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Metacognitive therapy

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https://www.readbyqxmd.com/read/28922004/behavioral-activation-in-the-treatment-of-metacognitive-dysfunctions-in-inhibited-type-personality-disorders
#1
Keely Gordon-King, Robert D Schweitzer, Giancarlo Dimaggio
Behavioral interventions are proposed as a critical treatment component in psychotherapy for personality disorders. The current study explores behavioral interventions as a mechanism of change in Metacognitive Interpersonal Therapy, an integrative psychotherapy for personality disorders. The goals and implementation of behavioral principles are illustrated through the single case study of Roger, a 57-year-old man diagnosed with avoidant personality disorder and depressive personality disorder. Transcripts of interviews and therapy sessions illustrate the role of behavioral interventions, including behavioral activation, in Roger's treatment...
September 2017: Psychotherapy
https://www.readbyqxmd.com/read/28903787/a-preliminary-investigation-of-metacognitive-therapy-and-habit-reversal-as-a-treatment-for-trichotillomania
#2
Hossein Shareh
BACKGROUND: Not all patients suffering from trichotillomania (TTM) recover completely using CBT and of those that do, only a few maintain their recovery over time. AIMS: The purpose of the present study was to investigate the effectiveness of metacognitive methods combined with habit reversal (MCT/HRT) in trichotillomania with a relatively long-term follow-up. METHOD: A case series (n = 8) and a randomized wait-list controlled trial (n = 34) design were conducted in this study...
September 14, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28866988/a-new-generation-computerised-metacognitive-cognitive-remediation-programme-for-schizophrenia-circuits-a-randomised-controlled-trial
#3
C Reeder, V Huddy, M Cella, R Taylor, K Greenwood, S Landau, T Wykes
BACKGROUND: Cognitive remediation (CR) is a psychological therapy, which improves cognitive and social functioning in people with schizophrenia. It is now being implemented within routine clinical services and mechanisms of change are being explored. We designed a new generation computerised CR programme, CIRCuiTS (Computerised Interactive Remediation of Cognition - a Training for Schizophrenia), to enhance strategic and metacognitive processing, with an integrated focus on the transfer of cognitive skills to daily living...
September 4, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28828697/metacognitive-training-in-patients-recovering-from-a-first-psychosis-an-experience-sampling-study-testing-treatment-effects
#4
Karin Pos, Carin J Meijer, Oukje Verkerk, Onno Ackema, Lydia Krabbendam, Lieuwe de Haan
Cognitive biases, negative affect and negative self-esteem are associated with paranoia in people with psychotic disorders. Metacognitive group training (MCT) aims to target these biases although research has shown mixed results. Our objective was to establish the effect of MCT on paranoid ideation in patients with recent onset psychosis in a powerful experience sampling design. 50 patients between the age of 18 and 35 were included in a single-blind, parallel group RCT comparing MCT with occupational therapy (OT) as an active control condition...
August 21, 2017: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/28781728/effect-of-play-based-therapy-on-meta-cognitive-and-behavioral-aspects-of-executive-function-a-randomized-controlled-clinical-trial-on-the-students-with-learning-disabilities
#5
Samaneh Karamali Esmaili, Narges Shafaroodi, Afsoon Hassani Mehraban, Akram Parand, Masoume Zarei, Saeed Akbari-Zardkhaneh
INTRODUCTION: Although the effect of educational methods on executive function (EF) is well known, training this function by a playful method is debatable. The current study aimed at investigating if a play-based intervention is effective on metacognitive and behavioral skills of EF in students with specific learning disabilities. METHODS: In the current randomized, clinical trial, 49 subjects within the age range of 7 to 11 years with specific learning disabilities were randomly assigned into the intervention (25 subjects; mean age 8...
