Metacognitive Training Modified for Negative Symptoms (MCT-N): A feasibility study

Linda Swanson*, Matthias Schwannauer, Tim Bird, Emma Eliasson, Audrey Millar, Steffen Moritz, Helen Griffiths

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Objective: Although patients often prioritise the treatment of negative symptoms, few psychological interventions targeting negative symptoms exist. This study attempts to fill this gap by piloting a modified Metacognitive training programme, specifically targeted at negative symptoms (MCT-N), with a group of patients with prominent negative symptoms. 
Method: We adopted a mixed methods case series design, providing detailed quantitative data on changes over time, to focus on potential mechanisms underlying the intervention, in combination with qualitative interviews. 
Results: The intervention showed good feasibility as demonstrated by the attendance rate, the positive feedback from participants and the multidisciplinary team, and the improvements on negative symptoms observed following the intervention. Multilevel modelling showed that depression, internalised stigma, and reflective functioning explained the variance in negative symptoms. 
Discussion: The pilot study indicated that the intervention has high feasibility and that improvements in negative symptoms can be partially explained by improvements on depression, stigma, and reflective functioning.
Original languageEnglish
JournalClinical Psychology and Psychotherapy
Early online date18 Nov 2021
Publication statusE-pub ahead of print - 18 Nov 2021

Keywords / Materials (for Non-textual outputs)

  • negative symptoms
  • metacognitive training
  • depression
  • stigma
  • mentalisation


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