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Metacognitive therapy

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https://www.readbyqxmd.com/read/28515551/combining-metacognitive-strategies-with-traditional-cognitive-behavior-therapy-in-generalized-anxiety-disorder-a-case-illustration
#1
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
#2
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
#3
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
https://www.readbyqxmd.com/read/28393648/-metacognitive-therapy-and-pharmacotherapy-adapted-to-unaccompanied-refugee-minors
#4
Michael Simons, Britta Pöter
Metacognitive Therapy and Pharmacotherapy - Adapted to Unaccompanied Refugee Minors Unaccompanied refugee minors (URM) present a relatively new challenge for adolescent psychotherapy and psychiatry. The evidence of possible treatment approaches is scarce. This paper presents a pragmatic adaptation of Wells' Metacognitive Therapy (MCT) for this population for the first time. Unlike the established trauma-focused treatment approaches MCT does not aim at prolonged exposure to the trauma narrative. Instead, patients shall learn to leave the distressing thoughts alone and to reduce the perseverating thinking processes (rumination and worrying)...
April 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28337949/efficacy-of-metacognitive-therapy-for-hypoactive-sexual-desire-disorder-among-iranian-couples
#5
Mohammad Arash Ramezani, Khodabakhsh Ahmadi, Mohammadali Besharat, Sima Noohi, Afagh Ghaemmaghami
OBJECTIVE: The aim of present study was to compare the efficacy of metacognitive therapy (MCT) against Masters-Johnson sex therapy (MJST) for hypoactive sexual desire disorder (HSDD) in Iranian couples. METHODS: A randomized treatment trial was conducted. Participants were recruited from the family counseling clinics in Tehran and Isfahan. All were suffering from HSDD as defined by DSM-IV-R criteria. They were assigned randomly to two groups that received 10 sessions of either MCT or MJST...
March 24, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28316567/distinct-functional-connectivities-predict-clinical-response-with-emotion-regulation-therapy
#6
REVIEW
David M Fresco, Amy K Roy, Samantha Adelsberg, Saren Seeley, Emmanuel García-Lesy, Conor Liston, Douglas S Mennin
Despite the success of available medical and psychosocial treatments, a sizable subgroup of individuals with commonly co-occurring disorders, generalized anxiety disorder (GAD) and major depressive disorder (MDD), fail to make sufficient treatment gains thereby prolonging their deficits in life functioning and satisfaction. Clinically, these patients often display temperamental features reflecting heightened sensitivity to underlying motivational systems related to threat/safety and reward/loss (e.g., somatic anxiety) as well as inordinate negative self-referential processing (e...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28316273/feasibility-and-acceptability-of-brief-cognitive-remediation-targeting-metacognition-in-acute-inpatients-with-psychosis-a-case-series
#7
Dimosthenis Tsapekos, Rumina Taylor, Matteo Cella
Cognitive remediation (CR) is an intensive intervention targeting cognitive impairment with the aim of improving functioning in people with psychotic disorders. Shorter forms of CR based on metacognition and targeting awareness of cognitive problems may be more appropriate for acute inpatient settings where time is limited. The objective of the study was to evaluate the feasibility and acceptability of a new brief course of CR targeting cognitive and metacognitive difficulties within an acute inpatient psychiatric setting...
March 20, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28295802/cognitive-and-metacognitive-predictors-of-symptom-improvement-following-treatment-for-social-anxiety-disorder-a-secondary-analysis-from-a-randomized-controlled-trial
#8
Henrik Nordahl, Hans M Nordahl, Odin Hjemdal, Adrian Wells
Cognitive therapy for social anxiety disorder (SAD) based on the Clark and Wells model emphasizes negative beliefs about the social self and self-consciousness as central causal factors. However, Wells' metacognitive model proposes that metacognitive beliefs are central to pathology universally. The relative importance of cognitive and metacognitive beliefs in the treatment of SAD is therefore an important research question. This study examined change in negative cognitive and negative metacognitive beliefs as independent correlates of symptom improvement in 46 SAD patients undergoing evidence-based treatments...
March 15, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28246557/improving-theory-of-mind-in-schizophrenia-by-targeting-cognition-and-metacognition-with-computerized-cognitive-remediation-a-multiple-case-study
#9
Élisabeth Thibaudeau, Caroline Cellard, Clare Reeder, Til Wykes, Hans Ivers, Michel Maziade, Marie-Audrey Lavoie, William Pothier, Amélie M Achim
Schizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizophrenia. Given that cognitive deficits could act as a limiting factor for ToM, this study investigated whether a cognitive remediation therapy (CRT) that targets nonsocial cognition and metacognition could improve ToM in schizophrenia...