May 2017: Basic and Clinical Neuroscience
https://www.readbyqxmd.com/read/28750171/remediation-of-social-communication-impairments-following-traumatic-brain-injury-using-metacognitive-strategy-intervention-a-pilot-study
#6
Emma Finch, Petrea Cornwell, Anna Copley, Emmah Doig, Jennifer Fleming
OBJECTIVE: To perform a pilot study to evaluate whether a novel metacognitive, goal-based intervention improved and maintained the social communication skills of adults with traumatic brain injury (TBI). METHOD: Eight community-dwelling participants with TBI completed three study phases: (1) baseline, (2) eight-week intervention targeting social communication impairments and (3) follow-up. Participants completed the Profile of Pragmatic Impairment in Communication (PPIC), LaTrobe Communication Questionnaire (LCQ) and Goal Attainment Scaling (GAS) at the commencement of baseline phase, pre- and post-intervention and completion of the follow-up phase...
July 27, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28749828/therapists-metacognitive-monitoring-of-the-psychotherapeutic-process-with-patients-with-borderline-personality-disorder
#7
Marianne E Bourke, Brin F S Grenyer
BACKGROUND: Therapy for borderline personality disorder (BPD) is challenging, in part, because of the impact of BPD on the therapeutic relationship. The therapist's metacognitive capacity within therapy may be perturbed due to the complexity of verbal and nonverbal affect and cognition in the therapeutic interchange; however, research on this issue is lacking. METHODS: Therapists (N=20 clinical psychologists) were asked to discuss the treatment process when working with their patients with BPD (N=40) and their patients with major depressive disorder (N=40)...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28711117/mechanisms-of-change-during-attention-training-and-mindfulness-in-high-trait-anxious-individuals-a-randomized-controlled-study
#8
Peter M McEvoy, Rachel Graville, Sarra Hayes, Robert T Kane, Jonathan K Foster
The first aim of this study was to compare attention manipulation techniques deriving from metacognitive therapy (the Attention Training Technique; ATT) and mindfulness-based approaches (Mindfulness-Based Progressive Muscle Relaxation, MB-PMR) to a thought wandering control (TWC) condition, in terms of their impact on anxiety and four mechanisms: distancing, present-focused attention, uncontrollability and dangerousness, metacognitive beliefs, and cognitive flexibility (Stroop task). The second aim was to test indirect effects of the techniques on anxiety via the mechanism measures...
September 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28691835/agency-before-action-the-application-of-behavioral-activation-in-psychotherapy-with-persons-with-psychosis
#9
Ilanit Hasson-Ohayon, Nitzan Arnon-Ribenfeld, Jay A Hamm, Paul H Lysaker
Incorporating behavioral activation into psychotherapy with persons with psychosis requires adaptation in its conceptualization and application owing to special deficits in the self-experience. Persons with psychosis often experience a diminished or disorganized sense of self, and have deficits in coherently narrating the experience of the self and in the ability to make sense of how to take action and direct their own lives. Based on a metacognitive model of disability in psychosis, the current paper presents a therapy process of a woman coping with schizophrenia using Metacognitive Reflection and Insight Therapy (Lysaker and Dimaggio, 2014) in the framework of an intersubjective model for psychotherapy with persons with psychosis presented by Hasson-Ohayon, Kravetz, and Lysaker (2016a)...
September 2017: Psychotherapy
https://www.readbyqxmd.com/read/28667910/anxiety-and-depression-in-people-with-epilepsy-the-contribution-of-metacognitive-beliefs
#10
Peter L Fisher, Adam J Noble
PURPOSE: Anxiety and depressive disorders frequently occur in people with epilepsy (PWE). An information processing model of psychopathology, the Self-Regulatory Executive Function (S-REF) model specifies that maladaptive metacognitive beliefs and processes play a fundamental role in the development and maintenance of anxiety and depression. This study explored whether metacognitive beliefs would explain additional variance in anxiety and depression after accounting for demographics, physical and/or psychiatric illnesses, epilepsy characteristics and medication issues...
