Zusammenfassung
Was ist das Individualisierte Metakognitive Therapieprogramm (MKT+)? Was sind Denkverzerrungen und Metakognitionen? Wieso wurde das MKT+ entwickelt und für welche Patientengruppe eignet es sich? Wie ist das Manual aufgebaut und was zeichnet es im Speziellen aus? Im einführenden Kapitel werden diese Fragen eingehend erörtert und erleichtern dem Therapeuten den Einstieg in das „Individualisierte Metakognitive Therapieprogramm bei Menschen mit Psychosen“.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Bechdolf, A., & Klingberg, S. (2014). Psychotherapie bei schizophrenen Störungen: Kein Evidenz-, sondern ein Implementierungsproblem. Psychiatrische Praxis, 41, 8–10.
Beck, K., McCutcheon, R., Stephenson, L., Schilderman, M., Patel, N., Ramsay, R., & Howes, O. D. (2019). Prevalence of treatment-resistant psychoses in the community: A naturalistic study. Journal of Psychopharmacology, 33(10), 1248–1253.
Bridges, J. F. P., Beusterien, K., Heres, S., Such, P., Sánchez-Covisa, J., Nylander, A.-G., Chan, E., & de Jong-Laird, A. (2018). Quantifying the treatment goals of people recently diagnosed with schizophrenia using best – worst scaling. Patient Preference and Adherence, 12, 63–70. https://doi.org/10.2147/PPA.S152870
Burns, A. M., Erickson, D. H., & Brenner, C. A. (2014). Cognitive-behavioral therapy for medication-resistant psychosis: A meta-analytic review. Psychiatric Services, 65, 874–880.
Byerly, M. J., Nakonezny, P. A., & Lescouflair, E. (2007). Antipsychotic medication adherence in schizophrenia. Psychiatric Clinics of North America, 30, 437–452.
Byrne, R., & Morrison, A. P. (2014). Service users’ priorities and preferences for treatment of psychosis: A user-led Delphi study. Psychiatric Services, 65, 1167–1169.
Chong, H. Y., Teoh, S. L., Wu, D. B.-C., Kotirum, S., Chiou, C.-F., & Chaiyakunapruk, N. (2016). Global economic burden of schizophrenia: A systematic review. Neuropsychiatric Disease and Treatment, 12, 357–373. https://doi.org/10.2147/NDT.S96649
Eichner, C., & Berna, F. (2016). Acceptance and efficacy of Metacognitive Training (MCT) on positive symptoms and delusions in patients with schizophrenia: A meta-analysis taking into account important moderators. Schizophrenia Bulletin, 42, 952–962.
Ekman, M., Granstrom, O., Omerov, S., Jacob, J., & Landen, M. (2013). The societal cost of schizophrenia in Sweden. The Journal of Mental Health Policy and Economics, 16, 13–25.
Elis, O., Caponigro, J. M., & Kring, A. M. (2013). Psychosocial treatments for negative symptoms in schizophrenia: Current practices and future directions. Clinical Psychology Review, 33, 914–928.
Evensen, S., Wisløff, T., Lystad, J. U., Bull, H., Ueland, T., & Falkum, E. (2016). Prevalence, employment rate, and cost of schizophrenia in a high-income welfare society: A population-based study using comprehensive health and welfare registers. Schizophrenia Bulletin, 42, 476–483.
Gaebel, W., Hasan, A., & Falkai, P. (2019). S3-leitlinie schizophrenie. Berlin: Springer.
Gillespie, A. L., Samanaite, R., Mill, J., Egerton, A., & MacCabe, J. H. (2017). Is treatment-resistant schizophrenia categorically distinct from treatment-responsive schizophrenia? A systematic review. BMC Psychiatry, 17(1), 12. https://doi.org/10.1186/s12888-016-1177-y
Görgen, W., & Engler, U. (2005). Ambulante psychotherapeutische Versorgung von psychosekranken Menschen sowie älteren Menschen in Berlin. Kammer für Psychologische Psychotherapeuten und Kinder- und Jugendlichenpsychotherapeuten im Land Berlin.
Green, M. F., Horan, W. P., & Lee, J. (2019). Nonsocial and social cognition in schizophrenia: Current evidence and future directions. World Psychiatry, 18(2), 146–161.
Jauhar, S., McKenna, P. J., Radua, J., Fung, E., Salvador, R., & Laws, K. R. (2014). Cognitive-behavioural therapy for the symptoms of schizophrenia: Systematic review and meta-analysis with examination of potential bias. The British Journal of Psychiatry, 204, 20–29.
Jauhar, S., Laws, K. R., & McKenna, P. J. (2019). CBT for schizophrenia: A critical viewpoint. Psychological Medicine, 49(8), 1233–1236.
