Combining Metacognitive Training with Cognitive Remediation for Psychotic Disorders

Benefits of Combining Metacognitive Training (MCT) With Cognitive Remediation (CR) in the Recovery of Patients With Psychotic Spectrum Disorders (CR+MCTp)

Not applicable Interventional Universitat Autonoma de Barcelona · NCT06423651

This study is testing whether combining two types of therapy can help people with nonaffective psychotic disorders recover better than just using one type of therapy alone.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment160 (estimated)
Ages16 Years to 55 Years
SexAll
SponsorUniversitat Autonoma de Barcelona Academic / other
Locations1 site (Cerdanyola del Vallès, Barcelona)
Trial IDNCT06423651 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the effectiveness of combining REHACOP (Cognitive Remediation) with Metacognitive Training (MCT) in improving recovery outcomes for individuals with nonaffective psychotic disorders. Participants will be assigned to either the combined therapy or MCT alone, and their progress will be assessed in terms of clinical recovery, personal recovery, cognitive biases, and social cognition. The study also seeks to understand the long-term effects of these interventions and how gender differences may influence outcomes.

Who should consider this trial

Good fit: Ideal candidates include individuals diagnosed with schizophrenia or related disorders who are stable and compliant with their pharmacological treatment.

Not a fit: Patients with severe cognitive impairments or those exhibiting high levels of hostility and suspicion may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly enhance recovery and quality of life for patients with psychotic disorders.

How similar studies have performed: Previous studies have shown promise in using cognitive interventions for psychotic disorders, suggesting potential success for this combined approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Presence of one of the e following diagnostics according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5): schizophrenia, schizophreniform disorder, delusional disorder, brief psychotic disorder, schizoaffective disorder, and non specified schizophrenia spectrum disorder and other psychotic disorders.
* Be in a stable clinical phase (without psychiatric hospitalization in the last 3 months).
* Have good adherence to pharmacological treatment.
* T-score \< 40 in any cognitive outcome measured by TAVEC, CPT-IP, TMT, Stroop, WSCT, FAS and WAIS (Vocabulary, Digit Forward, Digit Backwards and Digit Symbol Coding.
* Willing to participate in the study expressed by providing signed informed consent.

Exclusion Criteria:

* Presence of traumatic brain lesion, dementia or intellectual discapacity (IQ \<70).
* Positive and Negative Syndrome Scale (PANSS) score \>= 5 in hostility and lack of cooperation and \>= 6 in suspiciousness.
* Presence of an additional diagnosis of severe disorder related to substances.
* Having participated in a CR and/or MCT intervention in the year prior to incorporation into the study.

Where this trial is running

Cerdanyola del Vallès, Barcelona

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions SchizophreniaSchizophreniform DisordersDelusional DisorderBrief Psychotic DisorderSchizoaffective DisorderSchizophrenia Spectrum and Other Psychotic DisordersMetacognitive TrainingMCT
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.