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ArticleFrontiers in psychiatry2026

PERMEPSY: a multicentre, randomized, double-blind proof-of-concept trial of personalized metacognitive training for adults with psychosis - a study protocol.

Maria Lamarca, Claudia Requejo, Adrianna Aleksandrowicz, Adrien Goncalves, Martyna Kreżołek, Hanna Gelner, Justyna Piwińska, Rabea Fischer, Merle Schlechte, Alvaro Cavieres and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06603922 (Towards a Personalized Medicine Approach to Psychological Treatment for Psychosis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06603922 nanot yet recruitingnot on this map

Towards a Personalized Medicine Approach to Psychological Treatment for Psychosis

TypeinterventionalSponsorPolish Academy of SciencesRan2024 to 2026Enrolled252ConditionsSchizophrenia, Psychosis, Schizophrenia Spectrum and Other Psychotic DisordersArmsPsychological treatment (P-MCT), Psychological treatment (MCT)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Maria LamarcaResearch Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Claudia RequejoResearch Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Adrianna AleksandrowiczII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Adrien GoncalvesUniversity of Strasbourg, Inserm, Strasbourg, France.
Martyna KreżołekII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Hanna GelnerII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Justyna PiwińskaII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Rabea FischerDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Merle SchlechteDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Alvaro CavieresDepartamento de Psiquiatría, Escuela de Medicina, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile.
Vanessa AcuñaDepartamento de Psiquiatría, Escuela de Medicina, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile.
Fabrice BernaFacultad de Psicología, Universitat de Barcelona, Barcelona, Spain.
Steffen MoritzDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Caroline KönigSoft Computing Research Group at Intelligent Data Science and Artificial Intelligence Research Center Universitat Politècnica de Catalunya, Barcelona, Spain.
Łukasz GawędaII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Susana OchoaResearch Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While psychological interventions are effective at improving symptoms of psychosis, accessible, cost- and time-efficient treatments remain limited. Personalized medicine has emerged as a promising approach, tailoring interventions to individual needs. Metacognitive Training (MCT), with its established efficacy and adaptable format, is well-suited for personalization. The PERMEPSY project (Towards a Personalized Medicine Approach to Psychological Treatment for Psychosis) aims to deliver tailored MCT intervention for individuals with psychosis. Methods: PERMEPSY is an international study funded by ERAPerMed (JTC2022) involving five clinical partners (Spain, Chile, France, Germany, Poland) and one technological partner (Spain). The project involves a proof-of-concept clinical trial recruiting 51 participants from each center for a total of 255 adult participants with psychosis in a prospective study (Registration: NCT06603922, 19-09-2024). The trial will test the efficacy of a Machine Learning (ML)-derived platform at predicting clinical and functional outcomes from baseline scores and compare a personalized MCT (P-MCT) to a classical MCT based on the platform's predictions. Aims: PERMEPSY seeks to (1) develop and test the predictive power of an algorithm that could support decision-making, and (2) ascertain whether P-MCT is more effective than MCT at improving key symptoms and cognitive impairments associated to psychosis. Results: A harmonized retrospective database enabled the development of a predictive ML algorithm, integrated into an innovative platform. This platform provides clinicians with the information needed to deliver P-MCT. Predictions include changes in positive symptoms (e.g., delusions), insight, self-esteem, and treatment adherence. Discussion: By integrating diverse data types and innovative technology, PERMEPSY addresses the need for personalized, effective treatment in psychosis, aiming to reduce individual and systemic burdens while supporting clinicians in their decision-making.

Indexed as

clinical trialmetacognitive trainingPERMEPSYpersonalized medicinepsychological interventionspsychosisschizophrenia

Identifiers

PMID41868841
PMCPMC13003757

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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.