August 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/28651207/metacognitive-therapy-versus-disorder-specific-cbt-for-comorbid-anxiety-disorders-a-randomized-controlled-trial
#11
Sverre Urnes Johnson, Asle Hoffart, Hans M Nordahl, Bruce E Wampold
Few studies have compared the effects of Metacognitive therapy (MCT) and Cognitive behavioral therapy (CBT) for comorbid anxiety disorders. In the current study we compared CBT and MCT for heterogeneous anxiety disorders in a residential setting. Ninety patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia or Panic disorder, with and without Agoraphobia, were randomized to either CBT or MCT. Patients were assessed at pre-treatment, post-treatment and one-year follow-up. Primary outcome measures were Beck Anxiety Inventory and ADIS IV and secondary outcome measures were SCID II, Beck Depression Inventory, Penn State Worry Questionnaire, The Symptom Checklist-90 and the Inventory of Interpersonal Problems-64...
August 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28645966/effectiveness-of-metacognitive-interventions-for-mental-disorders-in-adults-a-systematic-review-protocol-metacog
#12
Franziska Kühne, Ramona Meister, Alessa Jansen, Martin Härter, Steffen Moritz, Levente Kriston
INTRODUCTION: Whereas the efficacy of cognitive-behavioural therapy has been demonstrated for a variety of mental disorders, there is still need for improvement, especially regarding less prevalent or more severe disorders. Recently, metacognitive interventions have been developed and are now available for a variety of diagnoses. Still, a systematic review investigating the effectiveness of different metacognitive interventions for various mental disorders is missing. METHODS AND ANALYSIS: Randomised controlled trials (RCTs), cross-over and cluster RCTs and non-randomised controlled trials on metacognitive interventions (ie, metacognitive therapy, metacognitive training, others) in adults with any mental disorder will be included...
June 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/28641817/-preventing-violence-in-schizophrenia-with-cognitive-remediation
#13
C Darmedru, C Demily, N Franck
OBJECTIVES: The association between schizophrenia and violence represents an important issue in psychiatry. Often highly publicized, violent acts raise the question of their detection, prevention, management and treatment. There is no single, direct and exclusive link between aggressiveness and the underlying psychiatric disorder. On the contrary, the processes underlying this violence are multiple and interlinked. In addition to static and dynamic risk factors, cognitive deficits play an important role in the genesis and maintenance of violent and aggressive behavior...
June 19, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28621083/metacognition-in-speech-and-language-therapy-for-children-with-social-pragmatic-communication-disorders-implications-for-a-theory-of-therapy
#14
Jacqueline Gaile, Catherine Adams
BACKGROUND: Metacognition is a significant component of complex interventions for children who have developmental language disorders. Research into how metacognition operates in the content or process of developmental language therapy delivery is limited. Identification and description of proposed active therapy components, such as metacognition, may contribute to our understanding of how to deliver complex communication interventions in an optimal manner. AIMS: To analyse aspects of metacognition during therapy derived from a manualized speech and language intervention (the Social Communication Intervention Programme-SCIP) as delivered to children who have social (pragmatic) communication disorder (SPCD) and to examine the dynamic process of delivering therapy...
June 16, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28606061/a-pilot-study-on-feasibility-acceptance-and-effectiveness-of-metacognitive-oriented-social-skills-training-in-schizophrenia
#15
Felix Inchausti, Nancy V García-Poveda, Alejandro Ballesteros-Prados, Eduardo Fonseca-Pedrero, Javier Ortuño-Sierra, Sergio Sánchez-Reales, Javier Prado-Abril, José Antonio Aldaz-Armendáriz, Joe Mole
BACKGROUND: In preparation for a randomized controlled trial, a pilot study was conducted to investigate the feasibility, acceptability and effectiveness of a psychotherapy group based on metacognitive-oriented social skills training (MOSST). METHODS: Twelve outpatients with schizophrenia were offered 16 group-sessions of MOSST. Effect sizes were calculated for changes from baseline to treatment end for both psychosocial functioning and metacognitive abilities measured by the Personal and Social Performance Scale (PSP) and the Metacognition Assessment Scale-Abbreviated (MAS-A) respectively...
