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  • 标题:Effectiveness of Metacognitive Training for Long-Term Hospitalized Patients with Schizophrenia: A Pilot Study with a Crossover Design
  • 本地全文:下载
  • 作者:Kyohei Fujii ; Masayoshi Kobayashi ; Koji Funasaka
  • 期刊名称:Asian Journal of Occupational Therapy
  • 印刷版ISSN:1347-3476
  • 电子版ISSN:1347-3484
  • 出版年度:2021
  • 卷号:17
  • 期号:1
  • 页码:45-52
  • DOI:10.11596/asiajot.17.45
  • 出版社:Japanese Association of Occupational Therapists
  • 摘要:Objective: This study aimed to explore the efficacy of metacognitive training (MCT) with long-term hospitalized patients with schizophrenia. Methods: Patients admitted to a hospital's long-term care ward were randomly allocated to Groups A or B, and a crossover trial was performed. As intervention, 16 weekly MCT sessions were performed for 4 months as part of standard occupational therapy, and the participants' cognitive functioning, psychiatric symptoms, overall functioning, and cognitive bias were assessed at baseline, 4 months later, and 8 months later. Results: Twenty-two patients participated. Those who were discharged midway through the course, and those who withdrew their consent were excluded, and 17 individuals (Group A: n = 9; Group B, n = 8) completed their assessments 8 months later. No significant differences were seen in inter-group comparisons of the scores of various scales at the baseline. Four months and eight months later, a comparison between before and after MCT showed improvement tendencies for both groups in the participants' cognitive function and psychiatric symptoms. A comparison of scores before and after the MCT intervention period, from all participants, showed significant improvement tendencies in their verbal memory and attention. Conclusion: MCT can be used for long-term hospitalization in patients with chronic-stage schizophrenia, and this study showed its potential to improve neurocognitive function. Going forward, there is a need to increase the sample size and examine the efficacy of MCT in more detail.
  • 关键词:schizophrenia;long-term hospitalization;cognitive rehabilitation;metacognitive training
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