Entrenamiento en habilidades sociales orientado a la metacognición (MOSST)Marco teórico, metodología de trabajo y descripción del tratamiento para pacientes con esquizofrenia

  1. Felix Inchausti 2
  2. Nancy V. García-Poveda 3
  3. Javier Prado-Abril 2
  4. Javier Ortuño-Sierra 1
  5. Ignacio Gaínza-Tejedor
  1. 1 Universidad de La Rioja
    info

    Universidad de La Rioja

    Logroño, España

    ROR https://ror.org/0553yr311

  2. 2 Hospital Virgen del Camino
    info

    Hospital Virgen del Camino

    Pamplona, España

    ROR https://ror.org/046wwv897

  3. 3 Unidad de Psiquiatría, Hospital San Juan de Dios de Santurce, Spain
Revista:
Papeles del psicólogo

ISSN: 0214-7823 1886-1415

Año de publicación: 2017

Volumen: 38

Número: 3

Páginas: 204-215

Tipo: Artículo

DOI: 10.23923/PAP.PSICOL2017.2840 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Papeles del psicólogo

Resumen

Los déficits en el funcionamiento social son un síntoma característico de la esquizofrenia y han sido ampliamente descritos en la literatura. Como resultado, el entrenamiento en habilidades sociales (EHS) se considera una parte esencial del tratamiento integral para la esquizofrenia y su inclusión se recomienda en diversas guías clínicas internacionales del trastorno. Sin embargo, diferentes estudios han revelado que los programas actuales de EHS tienen un efecto limitado en cuanto a sus beneficios potenciales sobre el funcionamiento psicosocial cotidiano de los pacientes. El presente trabajo tiene por objetivo presentar un nuevo marco de intervención que integra el entrenamiento metacognitivo y el EHS para pacientes con esquizofrenia: el entrenamiento en habilidades sociales orientado a la metacognición (MOSST). La justificación teórica de MOSST se sustenta en los recientes hallazgos que sugieren el papel central de los déficits metacognitivos en el funcionamiento psicosocial de estos pacientes. Por este motivo, MOSST pretende no solo entrenar las habilidades interpersonales sino también mejorar la comprensión de los estados mentales propios y ajenos, así como la relación entre estos y el comportamiento social efectivo. Para facilitar la descripción de MOSST, su implementación se ilustra a través de un paciente con esquizofrenia que finalizó con éxito el programa completo. Por último, se discuten las implicaciones clínicas de los resultados disponibles hasta la fecha con MOSST, sus limitaciones y las direcciones futuras de investigación.

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