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2015 ; 6
(ä): 967
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Metacognitive therapy (MCT+) in patients with psychosis not receiving
antipsychotic medication: A case study
#MMPMID26217283
Balzan RP
; Galletly C
Front Psychol
2015[]; 6
(ä): 967
PMID26217283
show ga
BACKGROUND: Psychotherapies for psychosis typically aim to develop an awareness
of the implausible content of a delusion or target the underlying cognitive
biases (i.e., problematic thinking styles, such as hasty decisions and illusory
control) that foster and maintain delusional beliefs. A recently designed
individual-based treatment entitled metacognitive therapy (MCT+) combines these
two approaches. Emerging evidence suggests individualized MCT+, when used
concurrently with antipsychotic medication, may be an effective psychological
treatment for reducing delusional symptoms. However, it remains to be tested
whether MCT+ can be effective in patients with active delusions who are not
currently receiving psychotropic drugs. METHOD: We present two cases (one patient
with schizophrenia and the other with delusional disorder) experiencing active
delusions who underwent 4-weeks of intensive MCT+, without concurrent
antipsychotic medication (minimum 6-months unmedicated). Baseline and 6-week
follow-up data are presented on a variety of measures assessing delusion symptom
severity (i.e., PANSS, PSYRATS, SAPS), clinical insight, and cognitive bias
propensity. RESULTS: After 4-weeks of MCT+, both patients showed substantial
reduction in delusional symptoms, reported improved clinical insight, and were
less prone to making illusory correlations. CONCLUSIONS: The presented case
studies provide preliminary evidence for the feasibility of MCT+ in treating
patients not taking, or resistant to, antipsychotic medication.