Kane, J. M., Agid, O., Baldwin, M. L., Howes, O., Lindenmayer, J.-P., Marder, S., Olfson, M., Potkin, S. G., & Correll, C. U. (2019). Clinical guidance on the identification and management of treatment-resistant schizophrenia. The Journal of Psychiatry, 80(2), 18com12123.
Koriat, A. (2007). Metacognition and consciousness. In P. D. Zelazo, M. Moscovitch, & E. Thompson (Hrsg.), The Cambridge handbook of consciousness (S. 289–326). Cambridge: Cambridge University Press.
Kovács, G., Almási, T., Millier, A., Toumi, M., Horváth, M., Kóczián, K., Götze, Á., Kaló, Z., & Zemplényi, A. T. (2018). Direct healthcare cost of schizophrenia – European overview. European Psychiatry, 48(1), 79–92.
Kühl, M., Lüdtke, T., Mehl, S., & Moritz, S. (2021). Evaluation of an Internet-based metacognitive training for individuals who hear voices. Schizophrenia Research, 228, 256–259.
Kuhnigk, O., Slawik, L., Meyer, J., Naber, D., & Reimer, J. (2012). Valuation and attainment of treatment goals in schizophrenia: Perspectives of patients, relatives, physicians, and payers. Journal of Psychiatric Practice, 18, 321–328.
Lally, J., & Gaughran, F. (2019). Treatment resistant schizophrenia – review and a call to action. Irish Journal of Psychological Medicine, 36(4), 279–291.
Lau, K. C., Lee, E. H., Hui, C. L., Chang, W., Chan, S. K., & Chen, E. Y. (2015). Psychosis patients’ knowledge, adherence and attitudes towards the naming of antipsychotic medication in Hong Kong. Early Intervention in Psychiatry, 9(5), 422–427.
Lincoln, T. M., Suttner, C., & Nestoriuc, Y. (2008). Wirksamkeit kognitiver Interventionen in der Reduktion schizophrener Symptomatik. Eine Meta-Analyse. Psychologische Rundschau, 59, 217–232.
Liu, Y., Tang, C., Hung, T., Tsai, P., & Lin, M. (2018). The efficacy of Metacognitive Training for delusions in patients with schizophrenia: A meta-analysis of randomized controlled trials informs evidence-based practice. Worldviews on Evidence-Based Nursing, 15(2), 130–139. https://doi.org/10.1111/wvn.12282
Lutgens, D., Gariepy, G., & Malla, A. (2017). Psychological and psychosocial interventions for negative symptoms in psychosis: Systematic review and meta-analysis. The British Journal of Psychiatry, 210(5), 324–332.
Lynch, D., Laws, K. R., & McKenna, P. J. (2010). Cognitive behavioural therapy for major psychiatric disorder: Does it really work? A meta-analytical review of well-controlled trials. Psychological Medicine, 40, 9–24.
Lysaker, P. H., Dimaggio, G., Hamm, J. A., Leonhardt, B. L., Hochheiser, J., & Lysaker, J. T. (2019). Disturbances in self-experience in schizophrenia: Metacognition and the development of an integrative recovery-oriented individual psychotherapy. Psychopathology, 52(2), 135–142.
MacKenzie, N. E., Kowalchuk, C., Agarwal, S. M., Costa-Dookhan, K. A., Caravaggio, F., Gerretsen, P., Chintoh, A., Remington, G. J., Taylor, V. H., & Müeller, D. J. (2018). Antipsychotics, metabolic adverse effects, and cognitive function in schizophrenia. Frontiers in Psychiatry, 9, 622.
Mehl, S., Werner, D., & Lincoln, T. M. (2015). Does cognitive behavior therapy for psychosis (CBTp) show a sustainable effect on delusions? A meta-analysis. Frontiers in Psychology, 6, 1450.
Mehl, S., Falkai, P., Berger, M., Löhr, M., Rujescu, D., Wolff, J., & Kircher, T. (2016). Leitlinienkonforme psychiatrisch-psychotherapeutische Behandlung für Patienten mit Schizophrenie. Nervenarzt, 87(3), 286–294.
Moritz, S., & Lysaker, P. H. (2018). Metacognition – what did James H. Flavell really say and the implications for the conceptualization and design of metacognitive interventions. Schizophrenia Research, 201, 20–26.
Moritz, S., Favrod, J., Andreou, C., Morrison, A. P., Bohn, F., Veckenstedt, R., Tonn, P., & Karow, A. (2013). Beyond the usual suspects: Positive attitudes towards positive symptoms is associated with medication noncompliance in psychosis. Schizophrenia Bulletin, 39, 917–922.
