Metacognitive group training for forensic and dangerous non-forensic patients with schizophrenia: A randomised controlled feasibility trial

摘要: BACKGROUND: In schizophrenia, the presence of certain cognitive biases has been established. Informed by this, metacognitive training (MCT) developed for schizophrenia. There is increasing evidence its effectiveness with some patients, but applicability to dangerous patients not yet demonstrated. AIMS: Our aim was test feasibility a randomised controlled trial (RCT) MCT in high-security hospital setting. METHODS: Twenty 33 eligible and selected male in-patients schizophrenia history violence were pairwise eight sessions or treatment as usual. Symptom severity reasoning, according jumping conclusions paradigm, measured before, immediately after treatment, 3 6 months later. RESULTS: Men both groups completed trial, those arm, almost all group sessions. The arm had significant advantage improvement 'suspiciousness', greatest at months, then declining. No reasoning ability achieved. CONCLUSIONS: Metacognitive showed sufficient promise this full be worthwhile, an RCT methodology, even secure hospital, fact that improvements faded during follow-up suggests useful modification would lengthening protocol, repeating it, both. Copyright © 2014 John Wiley & Sons, Ltd. Language: en