Cognitive therapies and insight in early schizophrenia: A systematic review.

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2025-09-06 DOI:10.1016/j.encep.2025.05.009

Bastien Houdebine, Natacha Rondeau, Chrystel Besche-Richard

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引用次数: 0

Abstract

Objectives: This systematic review aims to evaluate the impact of cognitive-behavioral and metacognitive therapies on cognitive and clinical insight into early schizophrenia disease.

Methods: A comprehensive literature review was conducted across several databases, including Pubmed, PsycINFO, and Cochrane Library, focusing on studies published between 2006 and May 2024. The studies selected for this review were either randomized controlled trials (RCTs), cross-sectional studies, or exploratory studies.

Results: Nine studies were included (7 RCTs, one cross-sectional study, and one exploratory study), using various tools to assess cognitive and clinical insight. The findings showed mixed results: cognitive-behavioral therapy (CBT) and metacognitive therapies (MCT) demonstrated varied outcomes. Some studies reported improvements in self-reflection and self-certainty, two facets of cognitive insight, especially in young patients.

Conclusions: This study highlights the complexity of the relationship between different therapies and insight improvement in early schizophrenia. This result emphasizes the need for additional studies to improve our understanding of the effects of cognitive therapies, given that the current number of studies is too limited to draw conclusions. Future research should focus on developing more personalized and effective treatment strategies to better address the individual needs of young patients.

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早期精神分裂症的认知疗法和洞察力：一项系统综述。

目的：本系统综述旨在评估认知行为和元认知疗法对早期精神分裂症疾病认知和临床洞察的影响。方法：对Pubmed、PsycINFO和Cochrane Library等多个数据库进行了全面的文献综述，重点关注2006年至2024年5月发表的研究。本综述选择的研究要么是随机对照试验（rct），要么是横断面研究，要么是探索性研究。结果：纳入9项研究（7项随机对照试验，1项横断面研究和1项探索性研究），使用各种工具评估认知和临床洞察力。研究结果显示了不同的结果：认知行为疗法（CBT）和元认知疗法（MCT）表现出不同的结果。一些研究报告了自我反省和自我确定的改善，这是认知洞察力的两个方面，特别是在年轻患者中。结论：本研究强调了不同疗法与早期精神分裂症洞察力改善之间关系的复杂性。鉴于目前的研究数量有限，无法得出结论，这一结果强调需要进行更多的研究，以提高我们对认知疗法效果的理解。未来的研究应侧重于开发更个性化和有效的治疗策略，以更好地满足年轻患者的个性化需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.