Indian Journal of Positive Psychology

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

The Role of Metacognitive Training on Social Behavior Metacognition and in Severity of Delusion


Affiliations
1 Department of Psychology, K.O. College, Gumla Ranchi University, Ranchi, Jharkhand, India
2 Department of Clinical Psychology, RINPAS, Kanke, Ranchi, Jharkhand, India
     

   Subscribe/Renew Journal


Metacognitive Training (MCT) is a manual-based training program that aims to raise awareness of common cognitive biases and highlight negative consequences in the daily functioning of psychotic/deluded patients. The aim and objectives of the study are to find out the role of MCT to see changes in social behaviour, metacognition and reduction in severity of delusion in patients with delusional disorder. This is a prepared hospital based study, i.e., using pre and post-intervention with control group design. Twenty (20) diagnosed cases of delusional disorder were elected from the RINPAS, Kanke, Ranchi in which Ten (10) patients were randomly selected for the adjunctive treatment, i.e., MCT + Pharmacology, and rest of the patients (10) controlled as treatment as usual. Assessments were done at three stages i.e. baseline, post-training (16 sessions), and to follow-up (2 months). Social behaviour measured by Social Behaviour Assessment Inventory (SBAI) similarly, metacognition by Metacognitive Questionnaire (MCQ), and severity of Delusion by PSYRATS-delusion. Statistically, significant changes were seen in scores of the experimental group than the control group in the form of social behavior, i.e., self-related behavior, environmental, task-related and interpersonal behavior., metacognition, i.e., negative beliefs towards worry concern with uncontrolled danger, positive beliefs about worry, controlling thoughts, cognitive self-conscious and low cognitive confidence and, in the current status of severity of delusion, i.e., disruption in life caused by negative beliefs, preoccupation with delusions, amount and intensity of distress, duration of preoccupation & conviction. The role of metacognitive training is more effective along with pharmacotherapy in respect to changes in the current status of social behavior, metacognition and in the severity of delusion in patients with delusional disorder.


Keywords

Metacognitive Training, Social Behavior, Metacognition, Delusion, Delusional Disorder.
Subscription Login to verify subscription
User
Notifications
Font Size


  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington: DC.

  • Balzan, R. P., & Galletly, C. (2015). Metacognitive therapy (MCT+) in patients with psychosis not receiving antipsychotic medication: A case study. Frontiers in Psychology, 967(6), 1-6.

  • Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusion: The meta- cognitions questionnaire and its correlates. Journal of Anxiety Disorders, 11, 279- 296.

  • Dragt, S., Nieman, DH., Veltman, D., Becker, HE., van de Fliert, R., de Haan, L., & Linszen, D.H. (2011). Environmental factors and social adjustment as predictors of a first psychosis in subjects at ultra high risk. Schizophrenia Research, 125, 69-76.

  • Erawati, E., Keliat, B. A., Helena, N., & Hamid, A. (2014). The influence of metacognitive training on delusion severity and metacognitive ability in schizophrenia. Journal of Psychiatry and Mental Health Nursing, 21(9), 841-847.

  • Favrod, J., Rexhaj, S., Bardy, S., Ferrari, P., Hayoz, C., Moritz, S., & Bonsack, C. (2014). Sustained antipsychotic effect of metacognitive training in psychosis: A randomized- controlled study. European Psychiatry, 29(5), 275-281.

  • Freeman, D. (2007). Suspicious minds: The psychology of persecutory delusions. Clinical Psychology Review, 27, 425-457.

  • Fusar-Poli, P., Byrne, M., Valmaggia, L., Day, F., Tabraham, P., Johns, L., & Mcguire, P. (2010). Social dysfunction predicts two years clinical outcome in people at ultra high risk for psychosis. Journal of Psychiatric Research, 44, 294-301.

  • Garety, P., Waller, H., Emsley, R., Jolley, S., Kuipers, E., Bebbington, P., & Dunn, G. (2015). Cognitive mechanisms of change in delusions: An experimental investigation targeting reasoning to effect change in paranoia. Schizophrenia. Bulletin, 41(2), 400-410.

  • Giampaolo, S., Benedetta. R., Marina, R., Raffaele, P., & Giancarlo, D. (2012). Metacognition-oriented therapy for psychosis: The case of a woman with delusional disorder and paranoid personality disorder. Journal of Psychotherapy Integration, 22(4), 314-329.

  • Haddock, G., McCarron, J., Tarrier, N., & Faragher, E.B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine, 29(4), 879-889.

  • Kumar, D., Rao, M. G., Raveendranathan, D., Venkatasubamanian, G., Varambally, S., & Gangadhar, B.N. (2015). Metacognitive training for delusion in treatment-resistant schizophrenia. Clinical Schizophrenia and Related Psychoses, 9(1), 40-43.

