Evidence map›Paper›PMID 33260823›Full record

ArticleJournal of personalized medicine2020

Cognitive Insight in First-Episode Psychosis: Changes during Metacognitive Training.

Irene Birulés, Raquel López-Carrilero, Daniel Cuadras, Esther Pousa, Maria Luisa Barrigón, Ana Barajas, Ester Lorente-Rovira, Fermín González-Higueras, Eva Grasa, Isabel Ruiz-Delgado and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06127004 (Metacognitive Training for Negative Symptoms), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06127004 narecruitingnot on this mapstarted 2024, after this paper: background citation

Metacognitive Training for Negative Symptoms (MCT Minus)

TypeinterventionalSponsorSormland County Council, SwedenRan2024 to 2032Enrolled90ConditionsNegative Symptoms in SchizophreniaArmsMetacognitive Training for Negative Symptoms (MCT), Supportive Counselling
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
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  4. Efficacy of metacognitive therapies in first-episode psychosis: a systematic review.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Article
  5. Efficacy of metacognitive therapies in first-episode psychosis: a systematic review.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Irene BirulésParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0001-6518-7310
Raquel López-CarrileroParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0003-4110-794X
Daniel CuadrasParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0001-8780-1764
Esther PousaDepartment of Psychiatry, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain.
Maria Luisa BarrigónPsychiatry Service, Area de Gestión Sanitaria Sur Granada, Motril, 18600 Granada, Spain.ORCID 0000-0002-2497-6353
Ana BarajasCentre d'Higiene Mental Les Corts, 08029 Barcelona, Spain.
Ester Lorente-RoviraInvestigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III C/Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain.
Fermín González-HiguerasUGC Salud Mental de Jaén, Servicio Andaluz de Salud, 23007 Jaen, Spain.
Eva GrasaInvestigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III C/Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain.
Isabel Ruiz-DelgadoUnidad de Salud Mental Comunitaria Málaga Norte, UGC Salud Mental Carlos Haya, Servicio Andaluz de Salud Psychiatry Service, Antequera, 29200 Málaga, Spain.
Jordi CidMental Health & Addiction Research Group, IdiBGi, Institut d'Assistència Sanitària, 17190 Girona, Spain.ORCID 0000-0002-6406-0585
Ana de ApraizParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Roger MontserratParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Trinidad PélaezParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Steffen MoritzDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg, 20251 Hamburg, Germany.
The Spanish Metacognition Study GroupSant Boi de Llobregat, 08830 Barcelona, Spain.
Susana OchoaParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.

Funding

Instituto de Salud Carlos III PI11/01347 and PI14/00044
6 · The paper itself

Abstract

backgroundMetacognitive training (MCT) has demonstrated its efficacy in psychosis. However, the effect of each MCT session has not been studied. The aim of the study was to assess changes in cognitive insight after MCT: (a) between baseline, post-treatment, and follow-up; (b) after each session of the MCT controlled for intellectual quotient (IQ) and educational level.

methodA total of 65 patients with first-episode psychosis were included in the MCT group from nine centers of Spain. Patients were assessed at baseline, post-treatment, and 6 months follow-up, as well as after each session of MCT with the Beck Cognitive Insight Scale (BCIS). The BCIS contains two subscales: self-reflectiveness and self-certainty, and the Composite Index. Statistical analysis was performed using linear mixed models with repeated measures at different time points.

resultsSelf-certainty decreased significantly (

conclusionsMCT intervention appears to have beneficial effects on cognitive insight by reducing self-certainty, especially after four sessions. Moreover, a minimum IQ is required to ensure benefits from MCT group intervention.

Indexed as

cognitive insightexperimentfirst-episode psychosismetacognitive trainingsessions

Identifiers

PMID33260823
PMCPMC7711871

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.