Family Metacognitive Training (MCT-F): Adapting MCT to Mothers with Psychosis and Their Adolescent Children
Por:
Espinosa V, Arin González, Paula, Jiménez Lafuente, Alba, Pardo, Nerea, López-Carrilero R, Birulés-Muntané I, Barajas A, Peláez MT, Diaz L, Verdaguer M, Jose Alfonso Gutierrez Zotes, Palma Sevillano, Carolina, Varela Casals, Paloma, Salas Sender, Miriam, Aznar, Ana, Ayesa Arriola, Rosa, Esther Pousa Tomas, Canal Rivero, Manuel, Garrido Torres, Nathalia, Montserrat, Clara, Muñoz Lorenzo, Laura, Crosas, Josep Maria and Ochoa S
Publicada:
1 feb 2024
Ahead of Print:
27 ene 2024
Resumen:
Over half of women with psychosis are mothers. Research suggests that mothers with psychosis face unique challenges affecting both their mental health prognosis and their relationship with their children. Moreover, those children have a higher risk of developing a mental disorder. Notwithstanding, interventions specifically tailored to these families remain largely uncovered. Metacognitive Training (MCT) has demonstrated its efficacy in improving cognitive insight, symptom management, and social cognition in people with psychosis. However, there is no evidence of the efficacy of MCT in a family setting (MCT-F). This study describes the first adaptation of MCT for mothers with psychosis and their adolescent children in an online group setting. The phases (assessment, decision, adaptation, production, topical experts' integration) of the ADAPT-ITT model were systematically applied through a participatory approach (n = 22), including a first-person perspective and involving qualitative (e.g., topical expert literature review and consensus groups, interviews, thematic analyses) and quantitative methods. While MCT's core components were retained, participants guided adaptations both in content and delivery. The findings suggest the importance of community engagement and sharing decision-making processes to demonstrate the acceptability and feasibility of the adapted intervention. Employing a structured approach such as the ADAPT-ITT model ensures readiness of the new training for efficacy trials.
Filiaciones:
Parc Sanitari St Joan Deu, St Boi De Llobregat 08830, Spain
Fundacio St Joan Deu, Esplugas de Llobregat 08950, Spain
Inst Recerca St Joan Deu, Etiopatogenia & Tractament Trastorns Mentals
Greus, Esplugas de Llobregat 08950, Spain
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Madrid 28029,
Spain
Univ Barcelona, Fac Psychol, Dept Social & Quantitat Psychol, Barcelona
08035, Spain
Univ Autonoma Barcelona, Fac Psicol Clinicade Salut 1, Serra Hunter
Programme, Dept Psicol, Cerdanyola Del Valles 08193, Spain
Univ Ramon Llull, Psychol Dept, FPCEE Blanquerna, Barcelona 08022, Spain
Univ Autonoma Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles
08193, Spain
Univ Rovira i Virgili, Hosp Univ Inst Pere Mata, Inst Invest Sanitaria
Pere Virgili CERCA, Reus 43206, Spain
Hosp Mataro, Consorci Sanitari Maresme, Mataro 08301, Spain
Fundacio Vidal i Barraquer, Barcelona 08022, Spain
Ctr Higiene Mental Les Corts, Barcelona 08035, Spain
Univ Cantabria, Marques de Valdecilla Univ Hosp, IDIVAL Sch Med, Dept
Psychiat, Santander 39008, Spain
Hosp Santa Creu & Sant Pau, Inst Invest Biomed St Pau IIB St Pau, Dept
Psychiat, Barcelona 08041, Spain
Univ Seville, Virgen Rocio Univ Hosp, Inst Biomed Seville IBiS, First
Episode Psychosis Res Network Andalusia Red, Seville 41013, Sevilla,
Autonomous Univ Barcelona, Hosp del Mar Med Res Inst IMIM Barcelona,
Barcelona 08003, Spain
IIS Fdn Jimenez Diaz, Dept Psiquiatria, Madrid 28040, Spain
Univ Autonoma Barcelona, Hosp Univ Parc Tauli, Inst Invest & Innovacio
Parc Tauli I3PT, Dept Mental Hlth, Sabadell 08208, Spain
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