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Letters   |    
Metacognition Training for Schizophrenia: A French Pilot Study
Malick Briki, M.D., Ph.D.; Pierre Vandel, M.D., Ph.D.; Emmanuel Haffen, M.D., Ph.D.; Daniel Sechter, M.D., Ph.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E32-E33. doi:10.1176/appi.neuropsych.13040090
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The authors report no financial relationships with commercial interests.

Clinical Psychiatry Dept., University Hospital of Dijon, Dijon, Bourgogne, France

Clinical Psychiatry Dept., University Hospital of Besançon, Besançon, Franche-comté France

Dept. of Psychiatry, University Hospital of Besançon, Besançon, Franche-comté, France

Clinical Psychiatry Dept., University Hospital of Besançon, Besançon, Franche-comté France

Send correspondence to Dr. Briki; e-mail: malick.briki@gmail.com

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: There is a need for psychological treatments for schizophrenia to enhance psychotropic effects. Resolving persistent symptoms and improving cognitive impairments and functional outcomes should be considered together. Metacognitive training (MCT) is a novel approach targeting cognitive biases that are assumed to play a role in the maintenance of psychotic symptoms.1 MCT has demonstrated its effectiveness in improving insight and in reducing psychopathology. This first pilot study conducted in France aimed to assess MCT impacts on social skills and mood in French in- and outpatients with schizophrenia.

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Figure 1. ILSS Evolution (pre-post: M0 versus M2)

Figure 2. CDSS Evolution (pre-post: M0 versus M2)
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References

Moritz  S;  Veckenstedt  R;  Randjbar  S  et al:  Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms.  Psychol Med 2011; 41:1823–1832
[CrossRef] | [PubMed]
 
Moritz  S;  Woodward  TS:  Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention.  Curr Opin Psychiatry 2007; 20:619–625
[CrossRef] | [PubMed]
 
Mintz  AR;  Dobson  KS;  Romney  DM:  Insight in schizophrenia: a meta-analysis.  Schizophr Res 2003; 61:75–88
[CrossRef] | [PubMed]
 
Crumlish  N;  Whitty  P;  Kamali  M  et al:  Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder.  Acta Psychiatr Scand 2005; 112:449–455
[CrossRef] | [PubMed]
 
Karow  A;  Pajonk  FG;  Reimer  J  et al:  The dilemma of insight into illness in schizophrenia: self- and expert-rated insight and quality of life.  Eur Arch Psychiatry Clin Neurosci 2008; 258:152–159
[CrossRef] | [PubMed]
 
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