Evidence map›Paper›PMID 36037322›Full record

Trial reportThe Journal of nervous and mental disease2022

Metacognitive Training to Improve Insight and Work Outcome in Schizophrenia.

Aieyat Zalzala, Joanna M Fiszdon, Steffen Moritz, Patricia Wardwell, Tammy Petrik, Laura Mathews, Dana Shagan, Daniel Bracken, Morris D Bell, Godfrey D Pearlson and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nervous and mental disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  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. 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

11 authors.

Aieyat ZalzalaThe Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
Joanna M Fiszdon
Steffen MoritzUniversity Medical Center Hamburg-Eppendorf, Germany.
Patricia WardwellDepartment of Psychiatric Vocational Services, The Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
Tammy PetrikDepartment of Psychiatric Vocational Services, The Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
Laura MathewsDepartment of Psychiatric Vocational Services, The Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
Dana ShaganThe Institute of Living, Hartford Healthcare Behavioral Health Network, Hartford.
Daniel BrackenEaster Seals, Capital Region Eastern Connecticut, Windsor.
Morris D Bell
Godfrey D Pearlson
Jimmy Choi

Funding

Intrinsic Motivation and Learning in SchizophreniaK23MH086755 · NIMH · HARTFORD HOSPITAL · PI CHOI, JIMMY · 2011 to 2015
$895k
NIMH NIH HHS K23 MH086755
6 · The paper itself

Abstract

abstractIndividuals with psychotic disorders have deficits in metacognition. Thirty-four adults with schizophrenia were randomized to 2 months of metacognitive training (MCT) or a healthy living skills control group. All participants were enrolled in a work therapy program, followed by a supported employment program. Assessments were conducted at baseline, at the end of the 2-month active intervention, and at 4- and 12-month follow-ups. At the end of active intervention, the MCT group demonstrated greater improvement and better work behavior relative to controls. At follow-up, the MCT group demonstrated significantly greater insight and fewer positive symptoms and a greater percentage were employed in the community. We speculate that being better able to think about one's thoughts, recognize biases in thinking, and correct those thoughts may aid in responding to workplace challenges and hence improve work outcomes.

Indexed as

Cognitive Behavioral TherapyMetacognitionPsychotic DisordersSchizophreniaAdultHumansTreatment Outcome

Identifiers

PMID36037322
PMCPMC9424738

What OpenQuestion holds

Textmetadata
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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.