Programas metacognitivos com enfoque em cogni o social na reabilita o da esquizofrenia: uma revis o sistem芍tica Metacognitive programs focusing social cognition for the rehabilitation of schizophrenia: a systematic review

作者：Helio Anderson Tonelli; Fernanda Liboni; Diego Augusto Nesi Cavicchioli

来源：Jornal Brasileiro de Psiquiatria, 2013.

• Esquizofrenia
• cogni o social
• psicoterapia
• sociobiologia
• Schizophrenia
• social cognition
• psychotherapy
• sociobiology

OBJETIVO: Revisar sistematicamente a literatura sobre programas psicoterap那uticos para a esquizofrenia com enfoque em CS, cujos m谷todos envolvam estrat谷gias metacognitivas. M谷TODOS: Foi realizada uma busca na base MedLine, por trabalhos publicados em ingl那s ou portugu那s utilizando a frase %26quot;Social cognition%26quot; AND %26quot;Schizophrenia%26quot; [Mesh] AND %26quot;Psychotherapy%26quot; [Mesh] e os limitadores %26quot;Humans%26quot;, %26quot;Clinical Trial%26quot;, %26quot;Meta-Analysis%26quot; e %26quot;Randomized Controlled Trial%26quot;. Adicionalmente, foram elaborados crit谷rios de inclus o para selecionar os trabalhos com abordagem metacognitiva. RESULTADOS: Dezessete estudos foram selecionados, abrangendo essencialmente programas de reconhecimento do afeto facial e de emo es, Teoria da Mente (ToM), imita o e tomada de perspectiva em situa es sociais. CONCLUS O: A maior parte dos estudos mostrou que seus programas s o eficazes para melhorar medidas de psicopatologia, CS e funcionamento social. Futuras pesquisas dever o esclarecer sobre seguran a, especificidade e durabilidade dessas interven es. OBJECTIVE: To reviewsystematically the literature on psychotherapeutic programs focusing on SC, designed to schizophrenia, which methods include metacognitive strategies. METHODS: A search on MedLine base for papers published in English or Portuguese has been performed, using the phrase %26quot;Social cognition%26quot; AND %26quot;Schizophrenia%26quot; [Mesh] AND %26quot;Psychotherapy%26quot; [Mesh] and the limits %26quot;Humans%26quot;, %26quot;Clinical Trial%26quot;, %26quot;Meta-Analysis%26quot; and %26quot;Randomized Controlled Trial%26quot;. Additionally, inclusion criteria have been formulated in order to select papers with metacognitive approach. RESULTS: Seventeen articles have been selected, which comprised essentially facial emotion recognition, emotion recognition, Theory of Mind (ToM), imitation and perspective taking in social situations. CONCLUSION: The great majority of papers have shown that their programs are effective in improving measures of psychopathology, SC and social functioning. Future research might clarify about safety, specificity and durability of such interventions.