses support the inclusion of cognitive behavioral therapy (CBT) in schizophrenia treatment. Metacognitive Training (MCT) for psychosis is a psychoeducational program derived from CBT, with most meta-analyses showing favorable results. Although meta-analyses are commonly used in clinical practice to guide evidence-based decision-making, the grading system provides complementary results by offering a structured approach for assessing the strength and reliability of evidence and deriving grades of recommendations accordingly. Methods: Our research applies the guidelines from the World Federation of Societies of Biological Psychiatry (WFSBP) to propose grades of recommendation for MCT for psychosis, analyzing 38 randomized controlled trials (RCTs) (n = 1942) and 10 meta63 analyses. The primary outcome was positive symptoms, with secondary measures including negative symptoms, general psychopathology, self-esteem, functioning, insight, and cognitive function. Results: Our findings are primarily based on the risks of bias attributed to RCTs (11 high, 19 moderate, 6 low) and, when necessary, on the overall confidence attributed to meta68 analyses (3 low, 7 critically low). According to the WFSBP guidelines, strong recommendations should be made for using MCT for psychosis to improve post-treatment positive symptoms, delusions, and total psychotic symptoms (WFSBP-grade 1). Limited recommendation (WFSBP-grade 2) could be made for using MCT to improve post72 treatment visuospatial abilities and to maintain benefits over time in psychopathology, functioning, self-esteem, episodic memory, and attention. Conclusions: MCT for psychosis is an evidence-based program, especially for positive symptoms, with long-lasting clinical benefits. These recommendations should be interpreted with caution given potential residual biases and heterogeneity among studies. |
| publishDate |
2025 |
| format |
article |
| url |
https://hdl.handle.net/2117/438939 https://dx.doi.org/10.1192/j.eurpsy.2025.10027 |
| language |
eng |
| eu_rights_str_mv |
openAccess |
| institution |
Universitat Politècnica de Catalunya (UPC) |
| collection |
UPCommons. Portal del coneixement obert de la UPC |
| reponame_str |
UPCommons. Portal del coneixement obert de la UPC |
| instname_str |
Universitat Politècnica de Catalunya (UPC) |
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1878437709885734912 |
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2025 |
| author_browse |
Ayesa Arriola, Rosa|||0000-0003-0570-5352 Balzan, Ryan|||0000-0003-2007-4317 Berna, Fabrice Böge, Kerem|||0000-0001-8263-4936 Cavieres, Álvaro Fischer, Rabea Gaweda, Lukasz Goncalves, Adrien|||0009-0000-4834-3043 König, Caroline|||0000-0002-7543-8686 Lamarca, María Lecomte, Tania|||0000-0002-0340-3759 Meinhart, Antonia Moritz, Steffen Ochoa Güerre, Susana|||0000-0001-6792-1080 Raffard, Stéphane|||0000-0001-5563-0323 |
| score |
6,9303427 |