Metacognitive Training for Subjects with Bipolar Disorder: A Randomized Controlled Trial

Impairments in social cognition in bipolar disorder (BD) have been extensively described in the last decade but few treatment strategies have been studied to address this issue. This study presents findings from a randomized controlled trial (RCT) investigating the efficacy of metacognitive training...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Psychotherapy and psychosomatics Jg. 94; H. 2; S. 71
Hauptverfasser: de Siqueira Rotenberg, Luisa, Curvello, Renata, Nardini, Clara, da Silva Franco, Milene, Carozzino, Maria Eduarda, Biazus, Taís Boeira, Campanha, Thuani, Garrudo Guirado, Alia, O'Malley, Grace, Stamm, Thomas J, Lafer, Beny
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland 13.01.2025
Schlagworte:
Adult
Bipolar Disorder - psychology
Bipolar Disorder - therapy
Cognitive Behavioral Therapy - methods
Female
Humans
Male
Metacognition - physiology
Middle Aged
Quality of Life
Social Cognition
Treatment Outcome
Metacognitive training
Emotion recognition
Bipolar disorder
Theory of mind
Social cognition
ISSN:1423-0348, 1423-0348
Online-Zugang:Weitere Angaben
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Impairments in social cognition in bipolar disorder (BD) have been extensively described in the last decade but few treatment strategies have been studied to address this issue. This study presents findings from a randomized controlled trial (RCT) investigating the efficacy of metacognitive training for bipolar disorder (MCT-BD) compared to Treatment as Usual (TAU) among individuals with BD in remission. The aim was to determine whether MCT-BD could improve social cognition and overall functioning in this population. Participants (N = 56) were recruited via social media and an internal database at the University of São Paulo Medical School. Inclusion criteria included a confirmed BD diagnosis, current state of remission, and the presence of social functioning impairments. Exclusion criteria included any impairments that could hinder neuropsychological testing. Patients were randomly assigned to either MCT-BD or TAU, with assessments conducted at baseline and follow-up. The MCT-BD program consisted of nine sessions. The overall attendance rate across all MCT-BD intervention sessions was 96.6%. The MCT-BD program demonstrated added value in improving social cognition, specifically in emotion recognition reaction time. However, no significant changes were found in theory of mind, psychosocial functioning, or quality of life. This RCT provides preliminary evidence for the efficacy of MCT-BD in improving emotion recognition latency, emphasizing the importance of targeted interventions in social cognition outcomes for individuals with BD. The study's strengths include high completion rates and comprehensive cognitive assessments. Future studies should explore long-term effects and personalized treatment approaches aiming to improve social-cognitive deficits in this population.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ISSN:1423-0348
1423-0348
DOI:10.1159/000542091