June 12, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28544223/long-term-outcomes-of-metacognitive-narrative-psychotherapy-for-people-diagnosed-with-schizophrenia
#16
Robert D Schweitzer, Melissa Greben, Rebecca Bargenquast
OBJECTIVES: This study investigated long-term outcomes of Metacognitive Narrative Psychotherapy. Previous studies have shown the approach to be effective in enhancing recovery and metacognition in people with a diagnosis of schizophrenia. DESIGN: A 2-year longitudinal follow-up case study design. METHODS: Eight people with a diagnosis of schizophrenia received an average of 52 sessions over 13-26 months. Follow-up interviews were conducted and self-report measures administered at approximately 2 years (22-30 months) post-completion of therapy...
May 24, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28541060/metacognition-and-cognition-in-inpatient-mct-and-cbt-for-comorbid-anxiety-disorders-a-study-of-within-person-effects
#17
Sverre Urnes Johnson, Asle Hoffart, Hans M Nordahl, Pål G Ulvenes, KariAnne Vrabel, Bruce E Wampold
Psychotherapists have long questioned what mediating processes are linked to outcome of psychotherapy. Few studies examining this question have assessed within-person changes in the process outcome relationship over time. The present study examined changes in cognition and metacognition over the course of therapy using a dataset from a randomized controlled trial comparing Metacognitive therapy (MCT) and Cognitive-behavioral therapy (CBT). The sample included 74 patients measured on process and symptom instruments weekly throughout therapy...
May 25, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28515551/combining-metacognitive-strategies-with-traditional-cognitive-behavior-therapy-in-generalized-anxiety-disorder-a-case-illustration
#18
Paulomi M Sudhir, Systla Rukmini, Mahendra Prakash Sharma
CONTEXT: Generalized anxiety disorder (GAD) is a challenging clinical condition to manage. Recent psychological models of GAD emphasis on the need to focus on metacognitive processes in addition to symptom reduction. AIMS: We examined the application of metacognitive strategies in addition to conventional cognitive behaviour therapy (CBT) techniques in an adult patient with GAD. SETTINGS AND DESIGNS: Asingle case design with pre- and post-assessments on clinician-rated scales was adopted...
March 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/28472176/testing-the-metacognitive-model-against-the-benchmark-cbt-model-of-social-anxiety-disorder-is-it-time-to-move-beyond-cognition
#19
Henrik Nordahl, Adrian Wells
The recommended treatment for Social Phobia is individual Cognitive-Behavioural Therapy (CBT). CBT-treatments emphasize social self-beliefs (schemas) as the core underlying factor for maladaptive self-processing and social anxiety symptoms. However, the need for such beliefs in models of psychopathology has recently been questioned. Specifically, the metacognitive model of psychological disorders asserts that particular beliefs about thinking (metacognitive beliefs) are involved in most disorders, including social anxiety, and are a more important factor underlying pathology...
2017: PloS One
https://www.readbyqxmd.com/read/28469590/dysfunctional-metacognitive-beliefs-are-associated-with-decreased-executive-control
#20
Brage Kraft, Rune Jonassen, Tore C Stiles, Nils I Landrø
Dysfunctional metacognitive beliefs ("metacognitions") and executive control are important factors in mental disorders such as depression and anxiety, but the relationship between these concepts has not been studied systematically. We examined whether there is an association between metacognitions and executive control and hypothesized that decreased executive control statistically predicts increased levels of metacognitions. Two hundred and ninety-nine individuals recruited from the general population and outpatient psychiatric clinics completed the Metacognitions Questionnaire-30 and three subtests from the Cambridge Neuropsychological Test Automated Battery corresponding to the three-component model of executive functions...
2017: Frontiers in Psychology
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