The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial
The aim of this study was to evaluate the effect of metacognitive training (MCT) on improving the neurocognitive function of Chinese patients with schizophrenia. One hundred inpatients with schizophrenia were selected by regional group randomization and divided into the control (treated as usual, TA...
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MDPI AG
2022-03-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/12/3/413 |
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| author | Can Wang Yue Chong Jiechun Zhang Yili Cao Yanbo Wang |
| author_facet | Can Wang Yue Chong Jiechun Zhang Yili Cao Yanbo Wang |
| author_sort | Can Wang |
| collection | DOAJ |
| description | The aim of this study was to evaluate the effect of metacognitive training (MCT) on improving the neurocognitive function of Chinese patients with schizophrenia. One hundred inpatients with schizophrenia were selected by regional group randomization and divided into the control (treated as usual, TAU) group (<i>n</i> = 50) and the TAU + MCT group (<i>n</i> = 50). In this study, a 10-module MCT was used and the intervention process lasted 30 days. Cognitive function was assessed blindly using the Repeatable Battery of Neuropsychological Status (RBANS) scale at baseline, 24 h post-treatment, and 12 weeks’ post-treatment. The differences between the total RBANS score and baseline (pre-test) for the post-test and 12-week-follow-up tests were used as the primary outcome, and the difference between the RBANS dimension scores and baseline (pre-test) were used as a secondary outcome in this study. The completion rate at follow-up was high in the TAU + MCT group (94%). Intention-to-treat analysis and per-protocol analysis showed a significant increase in total neurocognitive function scores and three-dimensional scores (delayed memory, visual breadth, and attention) in the TAU + MCT group immediately after the intervention and at the 12-week follow-up compared with baseline. This study provides support for the efficacy of 10 module MCT concerning neurocognition. |
| first_indexed | 2024-03-09T20:04:17Z |
| format | Article |
| id | doaj.art-e16e200736514a0d809021daff47fef8 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T20:04:17Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-e16e200736514a0d809021daff47fef82023-11-24T00:38:30ZengMDPI AGBrain Sciences2076-34252022-03-0112341310.3390/brainsci12030413The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled TrialCan Wang0Yue Chong1Jiechun Zhang2Yili Cao3Yanbo Wang4Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, 165 Sanlin Road, Shanghai 200124, ChinaSchool of Medicine, Tongji University, 500 Zhennan Road, Shanghai 201802, ChinaShanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, 165 Sanlin Road, Shanghai 200124, ChinaShanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, 165 Sanlin Road, Shanghai 200124, ChinaDivision of Medical Humanities and Behavioral Sciences, School of Medicine, Tongji University, 500 Zhennan Road, Shanghai 200092, ChinaThe aim of this study was to evaluate the effect of metacognitive training (MCT) on improving the neurocognitive function of Chinese patients with schizophrenia. One hundred inpatients with schizophrenia were selected by regional group randomization and divided into the control (treated as usual, TAU) group (<i>n</i> = 50) and the TAU + MCT group (<i>n</i> = 50). In this study, a 10-module MCT was used and the intervention process lasted 30 days. Cognitive function was assessed blindly using the Repeatable Battery of Neuropsychological Status (RBANS) scale at baseline, 24 h post-treatment, and 12 weeks’ post-treatment. The differences between the total RBANS score and baseline (pre-test) for the post-test and 12-week-follow-up tests were used as the primary outcome, and the difference between the RBANS dimension scores and baseline (pre-test) were used as a secondary outcome in this study. The completion rate at follow-up was high in the TAU + MCT group (94%). Intention-to-treat analysis and per-protocol analysis showed a significant increase in total neurocognitive function scores and three-dimensional scores (delayed memory, visual breadth, and attention) in the TAU + MCT group immediately after the intervention and at the 12-week follow-up compared with baseline. This study provides support for the efficacy of 10 module MCT concerning neurocognition.https://www.mdpi.com/2076-3425/12/3/413metacognitive trainingschizophreniametacognitioncognitive rehabilitation training |
| spellingShingle | Can Wang Yue Chong Jiechun Zhang Yili Cao Yanbo Wang The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial Brain Sciences metacognitive training schizophrenia metacognition cognitive rehabilitation training |
| title | The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial |
| title_full | The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial |
| title_fullStr | The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial |
| title_full_unstemmed | The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial |
| title_short | The Efficacy of Extended Metacognitive Training on Neurocognitive Function in Schizophrenia: A Randomized Controlled Trial |
| title_sort | efficacy of extended metacognitive training on neurocognitive function in schizophrenia a randomized controlled trial |
| topic | metacognitive training schizophrenia metacognition cognitive rehabilitation training |
| url | https://www.mdpi.com/2076-3425/12/3/413 |
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