Evidence map›Paper›PMID 33441093›Full record

Trial reportBMC psychiatry2021

Metacognitive training: a useful complement to community-based rehabilitation for schizophrenia patients in China.

Qi Chen, Yueyun Sang, Lifang Ren, Jinping Wu, Yajun Chen, Menglei Zheng, Guolin Bian, Hanying Sun

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Metacognitive training (MCT) for psychosis: a systematic review and grade recommendations.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  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
  6. Article
  7. Article
  8. Article
  9. Article
  10. Depression in caregivers of patients with schizophrenia: a scoping review.Social psychiatry and psychiatric epidemiology · 2024
    Article
  11. Metacognitive training for psychosis (MCT): past, present, and future.European archives of psychiatry and clinical neuroscience · 2023
    Review
  12. Article
  13. Article
  14. Article
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

8 authors at 2 institutions in 2 countries.

Qi ChenDepartment of Chronic Disease and Mental Health, YinZhou Center for Disease Control and Prevention, Ningbo, China. 47229942@qq.com.ORCID 0000-0001-7186-8593
Yueyun SangNingbo Mental Health Center, Ningbo Kangning Hospital, Ningbo, China. sangyueyun@sina.cn.
Lifang RenDepartment of Chronic Disease and Mental Health, YinZhou Center for Disease Control and Prevention, Ningbo, China.
Jinping WuDepartment of Community Health, Hengxi Community Health Center, Ningbo, China.
Yajun ChenDepartment of Community Health, Maoshan Community Health Center, Ningbo, China.
Menglei ZhengDepartment of Community Health, Shounan Community Health Center, Ningbo, China.
Guolin BianNingbo Mental Health Center, Ningbo Kangning Hospital, Ningbo, China.
Hanying SunDepartment of Chronic Disease and Mental Health, YinZhou Center for Disease Control and Prevention, Ningbo, China.
Ningbo Center for Disease Control and Prevention · CNNingbo Kangning Hospital · CN

Funding

Ningbo Municipal Bureau of Science and Technology 2016C05
6 · The paper itself

Abstract

backgroundThe traditional general practitioner-based model (community-based rehabilitation [CBR]) for Chinese schizophrenia patients lacks sufficient content, usefulness, and theoretical basis for rehabilitation. Based on previous research, we postulate that Metacognitive Training (MCT) is effective in the community for schizophrenic patients.

methodA randomized controlled, assessor-blinded trial was conducted. A total of 124 schizophrenia patients were recruited from Ningbo China and were randomly assigned to an intervention or a control group. A general practitioner (GP) training plan was carried out before intervention. Intervention and control groups received two CBR follow-ups once a month, while the intervention group, received an additional eight once-a-in-week session of MCT. The Positive and Negative Syndrome Scale (PANSS), and the Psychotic Symptom Rating Scales (PSYRATS) were the primary outcome instruments, while the Quality of Life Scale (SQLS) was the secondary outcome instrument.

resultsIn the post-treatment between-groups assessment, the patients in the intervention group showed significantly more reductions on PSYRATS delusions, PSYRATS total, PANSS P6, PANSS core delusions, PANSS positive, PANSS negative, PANSS general and PANSS total, and a significant improvement in SQLS psychosocial aspect.

conclusionsThe study provides preliminary evidence for the usefulness of MCT as a complementary measure for community-based rehabilitation of schizophrenia patients.

trial registrationISRCTN, ISRCTN17333276 . Registered 09 August 2020 - Retrospectively registered.

Indexed as

Cognitive Behavioral TherapyMetacognitionSchizophreniaChinaHumansPsychiatric Status Rating ScalesQuality of LifeTreatment OutcomeCommunity rehabilitationGeneral practitionerMetacognitionSchizophrenia

Identifiers

PMID33441093
PMCPMC7805146
OpenAlexW3120015419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.