Psychological group interventions for the acute inpatient care setting are scarce. Whereas Metacognitive Training for patients with Psychosis (MCT) provides a widely accessible, easy-to-implement intervention for patients with mild to moderate symptoms, it is less adequate for the acute care setting with respect to length and density of information. We present the adaptation process and the resulting adaptation of MCT, MCT-Acute, for the acute inpatient care setting. We report the case of a first patient, NK, who participated in MCT-Acute during her mandated stay on the locked acute ward due to an exacerbation of schizophrenia. NK participated in MCT-Acute 12 times, evaluated the training overall as positive and reported that she used exercises she had learned during training to improve her mood. She also described changing her behaviour in everyday life to think more slowly and make less hasty decisions, which is a central topic discussed in MCT and MCT-Acute. Conducting an adapted version of MCT in the acute care setting is feasible, and the present case report suggests that MCT-Acute may be a useful complement to a multidisciplinary treatment plan to stabilize patients with severe mental illness in acute inpatient care.

中文翻译：

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“你是在教我们思考得更慢！”：适应急性护理环境的元认知训练——案例报告

急性住院护理环境中的心理团体干预很少。尽管针对精神病患者的元认知训练 (MCT) 为轻度至中度症状的患者提供了一种广泛可及且易于实施的干预措施，但就信息的长度和密度而言，它不太适合急性护理环境。我们介绍了 MCT（MCT-Acute）针对急性住院护理环境的适应过程和由此产生的适应。我们报告了第一位患者 NK 的病例，她在因精神分裂症恶化而被强制留在锁定的急性病房期间参加了 MCT-Acute。NK 参加了 12 次 MCT-Acute，对培训的总体评价是积极的，并报告说她使用在培训期间学到的练习来改善她的情绪。她还描述了在日常生活中改变自己的行为，以便更慢地思考并做出不那么仓促的决定，这是 MCT 和 MCT-Acute 中讨论的中心话题。在急性护理环境中进行改编版本的 MCT 是可行的，本病例报告表明，MCT-Acute 可能是对多学科治疗计划的有用补充，以稳定急性住院治疗中患有严重精神疾病的患者。