Improvement in cognitive biases after group psychoeducation and metacognitive training in recent-onset psychosis: A randomized crossover clinical trial

•We studied changes in cognitive biases after group therapy in recent-onset psychosis.•A randomized crossover pilot clinical trial was conducted in stable patients.•Metacognitive therapy (MCT) and psychoeducation (PE) were administered.•Two sequences were compared: MCT + PE vs PE + MCT.•Cognitive bi...

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Bibliographic Details
Published in:Psychiatry research 2018-12, Vol.270, p.720-723
Main Authors: Ahuir, Maribel, Cabezas, Ángel, Miñano, Maria José, Algora, Maria José, Estrada, Francesc, Solé, Montse, Gutiérrez-Zotes, Alfonso, Tost, Meritxell, Barbero, Juan David, Montalvo, Itziar, Sánchez-Gistau, Vanessa, Monreal, José Antonio, Vilella, Elisabet, Palao, Diego, Labad, Javier
Format: Article
Language:English
Subjects:
Adolescent
Adult
Antipsychotic Agents - therapeutic use
Cognitive Behavioral Therapy - methods
Combined Modality Therapy
Cross-Over Studies
Culture
Depressive Disorder - diagnosis
Depressive Disorder - psychology
Depressive Disorder - therapy
Female
Humans
Male
Metacognition
Patient Education as Topic - methods
Pilot Projects
Psychoeducation
Psychosis
Psychotherapy, Group - methods
Psychotic Disorders - diagnosis
Psychotic Disorders - psychology
Psychotic Disorders - therapy
Treatment Outcome
Young Adult
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Summary:•We studied changes in cognitive biases after group therapy in recent-onset psychosis.•A randomized crossover pilot clinical trial was conducted in stable patients.•Metacognitive therapy (MCT) and psychoeducation (PE) were administered.•Two sequences were compared: MCT + PE vs PE + MCT.•Cognitive biases and depressive symptoms improved similarly in both groups. Metacognitive training (MCT) improves cognitive biases in psychosis. We aimed to explore whether the effectiveness of the combination of psychoeducation and MCT group treatments on cognitive biases differed if the combination was started by psychoeducation or by MCT. Fourty-nine stable patients with a recent-onset psychosis were randomized to two different sequences: MCT + psychoeducation vs psychoeducation + MCT. Cognitive biases, psychopathology symptoms, insight and functioning were assessed. Cognitive biases and depressive symptoms improved with both group interventions, without differential effects between both sequences. Our study suggests that MCT and psychoeducation are useful in improving cognitive biases and depressive symptoms in recent-onset psychosis.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2018.10.066