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Psychotherapeutic approaches to patients with schizophrenia are receiving renewed attention, but how long do the improvements endure? Researchers in Germany randomized 150 patients with schizophrenia spectrum diagnoses (mean age, 35) who were taking antipsychotics to one of two 16-session therapies. Metacognitive training (MCT) is a manual-based group treatment addressing attributional style, jumping to conclusions, flexible beliefs, theory of mind/social cognition, avoiding overconfidence in false memories, and mood/self-esteem. The control treatment, COGPACK, is an individualized, computer-based program, conducted in a group setting, to improve memory. Assessors were blinded as to treatment group.
Overall, 86% of patients stayed in the stu…