Effect of Metacognitive Training for Patients with Schizophrenia on their Delusions and Cognitive Insight. | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 2, June 2025, Page 86-99 PDF (271.47 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.429802 | ||||
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| Authors | ||||
| Asmaa Mohamed Mahmoud Mohamed* 1; Sanaa Abd El-Aziz Emam2; Magdala Habib Maximos2; Marwa Abd El-Gawad Ahmed Mousa3 | ||||
| 1Assistant lecturer Psychiatric Nursing and Mental Health, Faculty of Nursing, Damanhour University | ||||
| 2Professor Psychiatric Nursing and Mental health, Faculty of Nursing, Alexandria University | ||||
| 3Assistant Professor Psychiatric Nursing and Mental health, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: Delusions are key symptoms of schizophrenia that are often accompanied by distress, and may result in hazardous decisions including assaulting others or suicide. Impaired cognitive insight is also prevalent in schizophrenia and is thought to perpetuate the development and maintenance of delusions and hallucinations. The implementation of metacognitive training (MCT) for patients with schizophrenia in rehabilitation programs may help them to become aware of their cognitive biases and begin to train the mind in an attempt to slow the progression of delusions. Aim of study: Determine the effect of metacognitive training on delusions and cognitive insight among patients with schizophrenia. Research hypothesis: Patients with schizophrenia who participate in the MCT exhibit significant lower levels of delusions` severity and higher level of cognitive insight than before participation in the MCT. Setting: The study was conducted in the inpatient wards of EL-Maamoura Hospital for Psychiatric Medicine. Sampling: A sample of 25 randomly selected male and/or female patients with schizophrenia out of a population size of 164. The sample was subdivided into 5 groups; 5 patients each. Results: the patients' total score of delusions’ severity significantly decreased after MCT from 14.32 ± 1.68 in pre-test to 8.20 ± 2.43 in post- test by the end of MCT, (t=15.249, P<0.001). As well, the total mean score of cognitive insight increased significantly throughout the study phases, from -0.04±5.87 at the pre-test to 9.56±4.91 at the post-test, (t=13.954, p< 0.001). Conclusion: The results revealed the efficacy of MCT for patients with schizophrenia; it significantly improves the lives of individuals living with this challenging mental illness. The MCT reduces delusions by training patients to be less confident in their judgments and to seek more evidence, modify the “cognitive infrastructure” of delusional ideation, and to prompt participants to critically reflect on, complement, or change their level of insight. Recommendations: The MCT has to be included in the plan of patients` care to translate the effects of MCT into meaningful changes in everyday life and outcomes that improve patients’ lives. | ||||
| Keywords | ||||
| Cognitive insight; Delusions; Metacognitive training; Schizophrenia | ||||
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