It concurs with high psychosocial disability and is associated with stigma and discrimination. Schizophrenia and first-episode psychosis represent one of the most invalidating disorders. Moreover, a minimum IQ is required to ensure benefits from MCT group intervention. Conclusions: MCT intervention appears to have beneficial effects on cognitive insight by reducing self-certainty, especially after four sessions. From session 4 to session 8, all sessions improved cognitive insight by significantly reducing self-certainty and the Composite Index. Results: Self-certainty decreased significantly ( p = 0.03) over time and the effect of IQ was negative and significant ( p = 0.02). Statistical analysis was performed using linear mixed models with repeated measures at different time points. The BCIS contains two subscales: self-reflectiveness and self-certainty, and the Composite Index. Patients were assessed at baseline, post-treatment, and 6 months follow-up, as well as after each session of MCT with the Beck Cognitive Insight Scale (BCIS). Method: A total of 65 patients with first-episode psychosis were included in the MCT group from nine centers of Spain. The aim of the study was to assess changes in cognitive insight after MCT: (a) between baseline, post-treatment, and follow-up (b) after each session of the MCT controlled for intellectual quotient (IQ) and educational level.
However, the effect of each MCT session has not been studied.
Background: Metacognitive training (MCT) has demonstrated its efficacy in psychosis.