元认知训练对精神分裂症患者认知偏差影响的系统回顾和meta分析：对精神科护理的启示

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-04-11 DOI:10.1111/eip.70026

Shen Jun, Du Miao, Jiang Ying

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引用次数: 0

摘要

精神分裂症带来了巨大的挑战，认知功能障碍是影响日常功能的标志性特征。目的探讨元认知训练（MCT）对精神分裂症患者认知功能的影响。方法系统回顾和荟萃分析包括通过数据库和人工检索确定的21项研究。纳入标准侧重于MCT干预、对照实验设计和认知结果测量。数据综合和荟萃分析遵循系统评价和荟萃分析首选报告项目（PRISMA）指南。结果meta分析结果显示，MCT对认知偏差问卷(CBQ)-灾难化（JTC）有显著影响。研究数= 3,SMD = - 0.61, 95% CI: - 0.98, - 0.25；I2 = 0.0%, p = 0.92)和cbq -情绪推理（ER） (No。研究数= 2,SMD = - 0.50, 95% CI: - 0.82, - 0.18；I2 = 0.0%, p = 0.92)，阳性与阴性证候量表（PANSS）阳性(p；研究数= 14,SMD = - 0.52, 95% CI: - 0.68, - 0.35；I2 = 0.0%, p = 0.62)， panss阴性(N；研究数= 8,SMD = - 0.21, 95% CI: - 0.42, - 0.00；I2 = 0.0%, p = 0.94)和PANSS-total(T) (No。研究数= 8,SMD = - 0.42, 95% CI: - 0.68, - 0.16；I2 = 22.30%, p = 0.25)。然而，我们发现MCT治疗对CBQ-total(T)、CBQ- intentionalizing (I)、CBQ-灾难化(C)、CBQ-二分思维（DT）、Beck认知洞察量表(BCIS)-self- refl反性（SR）、BCIS-self-certainty（SC）、BCIS-composite index（CI）和PANSS-general(G)得分没有显著影响。结论MCT对精神分裂症患者的认知偏差和症状严重程度有积极影响。这些结果提倡创新的、个性化的干预措施，以补充精神分裂症管理的传统方法。

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A Systematic Review and Meta-Analysis on Effect of Metacognitive Training on Cognitive Biases in Patients With Schizophrenia: Implications for Psychiatric Nursing Care

Background

Schizophrenia presents significant challenges, with cognitive dysfunction being a hallmark feature affecting daily functioning.

Aims

The study explores the impact of metacognitive training (MCT) on cognitive function in schizophrenia patients.

Methods

A systematic review and meta-analysis encompassed 21 studies identified through databases and manual searches. Inclusion criteria focused on MCT interventions, controlled experimental designs and cognitive outcome measures. Data synthesis and meta-analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results

The meta-analysis results revealed a significant effect of MCT on Cognitive Biases Questionnaire(CBQ)-catastrophizing (JTC) (No. studies = 3, SMD = −0.61, 95% CI: −0.98, −0.25; I² = 0.0%, p = 0.92) and CBQ-emotional reasoning(ER) (No. studies = 2, SMD = −0.50, 95% CI: −0.82, −0.18; I² = 0.0%, p = 0.92), Positive and Negative Syndrome Scale (PANSS)-positive(P) (No. studies = 14, SMD = −0.52, 95% CI: −0.68, −0.35; I² = 0.0%, p = 0.62), PANSS-negative(N) (No. studies = 8, SMD = −0.21, 95% CI: −0.42, −0.00; I² = 0.0%, p = 0.94) and PANSS-total(T) (No. studies = 8, SMD = −0.42, 95% CI: −0.68, −0.16; I² = 22.30%, p = 0.25) among schizophrenia patients. However, we found no significant impact of MCT treatment on CBQ-total(T), CBQ- intentionalizing (I), CBQ-catastrophizing(C), CBQ-dichotomous thinking(DT), Beck Cognitive Insight Scale(BCIS)-self-reflectiveness(SR), BCIS-self-certainty(SC), BCIS-composite index(CI) and PANSS-general(G) scores.

Conclusion

MCT demonstrates a positive impact on cognitive biases and symptom severity in schizophrenia patients. These results advocate for innovative, personalised interventions to complement traditional approaches in schizophrenia management.

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.