2017: Schizophrenia Research and Treatment
https://www.readbyqxmd.com/read/28229465/metacognitive-beliefs-and-rumination-as-predictors-of-anger-a-prospective-study
#10
Gabriele Caselli, Alessia Offredi, Francesca Martino, Davide Varalli, Giovanni M Ruggiero, Sandra Sassaroli, Marcantonio M Spada, Adrian Wells
The metacognitive approach conceptualizes the relationship between anger and rumination as driven by metacognitive beliefs, which are information individuals hold about their own cognition and about coping strategies that impact on it. The present study aimed to test the prospective predictive impact of metacognitive beliefs and rumination on anger in a community sample. Seventy-six participants were recruited and engaged in a 2-week anger, rumination, and metacognitive beliefs monitoring protocol. A multi-wave panel design was employed to test whether metacognitive beliefs and rumination have a prospective impact on anger...
February 23, 2017: Aggressive Behavior
https://www.readbyqxmd.com/read/28174547/metacognitive-therapy-for-depression-in-adults-a-waiting-list-randomized-controlled-trial-with-six-months-follow-up
#11
Roger Hagen, Odin Hjemdal, Stian Solem, Leif Edward Ottesen Kennair, Hans M Nordahl, Peter Fisher, Adrian Wells
This randomized controlled trial examines the efficacy of metacognitive therapy (MCT) for depression. Thirty-nine patients with depression were randomly assigned to immediate MCT (10 sessions) or a 10-week wait list period (WL). The WL-group received 10 sessions of MCT after the waiting period. Two participants dropped out from WL and none dropped out of immediate MCT treatment. Participants receiving MCT improved significantly more than the WL group. Large controlled effect sizes were observed for both depressive (d = 2...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28113062/implicit-aggressiveness-in-patients-with-obsessive-compulsive-disorder-as-assessed-by-an-implicit-association-test
#12
Barbara Cludius, Alexander F Schmidt, Steffen Moritz, Rainer Banse, Lena Jelinek
BACKGROUND AND OBJECTIVES: Cognitive models of obsessive-compulsive disorder (OCD) highlight the role of cognitive biases for the development of the disorder. One of these biases, an inflated sense of responsibility has been associated with higher anger scores and latent aggression on self-report scales, especially in patients with compulsive checking. Validity of self-report assessment is, however, compromised by inaccuracy, social desirability, and low metacognitive awareness of traits and behaviors in patients...
January 6, 2017: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/28068499/metacognitive-interpersonal-therapy-for-personality-disorders-swinging-from-emotional-over-regulation-to-dysregulation-a-case-study
#13
Giampalo Salvatore, Raffaele Popolo, Luisa Buonocore, Anna Maria Ferrigno, Mariagrazia Proto, Anna Sateriale, Marianna Serio, Giancarlo Dimaggio
Many patients with personality disorders (PD) display emotional inhibition or over-regulation (EOR); others display emotional dysregulation (ED)- heightened sensitivity to emotional stimuli with difficulty toning down arousal. To date, most treatments focus on patients with ED, particularly those with borderline disorders, though some focus on EOR. Patients with complex PD often swing from periods of EOR to ED. In this paper, we describe an adaptation of metacognitive interpersonal therapy (MIT), which has been manualized for treating PD with prominent EOR and is aimed at dealing with patients fluctuating from EOR to ED...
December 31, 2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/28033512/the-beliefs-about-paranoia-scale-confirmatory-factor-analysis-and-tests-of-a-metacognitive-model-of-paranoia-in-a-clinical-sample
#14
Elizabeth K Murphy, Sarah Tully, Melissa Pyle, Andrew I Gumley, David Kingdon, Matthias Schwannauer, Douglas Turkington, Anthony P Morrison
This study aimed to confirm the factor structure of the Beliefs about Paranoia Scale (BaPS), a self-report measure to assess metacognitive beliefs about paranoia, and to test hypotheses of a metacognitive model. We hypothesised that positive and negative beliefs about paranoia would be associated with severity of suspiciousness, and that the co-occurrence of positive and negative beliefs would be associated with increased suspiciousness. A total of 335 patients meeting criteria for a schizophrenia spectrum disorder completed the BaPS, the Positive and Negative Syndromes Scale (PANSS), and the Psychotic Symptom Rating Scales (PSYRATS)...
