Affiliation:
1. Private Practice, Athens, Greece
2. Psychiatric Department for Adults, General Hospital G. Gennimatas, Athens, Greece
3. Private Practice, Hannover, Germany
Abstract
Abstract. This systematic review aimed to evaluate the efficacy of Cognitive Behavioral Therapy (CBT), META Cognitive Therapy (MCT), Metacognitive Training (MCTR), Metacognitive Reflection and Insight Therapy (MERIT), of various rehabilitation programs and of recovery programs in schizophrenia. Medline/Pubmed was searched for studies published in English from January 2010 to August 2018, which were screened against inclusion criteria by two reviewers. The methodological quality of the included studies was evaluated by two independent raters, which are the Effective Public Health Practice Project (EPHPP) quality assessment tool for quantitative studies and the fidelity criteria. The study included 41 RCTs and 12 case studies with n = 3,059 persons with schizophrenia. Cognitive Behavioral Therapy (CBT) proved to be superior in terms of the improvement of primary and secondary outcomes. MCT decreased positive symptoms and improved metacognitive capacity and insight. MCTR reduced positive symptoms and socially disruptive behavior. MERIT improved metacognitive capacity and insight. Rehabilitation programs were efficacious in the improvement of cognition, symptoms, and functional outcome. The recovery programs enhanced illness-management knowledge, attitudes toward medication and insights related to negative symptoms. It is recommended to combine the above evidence based psychotherapeutic interventions. Limitations of this systematic review are discussed toward the end of the essay. Some important factors have to be considered in the future have been mentioned.
Subject
General Psychology,Arts and Humanities (miscellaneous)
Cited by
3 articles.
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1. Recovery;Clinical Psychology and Cognitive Behavioral Psychotherapy;2023
2. Cognitive Behavioral Therapy, Metacognitive Therapies, and Rehabilitation and Further Developments in Mental Health;Clinical Psychology and Cognitive Behavioral Psychotherapy;2023
3. Schizophrenia;Clinical Psychology and Cognitive Behavioral Psychotherapy;2023