Evidence mapPaperPMID 40263269Full record

SynthesisTranslational psychiatry2025

Metacognitive training for psychosis (MCT): a systematic meta-review of its effectiveness.

Antonia Meinhart, Geneviève Sauvé, Annika Schmueser, Danielle Penney, Fabrice Berna, Łukasz Gawęda, Maria Lamarca, Steffen Moritz, Susana Ochoa, Caroline König and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Antonia MeinhartDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany.
Geneviève SauvéDouglas Mental Health University Institute, Montréal, QC, Canada.
Annika SchmueserDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany.
Danielle PenneyDouglas Mental Health University Institute, Montréal, QC, Canada.
Fabrice BernaUniversity of Strasbourg, University Hospital of Strasbourg, Inserm, Strasbourg, France.
Łukasz GawędaExperimental Psychopathology Lab, Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland.
Maria LamarcaParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Steffen MoritzDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany. moritz@uke.de.ORCID http://orcid.org/0000-0001-8601-0143
Susana OchoaParc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Caroline KönigSoft Computing Research Group (SOCO) at Intelligent Data Science and Artificial Intelligence (IDEAI-UPC) Research Centre, Universitat Politecnica de Catalunya, UPC Barcelona Tech, Barcelona, Spain.ORCID http://orcid.org/0000-0002-7543-8686
Vanessa AcuñaDepartamento de Psiquiatría, Escuela de Medicina, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile.
Rabea FischerDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany.

Funding

Bundesministerium für Bildung und Forschung (Federal Ministry of Education and Research) Payment was made to the lab of Steffen Moritz at the University Hospital Hamburg-Eppendorf.Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) ERAPERMED2022-292Ministry of Science and Higher Education | Narodowe Centrum Badań i Rozwoju (National Centre for Research and Development) ERAPERMED2022-292
6 · The paper itself

Abstract

objectiveMetacognitive training for psychosis (MCT) targets cognitive biases implicated in the pathogenesis of psychosis, e.g., jumping to conclusions, overconfidence in errors, and inflexibility. This systematic meta-review investigated the current meta-analytic evidence for the effectiveness of MCT with respect to core symptom features in schizophrenia (i.e., positive symptoms, delusions and hallucinations, negative symptoms, and overall psychotic symptoms). DATA SOURCES: This meta-review was registered with PROSPERO (CRD42023447442) on July 28, 2023. Articles were searched across five electronic databases from January 1, 2007 to September 1, 2023. STUDY SELECTION: Meta-analyses addressing metacognitive interventions targeting psychotic symptoms were eligible for meta-review. DATA EXTRACTION AND SYNTHESIS: PRISMA guidelines were followed when applicable. Data extraction was done independently by two authors (AM, AS). A random-effects model was used to pool data within meta-analyses. MAIN OUTCOMES AND MEASURES: Main outcomes were levels/severity of positive symptoms, delusions and hallucinations, negative symptoms, and overall psychotic symptoms after intervention.

resultsEight meta-analyses and two re-analyses were included for meta-review. A total of eight analyses provided sufficient data for analysis. Significant evidence was found in favor of MCT for positive symptoms (85.71%; N = 35, g = 0.473 [0.295, 0.651], I CONCLUSIONS AND RELEVANCE: There is consistent evidence that MCT ameliorates positive symptoms and delusions in schizophrenia.

Indexed as

Cognitive Behavioral TherapyMetacognitionPsychotic DisordersSchizophreniaDelusionsHallucinationsHumans

Identifiers

PMID40263269
PMCPMC12015532

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.