November 12, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27919404/individualized-metacognitive-therapy-for-delusions-a-randomized-controlled-rater-blind-study
#15
Christina Andreou, Charlotte E Wittekind, Martina Fieker, Ulrike Heitz, Ruth Veckenstedt, Francesca Bohn, Steffen Moritz
BACKGROUND: Theory-driven interventions targeting specific factors that contribute to delusions are receiving increased interest. The present study aimed to assess the efficacy of individualized metacognitive therapy (MCT+), a short manualized intervention that addresses delusion-associated cognitive biases. METHODS: 92 patients with current or past delusions were randomized to receive 12 twice-weekly sessions of either MCT+ or a control intervention within a randomized controlled rater-blind design...
November 29, 2016: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/27862826/mindfulness-based-interventions-for-adults-who-are-overweight-or-obese-a-meta-analysis-of-physical-and-psychological-health-outcomes
#16
REVIEW
Jeffrey M Rogers, Madeleine Ferrari, Kylie Mosely, Cathryne P Lang, Leah Brennan
OBJECTIVE: The aim of this study was to evaluate the impact of mindfulness-based interventions on psychological and physical health outcomes in adults who are overweight or obese. METHODS: We searched 14 electronic databases for randomized controlled trials and prospective cohort studies that met eligibility criteria. Comprehensive Meta-analysis software was used to compute the effect size estimate Hedge's g. RESULTS: Fifteen studies measuring post-treatment outcomes of mindfulness-based interventions in 560 individuals were identified...
January 2017: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27847929/the-effectiveness-of-metacognitive-training-for-patients-with-schizophrenia-a-narrative-systematic-review-of-studies-published-between-2009-and-2015
#17
REVIEW
Daniel Pankowski, Joachim Kowalski, Łukasz Gawęda
OBJECTIVES: The aim of this paper is to review results of studies on the effectiveness of metacognitive training (MCT) for patients with schizophrenia in reduction of psychotic symptoms and cognitive biases. Furthermore, other variables, like social functioning, insight and neurocognitive functions, are analyzed. METHODS: Systematic search in databases PubMed, EBSCO, Google Scholar, EMBASE, Cochrane Central Register of Controlled Trials and PsycINFO regarding studies on the effectiveness of the MCT was made...
2016: Psychiatria Polska
https://www.readbyqxmd.com/read/27833233/effectiveness-of-metacognitive-therapy-in-patients-with-social-anxiety-disorder-a-pilot-investigation
#18
Jayasree Lakshmi, Paulomi Matam Sudhir, Mahendra Prakash Sharma, Suresh Bada Math
Metacognitive therapy (MCT) is a recent psychological intervention for emotional disorders. Its efficacy in social anxiety disorder (SAD) is yet to be established. AIMS: We examined the effectiveness of an MCT in patients with SAD. A two group case-control design with baseline, post, and 3 months follow-up was adopted. The control group received training in applied relaxation (AR). Four patients with Diagnostic and Statistical Manual-IV diagnosis of social anxiety were sequentially allotted to receive either MCT or AR...
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27795575/metacognitive-reflection-and-insight-therapy-merit-with-a-patient-with-persistent-negative-symptoms
#19
R J M van Donkersgoed, S de Jong, G H M Pijnenborg
Metacognition comprises a spectrum of mental activities involving thinking about thinking. Metacognitive impairments may sustain and trigger negative symptoms in people with schizophrenia. Without complex ideas of the self and others, there may be less reason to pursue goal-directed activities and less ability to construct meaning in daily activities, leading to the experience of negative symptoms. As these symptoms tend to be nonresponsive to pharmacotherapy and other kinds of treatment metacognition might be a novel treatment target; improvement of metacognition might lead to improvements in negative symptoms...
2016: Journal of Contemporary Psychotherapy
https://www.readbyqxmd.com/read/27746757/metacognitive-therapy-for-comorbid-anxiety-disorders-a-case-study
#20
Sverre U Johnson, Asle Hoffart
We aimed to systematically evaluate a generic model of metacognitive therapy (MCT) with a highly comorbid anxiety disorder patient, that had been treated with diagnosis-specific cognitive-behavioral therapy (CBT) without significant effect. Traditionally, CBT has progressed within a disorder-specific approach, however, it has been suggested that this could be less optimal with highly comorbid patients. To address comorbidity, transdiagnostic treatment models have been emerging. This case study used an AB-design with repeated assessments during each therapy session and a 1-year follow-up assessment to evaluate the effectiveness of MCT...
2016: Frontiers in Psychology
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