Effets de l'entraînement métacognitif sur la conscience des idées délirantes

From a theoretical point of view, it is interesting to see that MCT had a specific effect on the most relevant variable, confirming certain independence between the variables included in the multidimensional concept of insight. Indeed, metacognitive training seeks to improve awareness of cognitive biases associated with delusions and leads to an improvement of awareness of delusions. The improvement of awareness of delusion did not appear to be associated with an increase in depression. This study has some limitations. First, these data are secondary outcomes (Favrod et al., 2014) and the sample size was calculated on the basis of the scale “delusions” of Psychotic Rating Scales. In this context, the size of the sample may not be large enough to detect effects. Second, depression is measured with the PANSS item G6 and not with a full-scale depression. However, this is an exploratory study to investigate the effect of an intervention on a specific variable of the concept of insight.