Metacognitive Skills Training and Computerized Cognitive Remediation among Individuals with First-Episode Psychosis: Influence on Social Cognition.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-01-01 Epub Date: 2023-01-04 DOI:10.1080/17522439.2022.2111595

Aubrey M Moe, Heather M Wastler, Jacob G Pine, Nicholas J K Breitborde

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Abstract

Background: Metacognitive skills training (MST) is often integrated into cognitive remediation programs for psychosis. Social cognition - the mental processes underlying social perception and behavior - is robustly related to outcomes in psychosis and is increasingly addressed with targeted treatments. Though metacognition and social cognition are related constructs, little is known about how MST may influence social cognition among individuals with psychosis participating in broad-based, non-social cognitive remediation.

Methods: Individuals with first-episode psychosis who completed six months of metacognitive remediation (MCR; n=12) were compared to a historical control group who received six months of computerized cognition remediation (CCR; n=10) alone (ClinicalTrials.gov Identifier NCT01570972).

Results: Though individuals receiving MCR experienced gains in emotion processing and theory of mind, these changes were not significantly different when compared to individuals receiving CCR. MST did not contribute to social cognitive change in the context of CCR.

Discussion: Though MST may be relevant to facilitating social cognitive gains within broader cognitive remediation programs for first-episode psychosis, these benefits are limited and may not exceed those conferred by standard cognitive remediation. Opportunities for investigation of other potential mechanisms of social cognitive response to interventions remain.

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首发精神病患者元认知技能训练和计算机认知修复对社会认知的影响

背景:元认知技能训练(MST)经常被纳入精神病的认知补救方案。社会认知-潜在的社会感知和行为的心理过程-与精神病的结果密切相关，并且越来越多地通过有针对性的治疗来解决。虽然元认知和社会认知是相关的构念，但对于MST如何影响参与广泛的非社会认知修复的精神病患者的社会认知，我们知之甚少。方法:首发精神病患者完成6个月的元认知修复(MCR;n=12)与接受6个月计算机认知修复(CCR;n=10)单独(ClinicalTrials.gov标识符NCT01570972)。结果:MCR组在情绪加工和心理理论方面有所提高，但与CCR组相比差异不显著。在CCR情境下，MST对社会认知的改变没有贡献。讨论:虽然MST可能与促进首发精神病更广泛的认知修复项目中的社会认知收益有关，但这些益处是有限的，可能不会超过标准认知修复所赋予的益处。对干预的社会认知反应的其他潜在机制的调查机会仍然存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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