{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:46:39Z","timestamp":1782441999777,"version":"3.54.5"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The purpose of this study was to assess the efficacy of metacognitive training for psychosis (MCT). The primary goal was to study the severity and the different dimensions of delusions. The secondary goal was to study its impact on self\u2010esteem and depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was planned as a multicentre randomized controlled clinical trial. A sample of 122 patients with a recent\u2010onset diagnosis of schizophrenia spectrum disorders was randomized to receive an MCT intervention (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200965) or a psychoeducational intervention (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200957). Patients were assessed at three different time points (baseline, post\u2010treatment and 6\u2009months follow\u2010up) with the following measures: the Psychotic Symptoms Rating Scale\u2010Delusion subscale (PSYRATS\u2010Del), the Beck Depression Inventory (BDI\u2010II) and the Rosenberg Self\u2010Esteem Scale (RSE). A generalized linear model comparing the MCT group and psychoeducational group in the main measures across all three assessment moments was constructed, controlling for the number of sessions they attended.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In comparison with the psychoeducational group, MCT improved in several dimensions of delusions at the follow\u2010up: amount of preoccupation about delusions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048), duration of preoccupation about delusions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048) and conviction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048). No differences between groups were found in self\u2010esteem or depression at any time\u2010point, but both interventions improved self\u2010esteem\u2014in the follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In recent\u2010onset psychosis patients, MCT demonstrated the expected benefits in conviction, as \u2018sowing seeds of doubt\u2019 is the core MCT mechanism of change. Despite functioning differently, both interventions improved patients' self\u2010esteem. No superiority of MCT was discovered in self\u2010esteem or depression in the short\u2010term follow\u2010up studied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.70284","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T06:06:08Z","timestamp":1779170768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Randomized Controlled Trial on the Effects of Metacognitive Training (MCT) in a Sample of Patients With Recent Onset Psychosis: Study of the Impact on the Severity and Dimensions of Delusions, Self\u2010Esteem and Depression"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6838-8342","authenticated-orcid":false,"given":"Esther","family":"Lorente\u2010Rovira","sequence":"first","affiliation":[{"name":"Hospital Cl\u00ednico Universitario de Valencia Agencia Valenciana de Salud  Valencia Spain"},{"name":"INCLIVA  Valencia Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Facultad de Ciencias de la Salud, Departamento de Personalidad, Evaluacion y Tratamientos Psicol\u00f3gicos Universitat Jaume I de Castell\u00f3n  Castell\u00f3n de la Plana Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Luengo","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednico Universitario de Valencia Agencia Valenciana de Salud  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2497-6353","authenticated-orcid":false,"given":"Maria Luisa","family":"Barrig\u00f3n","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Institute of Psychiatry and Mental Health Hospital General Universitario Gregorio Mara\u00f1on, IISGM  Madrid Spain"},{"name":"School of Medicine Universidad Complutense de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Lopez","family":"Carrilero","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Parc Sanitari Sant Joan de D\u00e9u, Grup Meritt Institut de Recerca Sant Joan de D\u00e9u  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Pousa","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Mental Health Institut de Recerca Sant Pau (IR SANT PAU)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Grasa","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Mental Health Institut de Recerca Sant Pau (IR SANT PAU)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Barajas","sequence":"additional","affiliation":[{"name":"Department de Psicologia Cl\u00ednica i de la Salut, Facultat de Psicologia Universitat Aut\u00f2noma de Barcelona  Bellaterra Spain"},{"name":"Centre d'Higiene Mental Les Corts  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Ruiz\u2010Delgado","sequence":"additional","affiliation":[{"name":"Unidad de Salud Mental Comunitaria Malaga Norte, Unidad de Gesti\u00f3n Cl\u00ednica Salud Mental Carlos Haya Servicio Andaluz de Salud  Malaga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Cid","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM) Instituto de Salud Carlos III (ISCIII)  Madrid Spain"},{"name":"Mental Health &amp; 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