کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6825047 | 548471 | 2014 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Metacognitive training for schizophrenia: A multicentre randomised controlled trial
ترجمه فارسی عنوان
آموزش فراشناختی برای اسکیزوفرنی: یک کارآزمایی کنترل شده تصادفی چندتایی
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کلمات کلیدی
جنون جوانی، بینش، بصیرت، درون بینی، تعصب شناختی، مطالعه تصادفی آموزش فراشناختی،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
علوم اعصاب رفتاری
چکیده انگلیسی
A psychotherapeutic approach for schizophrenia is now recommended as an adjuvant for psychopharmacology, since antipsychotic medications only have a partial impact especially as regards positive symptoms and insight. In addition, cognitive distortions and the lack of metacognitive skills might increase positive symptoms leading to poor social functioning. This underlines the need for specific approaches which target cognitive processes relevant for insight, and abilities in metacognition. Metacognitive training (MCT) is a structured group intervention, which enhances a patient's reflection on cognitive biases and improves problem-solving. The aim of our study was to assess MCTs' short term impact on insight, symptoms and quality of life. Fifty patients with schizophrenia or schizoaffective disorders and persistent positive symptoms (delusions or hallucinations) were enrolled in the study. After baseline assessment participants were randomised either to supportive therapy or MCT. Both groups used the same design (1Â h-session twice a week during 8Â weeks) although the basic knowledge given to participants was different between interventions. Participants were assessed at eight weeks based on the Scale to Assess Unawareness of Mental Disorder, Positive and Negative Syndrome Scale (PANSS), Psychotic Symptom Rating Scales, the Calgary Depression Scale for Schizophrenia and the Quality of Life Scale. Between-group differences were significant in favour of MCT on the PANSS positive scale. Between-group differences in post- and pre-test values showed a trend in favour of MCT for insight on hallucinations. Results of our study indicate that the MCT has an effect on reducing positive symptomatology, and a trend impact on insight and social functioning.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Schizophrenia Research - Volume 157, Issues 1â3, August 2014, Pages 99-106
Journal: Schizophrenia Research - Volume 157, Issues 1â3, August 2014, Pages 99-106
نویسندگان
Malick Briki, Julie Monnin, Emmanuel Haffen, Daniel Sechter, Jérôme Favrod, Christian Netillard, Elisabeth Cheraitia, Karine Marin, Svetlana Govyadovskaya, Grégory Tio, Bernard Bonin, Jean-Christophe Chauvet-Gelinier, Stéphanie Leclerc, Yann Hodé,