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

doi:10.1002/cpp.2692

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 journal › Article › peer-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 language	English
Journal	Clinical Psychology and Psychotherapy
Early online date	18 Nov 2021
DOIs	https://doi.org/10.1002/cpp.2692
Publication status	E-pub ahead of print - 18 Nov 2021

Keywords / Materials (for Non-textual outputs)

negative symptoms
metacognitive training
depression
stigma
mentalisation

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10.1002/cpp.2692

SwansonEtal2021CPPMetacognitiveTraining
This is the peer reviewed version of the following article: Swanson, L, Schwannauer, M, Bird, T, et al. Metacognitive Training Modified for Negative Symptoms (MCT-N): A Feasibility study. Clin Psychol Psychother. 2021. Accepted Author Manuscript. https://doi.org/10.1002/cpp.2692, which has been published in final form at https://doi.org/10.1002/cpp.2692. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Accepted author manuscript, 1.15 MB

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title = "Metacognitive Training Modified for Negative Symptoms (MCT-N): A feasibility study",

abstract = "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.",

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T2 - A feasibility study

AU - Swanson, Linda

AU - Schwannauer, Matthias

AU - Bird, Tim

AU - Eliasson, Emma

AU - Millar, Audrey

AU - Moritz, Steffen

AU - Griffiths, Helen

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AB - 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.

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

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Keywords / Materials (for Non-textual outputs)

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