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Targeting metacognitive change mechanisms in acute inpatients with psychotic symptoms: feasibility and acceptability of a modularized group intervention

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Název: Targeting metacognitive change mechanisms in acute inpatients with psychotic symptoms: feasibility and acceptability of a modularized group intervention
Autoři: Eva Gussmann, Christoph Lindner, Susanne Lucae, Peter Falkai, Frank Padberg, Samy Egli, Johannes Kopf-Beck
Zdroj: Eur Arch Psychiatry Clin Neurosci
Informace o vydavateli: Springer Science and Business Media LLC, 2023.
Rok vydání: 2023
Témata: Male, Adult, Original Paper, Inpatients, Female [MeSH], Acute inpatient setting, Psychotherapy, Group [MeSH], Adult [MeSH], Metacognition, Humans [MeSH], Mechanism-based, Middle Aged [MeSH], Acute psychosis, Feasibility Studies [MeSH], Patient Acceptance of Health Care [MeSH], Psychotic Disorders/therapy [MeSH], Intervention, Male [MeSH], Group therapy, Modularized, Young Adult [MeSH], Psychotic Disorders/physiopathology [MeSH], Outcome Assessment, Health Care [MeSH], Inpatients [MeSH], Metacognition/physiology [MeSH], Middle Aged, Patient Acceptance of Health Care, 3. Good health, Young Adult, Psychotic Disorders, Outcome Assessment, Health Care, Psychotherapy, Group, Humans, Feasibility Studies, Female
Popis: Emerging evidence suggests the usefulness of psychological interventions targeting metacognitive change mechanisms in patients experiencing psychosis. Although many of these patients are treated in acute psychiatric contexts, only few studies have adapted such interventions for acute inpatient settings. The present study aimed to assess the feasibility, acceptability, and preliminary clinical outcomes of a novel modularized group intervention focusing on different aspects of metacognitive change mechanisms. In particular, the intervention aims to reduce patients’ acute symptoms by enhancing cognitive insight and to relieve distress via cognitive defusion (i.e. coping). A sample of 37 participants with acute psychosis received up to nine sessions of the intervention. Baseline and post-intervention assessments were conducted for general psychopathology, psychotic symptoms, global functioning, and symptom distress. Measures of change mechanisms were assessed before and after the respective treatment module. Participants’ experiences were explored in feedback questionnaires and interviews. Recruitment, retention, and attendance rate met the pre-set feasibility benchmark of 80%. The intervention was well received by participants, who emphasised the group’s clear structure, positive atmosphere, and helpful contents. Response rates were high and linear mixed models revealed significant medium-to-large time effects on all clinical outcomes. As expected, increase in hypothesised change mechanisms cognitive insight and decrease in cognitive fusion was found. However, the uncontrolled design limits interpreting clinical effects. The study provides evidence that an intervention based on a metacognitive model is feasible and acceptable for acute inpatients with psychosis. Positive results on clinical outcomes and change mechanisms warrant further exploration in a randomized controlled trial.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1433-8491
0940-1334
DOI: 10.1007/s00406-023-01690-y
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/37741946
https://repository.publisso.de/resource/frl:6500009
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....ec0e552b10d9abf8bdcef885c2e40656
Databáze: OpenAIRE
Popis
Abstrakt:Emerging evidence suggests the usefulness of psychological interventions targeting metacognitive change mechanisms in patients experiencing psychosis. Although many of these patients are treated in acute psychiatric contexts, only few studies have adapted such interventions for acute inpatient settings. The present study aimed to assess the feasibility, acceptability, and preliminary clinical outcomes of a novel modularized group intervention focusing on different aspects of metacognitive change mechanisms. In particular, the intervention aims to reduce patients’ acute symptoms by enhancing cognitive insight and to relieve distress via cognitive defusion (i.e. coping). A sample of 37 participants with acute psychosis received up to nine sessions of the intervention. Baseline and post-intervention assessments were conducted for general psychopathology, psychotic symptoms, global functioning, and symptom distress. Measures of change mechanisms were assessed before and after the respective treatment module. Participants’ experiences were explored in feedback questionnaires and interviews. Recruitment, retention, and attendance rate met the pre-set feasibility benchmark of 80%. The intervention was well received by participants, who emphasised the group’s clear structure, positive atmosphere, and helpful contents. Response rates were high and linear mixed models revealed significant medium-to-large time effects on all clinical outcomes. As expected, increase in hypothesised change mechanisms cognitive insight and decrease in cognitive fusion was found. However, the uncontrolled design limits interpreting clinical effects. The study provides evidence that an intervention based on a metacognitive model is feasible and acceptable for acute inpatients with psychosis. Positive results on clinical outcomes and change mechanisms warrant further exploration in a randomized controlled trial.
ISSN:14338491
09401334
DOI:10.1007/s00406-023-01690-y