ABSTRACT

Background

Evidence of the effect of metacognitive and social cognitive impairment on the symptoms and functioning of patients diagnosed with schizophrenia led to the development of the Metacognitive Training. We hypothesise that improvement in these cognitive functions leads to less severe symptoms and to better adaptation to real-life social situations, which would be reflected in aspects of the patients’ demographic status.

Method

We report the additional findings of a randomised, controlled, single-blind study with a six-month follow-up period. We provided 36 patients with training to improve their metacognition and social cognition. The control group received treatment as usual. Symptom severity, measured by the PANSS scale, and demographic data were assessed at baseline and six months after the training.

Results

Compared to the control group, the intervention group showed less severe symptoms, and achieved more progress in demographic status. These steps may be statistically non-significant; yet, may represent crucial changes in some patients’ lives.

Discussion

Metacognitive Training is not only an appropriate method to decrease symptom severity, but the training of metacognitive and social cognitive functions can also contribute to a better adaptation to real-life.

中文翻译：

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基本人口统计结果：关于精神病元认知训练的单盲、随机、对照试验的附加结果

摘要

背景

元认知和社会认知障碍对诊断为精神分裂症患者的症状和功能的影响的证据导致了元认知训练的发展。我们假设这些认知功能的改善会导致症状减轻并更好地适应现实生活中的社会情况，这将反映在患者人口统计状况的各个方面。

方法

我们报告了一项为期六个月的随机、对照、单盲研究的额外发现。我们为 36 名患者提供了培训，以提高他们的元认知和社会认知。对照组照常接受治疗。在基线和训练后六个月评估症状严重程度，通过 PANSS 量表和人口统计数据进行评估。

结果

与对照组相比，干预组表现出较轻的症状，并且在人口统计状况方面取得了更大的进步。这些步骤可能在统计上不显着；然而，这可能代表了一些患者生活中的重大变化。

讨论

元认知训练不仅是降低症状严重程度的适当方法，而且元认知和社会认知功能的训练也有助于更好地适应现实生活。