ReviewEuropean archives of psychiatry and clinical neuroscience2023
Metacognitive training for psychosis (MCT): past, present, and future.
Review in European archives of psychiatry and clinical neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06312241 (Feasibility, Acceptance and Efficacy of Metacognitive Training-Silver BeWell in Older Adults), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled 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.
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.
Feasibility, Acceptance and Efficacy of Metacognitive Training-Silver BeWell in Older Adults
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Metacognitive interventions for adolescents with mental disorders: a scoping review.Pediatric research · 2026Pooled it
- Metacognitive training for psychosis (MCT): a systematic meta-review of its effectiveness.Translational psychiatry · 2025Pooled it
- Yoga-Based Group Intervention for Inpatients with Schizophrenia Spectrum Disorders-Feasibility, Acceptability, and Preliminary Outcomes of a Rater-Blinded Randomized Controlled Trial.Schizophrenia bulletin · 2026Trial
- Potential Delayed Positive Effects of tDCS on Improving Introspective Accuracy in Social Cognition in Schizophrenia.Schizophrenia bulletin · 2025Trial
- An empirical study of offline and online group metacognitive training in patients with schizophrenia.BMC psychiatry · 2025Trial
- A Pilot Study of Metacognitive Training in U.S. Republican Leaners: Reducing Polarization Toward LGBTIQ+ Persons.Archives of sexual behavior · 2024Trial
- Effects of the Japanese Version of Metacognitive Training on Self-Efficacy and Sense of Coherence in Community-Dwelling Patients with Schizophrenia: A Pilot Study.Community mental health journal · 2026Article
- Towards an integrative neuroscience of metacognition.Nature reviews. Neuroscience · 2026Review
- Article
- Digital and Immersive Technologies for Rehabilitation in Complex Psychosis: State of the Art and Future Directions.Medicina (Kaunas, Lithuania) · 2026Review
- Self-Reflection Protects Behavior from Volatile Beliefs Linked to Paranoia.Computational psychiatry (Cambridge, Mass.) · 2026Article
- Potential Mechanisms of Change in Virtual Reality-based Cognitive Behavioural Therapy and Standard Cognitive Behavioural Therapy for Schizophrenia-Related Paranoia: A Mediation Analysis from the FaceYourFears Trial.Schizophrenia bulletin open · 2026Article
- Effectiveness of Psychological Intervention Methods for the Management of Positive and Negative Symptoms in Schizophrenia Patients: A Systematic Review and Network Meta-analysis.Indian journal of psychological medicine · 2025Review
- [Digital interventions for psychoses: current opportunities and challenges].Der Nervenarzt · 2025Review
- Data harmonization for the analysis of personalized treatment of psychosis with metacognitive training.Scientific reports · 2025Article
- Development of a supportive mHealth device for persons with schizophrenia spectrum disorders (KisoLightFrontiers in psychology · 2025Article
- An artificial intelligence-based platform for personalized predictions of Metacognitive Training effectiveness.Computational and structural biotechnology journal · 2025Article
- Functioning Management and Recovery, a psychoeducational intervention for psychiatric residential facilities: a multicenter follow-up study.BMC psychiatry · 2024Article
- Development of the trainer skill evaluation scale for metacognitive training.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Mentalization-based approach for schizophrenia spectrum disorders: a psychotherapeutic proposal for evolved schizophrenic trajectories and serious mental disorders.Frontiers in psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article provides an overview and retrospective on metacognitive training for psychosis (MCT), which first appeared approximately 2 decades ago. We recount how our empirical understanding of psychosis at that time led to the first preliminary version of the program. We describe setbacks and challenges that led to major changes, including revisions to existing modules (e.g., more focus on metacognitive variables, particularly on decision confidence as one of the primary targets of treatment) and the creation of new modules addressing mood, as well as attempts to improve sustainability of effects via homework exercises and a smartphone app ( www.uke.de/mct_app ). We have also enhanced dissemination efforts by creating new culturally sensitive language versions and facilitating low-threshold training through e-learning courses ( www.uke.de/e-mct ). Finally, we discuss several meta-analyses on the efficacy of MCT that have been published over the last decade. While reviews were initially inconsistent, possibly reflecting the insufficient statistical power and lower design quality of the first MCT studies, more recent meta-analyses have confirmed the efficacy of MCT on positive symptoms, insight, and cognitive biases, which has led to the inclusion of MCT in some national treatment guidelines for schizophrenia.
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What OpenQuestion holds
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.