Evidence map›Paper›PMID 40448010›Full record

Trial reportBMC psychiatry2025

An empirical study of offline and online group metacognitive training in patients with schizophrenia.

Yanping Zhang, Shouxun He, Xue Zhang, Yue Zhou, Yuhua Qiu, Hailing Wang, Jie Cheng, Chuansheng Wang, Fang Yan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Yanping Zhang *Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Shouxun He *Department of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Xue ZhangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Yue ZhouDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Yuhua QiuDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Hailing WangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Jie ChengDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China.
Chuansheng WangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China. chuansonwang@126.com.
Fang YanDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan, 453000, China. yf9666@126.com.

Funding

Henan Province medical science and technology research project RKX202302024Henan Province science and technology research and development plan joint fund (industry) project 235101610004Open topic of Collaborative Innovation Center for Prevention and Treatment of mental illness in China Henan Province XTkf12The open project of Henan Province psychology in the second Affiliated Hospital of Xinxiang Medical College XYEFYJSSJ-2023-01
6 · The paper itself

Abstract

backgroundSchizophrenia often has hallucinations, delusions and other complex mental symptoms, metacognitive training (MCT) is a type of low-intensity group training. However, MCT requires a lot of time and expense, increasing the workload of professionals and the financial burden of patients. hybrid offline-online MCT reduces time and economic costs to the greatest extent. This study was designed to validate the interventional effects of a hybrid offline-online MCT model on psychiatric symptoms, delusion severity, and insight in patients with schizophrenia, while concurrently evaluating its clinical applicability.

methodsRandomized controlled trials comparing hybrid offline-online MCT were conducted in patients with paranoid schizophrenia. The positive and negative syndrome scale (PANSS), the Chinese version of the delusion feature rating scale (C-CDRS), the Chinese version of the psychotic symptom rating scale (PSYRATS), and the insight and treatment attitude questionnaire (ITAQ) were used to evaluate psychiatric symptom improvement and insight in the baseline (T0), 4 weeks after the initiation of training (T1), and upon completion of the training (T2, week 8).

resultsThe total scores of PANSS, C-CDRS, PSYRATS, and their subscale scores in the MCT and control groups were lower than baseline scores at weeks four and eight, while the total ITAQ score was higher than baseline scores (P < 0.01). In the MCT group, PANSS positive subscale and total score, C-CDRS total score, and PSYRATS delusion subscale and total score were lower than those in the control group at weeks four and eight, whereas the ITAQ total score was higher than the baseline score (P < 0.01).

conclusionsHybrid offline-online group MCT can reduce positive symptoms in patients with schizophrenia, alleviate delusions, and improve patients' insight.

trial registrationThe trial was registered at the Chinese Clinical Trial Registry on 01/24/2015 ( www.chictr.org.cn ; ChiCTRID: ChiCTR2500096505).

Indexed as

Cognitive Behavioral TherapyMetacognitionPsychotherapy, GroupSchizophreniaSchizophrenia, ParanoidSchizophrenic PsychologyAdultDelusionsFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesTreatment OutcomeYoung AdultMetacognitionOnline interventionRandomized controlled trialSchizophrenia

Identifiers

PMID40448010
PMCPMC12123795

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Registered trials

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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.