Moritz, S., Berna, F., Jaeger, S., Westermann, S., & Nagel, M. (2017). The customer is always right? Subjective target symptoms and treatment preferences in patients with psychosis. European Archives of Psychiatry and Clinical Neuroscience, 267(4), 335–339. https://doi.org/10.1007/s00406-016-0694-5
Mueser, K. T., & McGurk, S. R. (2004). Schizophrenia. Lancet, 363, 2063–2072.
Polese, D., Fornaro, M., Palermo, M., De Luca, V., & De Bartolomeis, A. (2019). Treatment-resistant to antipsychotics: A resistance to everything? Psychotherapy in treatment-resistant schizophrenia and nonaffective psychosis: A 25-year systematic review and exploratory meta-analysis. Frontiers in Psychiatry, 10, 210.
Puschner, B., Vauth, R., Jacobi, F., & Becker, T. (2006). Bedeutung von Psychotherapie in der Versorgung von Menschen mit schizophrenen Störungen in Deutschland. Wie evidenzbasiert ist die Praxis? Nervenarzt, 77, 1301–1309.
Sado, M., Inagaki, A., Koreki, A., Knapp, M., Kissane, L. A., Mimura, M., & Yoshimura, K. (2013). The cost of schizophrenia in Japan. Neuropsychiatric Disease and Treatment, 9, 787–798.
Sarlon, E., Heider, D., Millier, A., Azorin, J.-M., König, H.-H., Hansen, K., Angermeyer, M. C., Aballéa, S., & Toumi, M. (2012). A prospective study of health care resource utilisation and selected costs of schizophrenia in France. BMC Health Services Research, 12, 269–276.
Sauvé, G., Lavigne, K. M., Pochiet, G., Brodeur, M. B., & Lepage, M. (2020). Efficacy of psychological interventions targeting cognitive biases in schizophrenia: A systematic review and meta-analysis. Clinical Psychology Review, 78, 101854. https://doi.org/10.1016/j.cpr.2020.101854
Savla, G. N., Vella, L., Armstrong, C. C., Penn, D. L., & Twamley, E. W. (2013). Deficits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophrenia Bulletin, 39, 979–992.
Schaefer, J., Giangrande, E., Weinberger, D. R., & Dickinson, D. (2013). The global cognitive impairment in schizophrenia: Consistent over decades and around the world. Schizophrenia Research, 150, 42–50.
Schlier, B., & Lincoln, T. M. (2016). Blinde Flecken? Der Einfluss von Stigma auf die psychotherapeutische Versorgung von Menschen mit Schizophrenie. Verhaltenstherapie, 26(4), 279–290.
Schlier, B., Wiese, S., Frantz, I., & Lincoln, T. M. (2017). Chancengleichheit in der ambulanten Therapie: Ein Experiment zur Bereitschaft von niedergelassenen Psychotherapeuten, Patienten mit Schizophrenie zu behandeln. Verhaltenstherapie, 27(3), 161–168.
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Freeston, M., Garety, P. A., Hollon, S. D., Ost, L. G., Salkovskis, P. M., Williams, J. M., & Wilson, G. T. (2009). Mind the gap: Improving the dissemination of CBT. Behaviour Research and Therapy, 47, 902–909.
Velligan, D. I., Sajatovic, M., Hatch, A., Kramata, P., & Docherty, J. P. (2017). Why do psychiatric patients stop antipsychotic medication? A systematic review of reasons for nonadherence to medication in patients with serious mental illness. Patient Preference and Adherence, 11, 449.
Velthorst, E., Koeter, M., Van Der Gaag, M., Nieman, D. H., Fett, A. K. J., Smit, F., Staring, A. B. P., Meijer, C., & De Haan, L. (2015). Adapted cognitive-behavioural therapy required for targeting negative symptoms in schizophrenia: Meta-analysis and meta-regression. Psychological Medicine, 45(3), 453.
Warner, R. (2009). Recovery from schizophrenia and the recovery model. Current Opinion in Psychiatry, 22, 374–380.
Wykes, T., Steel, C., Everitt, B., & Tarrier, N. (2008). Cognitive behavior therapy for schizophrenia: Effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523–537.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2023 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature
About this chapter
Cite this chapter
Moritz, S., Krieger, E.C., Bohn, F., Elmers, J., Veckenstedt, R. (2023). MKT+: Ein innovativer Ansatz. In: MKT+. Psychotherapie: Manuale. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64467-6_1
Download citation
DOI: https://doi.org/10.1007/978-3-662-64467-6_1
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-64466-9
Online ISBN: 978-3-662-64467-6
eBook Packages: Medicine (German Language)