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Revista Portuguesa de Enfermagem de Saúde Mental

Print version ISSN 1647-2160

Abstract

GONZALEZ, Iria Sazatornil  and  NUNES, Lucília. Evidence of the use of metacognitive training in persons with psychosis: integrative literature review. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2022, n.27, pp.158-180.  Epub June 30, 2022. ISSN 1647-2160.  https://doi.org/10.19131/rpesm.331.

Context:

In a society with a great global burden of disease associated with mental disorders, the development of psychotherapeutic interventions such as metacognitive training for people with psychosis, adjunct to psychopharmacological treatment, is paramount.

Objective:

Analyze the evidence of the use of metacognitive training in the person with psychosis.

Review Method:

Formulated the PICO question, articles published between December 2017 and December 2020 were researched in the databases: Complementary index; MEDLINE complete, Academic Search Complete, CINAHL Complete, ScienceDirect and eBook Index. The methodological evaluation process was carried out by two independent reviewers, using the evaluation instruments of the Joanna Briggs Institute. Inclusion and exclusion criteria are defined, bringing together a total of 8 articles for review.

Results:

As main results, after analysis of the included articles, we conclude that the metacognitive training applied in a group, in people with psychosis, in a community context, demonstrates efficacy in reducing positive symptomatology (delusions and hallucinations), and increasing levels of clinical and cognitive insight.

Conclusion:

Metacognitive training proves to be an effective intervention in people with psychosis and should therefore be developed in the context of clinical practice of mental and psychiatric health nursing. Being an intervention with recent implementation, emerges the continuous need to investigate its effects on the population with psychotic symptomatology, mainly, in the variables of affectivity, social functioning, suicide risk and relapses.

Keywords : Training; Metacognition; Psychotic Disorders; Psychiatric Nursing.

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