  • Moritz, S., & Woodward, T.S. (2007). Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in

  • Psychiatry, 20, 619-625.

  • Moritz, S., Veckenstedt, R., Bohn, F., Hottenrott, B., Scheu, F., Randjbar, S., Aghotor, J,, Köther, U., Woodward, T.S., Treszl, A., Andreou, C., Pfueller, U., & Roesch-Ely, D. (2013). Complementary group metacognitive training (MCT) reduces delusional ideation in schizophrenia. Schizophrenia. Research, 151(1-3), 61-69.

  • Ochoa, S., Lopez-Carrilero, R., Barrigon, ML., Pousa, E., Baraias, A., Lorente-Rovira, E., González-Higueras, F., Grasa, E., Ruiz-Delgado, I., Cid, J., Birulés, I., Esteban- Pinos, I., Casañas, R., Luengo, A., Torres-Hernández, P., Corripio, I., Montes- Gámez, M., Beltran, M., De Apraiz, A., Domínguez-Sánchez, L., Sánchez, E., Llacer, B., Pélaez, T., Bogas, J. L., & Moritz, S. (2017). Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis. Psychological Medicine, 7, 1-12.

  • Pankowski, D., Kowalski, J., & Gawęda, L. (2016). The effectiveness of metacognitive training for patients with schizophrenia: A narrative systematic review of studies published between 2009 and 2015. Psychiatria Polska, 50(4), 787-803.

  • Salvatore, G., Dimaggio, G., Lysaker, P.H., Popolo, R., Carcione, A., & Procacci, M. (2012). Vulnerable self, poor understanding of others' minds, threat anticipation and cognitive biases as triggers for delusional experience in schizophrenia: A theoretical model. Clinical Psychology and Psychotherapy, 19(3), 247-259.

  • Stephens, T.M., & Kevin, A.D. (1992). Social Behavior Assessment Inventory (SBAI): Professional manual. Odessa, FL: Available from: Psychological Assessment Resources.

  • Ussorio, D., Giusti, L., Wittekind, C.E., Bianchini, V., Malavolta, M., Pollice, R., Casacchia, M., & Roncone, R. (2016). Metacognitive training for young subjects (MCT young version) in the early stages of psychosis: Is the duration of untreated psychosis a limiting factor? Psychology and Psychotherapy, 89(1), 50-65.

  • van der Gaag, M. (2006). A neuropsychiatric model of biological and psychological processes in the remission of delusions and auditory hallucinations. Schizophrenia Bulletin, 32, 113-22.


Abstract Views: 202

PDF Views: 0




  • The Role of Metacognitive Training on Social Behavior Metacognition and in Severity of Delusion

Abstract Views: 202  |  PDF Views: 0

Authors

Sanjay Kumar Bhogta
Department of Psychology, K.O. College, Gumla Ranchi University, Ranchi, Jharkhand, India
K. S. Sengar
Department of Clinical Psychology, RINPAS, Kanke, Ranchi, Jharkhand, India

Abstract


Metacognitive Training (MCT) is a manual-based training program that aims to raise awareness of common cognitive biases and highlight negative consequences in the daily functioning of psychotic/deluded patients. The aim and objectives of the study are to find out the role of MCT to see changes in social behaviour, metacognition and reduction in severity of delusion in patients with delusional disorder. This is a prepared hospital based study, i.e., using pre and post-intervention with control group design. Twenty (20) diagnosed cases of delusional disorder were elected from the RINPAS, Kanke, Ranchi in which Ten (10) patients were randomly selected for the adjunctive treatment, i.e., MCT + Pharmacology, and rest of the patients (10) controlled as treatment as usual. Assessments were done at three stages i.e. baseline, post-training (16 sessions), and to follow-up (2 months). Social behaviour measured by Social Behaviour Assessment Inventory (SBAI) similarly, metacognition by Metacognitive Questionnaire (MCQ), and severity of Delusion by PSYRATS-delusion. Statistically, significant changes were seen in scores of the experimental group than the control group in the form of social behavior, i.e., self-related behavior, environmental, task-related and interpersonal behavior., metacognition, i.e., negative beliefs towards worry concern with uncontrolled danger, positive beliefs about worry, controlling thoughts, cognitive self-conscious and low cognitive confidence and, in the current status of severity of delusion, i.e., disruption in life caused by negative beliefs, preoccupation with delusions, amount and intensity of distress, duration of preoccupation & conviction. The role of metacognitive training is more effective along with pharmacotherapy in respect to changes in the current status of social behavior, metacognition and in the severity of delusion in patients with delusional disorder.


Keywords


Metacognitive Training, Social Behavior, Metacognition, Delusion, Delusional Disorder.

References





DOI: https://doi.org/10.15614/ijpp%2F2022%2Fv13i3%2F218225