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Metacognitive therapy

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https://www.readbyqxmd.com/read/29903626/metacognition-what-did-james-h-flavell-really-say-and-the-implications-for-the-conceptualization-and-design-of-metacognitive-interventions
#1
REVIEW
Steffen Moritz, Paul H Lysaker
In the last two decades years, several interventions have been designed for people with major psychological disorders that all have "metacognitive" in their name: Metacognitive Therapy (MCT), Metacognitive Training (e.g., for people with psychosis) and Metacognitive Reflection and Insight Therapy (MERIT). Two of these interventions are primarily targeted at patients with schizophrenia. Prompted by a recent discussion about what constitutes "true" metacognitive treatment, we will first explore the original concept of metacognition as defined by James H...
June 12, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29882721/do-eating-disorder-voice-characteristics-predict-treatment-outcomes-in-anorexia-nervosa-a-pilot-study
#2
Emma Hormoz, Matthew Pugh, Glenn Waller
Individuals with anorexia nervosa often describe experiencing an internal "voice" of their disorder, which previous research has associated with multiple dimensions of eating pathology. This pilot study examined whether eating disorder measures use invoice characteristics at the outset of outpatient therapy predicted changes in disordered eating over the course of treatment. Participants were 14 individuals meeting ICD-10 criteria for anorexia nervosa. Participants completed measures relating to the severity of disordered eating and voice-related characteristics (perceived voice power and metacognitive appraisals about its nature) at the start and end of therapy...
June 8, 2018: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/29706924/metacognitive-therapy-for-social-anxiety-disorder-an-a-b-replication-series-across-social-anxiety-subtypes
#3
Henrik Nordahl, Adrian Wells
Cognitive behavioural therapy (CBT) is the treatment of choice for Social anxiety disorder (SAD). However, factors additional to those emphasised in CBT are the primary cause of psychological disorder according to the metacognitive model. Metacognitive Therapy (MCT) aims to target a perseverative thinking style named the cognitive attentional syndrome and its underlying metacognitive beliefs (beliefs about cognition). The present study aimed to explore the effects of generic MCT for SAD. Treatment related effects were evaluated using direct replication single case (A-B) methodology across three patients with different subtypes of SAD; performance type, generalised and generalised plus avoidant personality disorder, representing increasing SAD severity/complexity...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29692285/metacognitive-reflection-and-insight-therapy-merit-for-patients-with-schizophrenia
#4
S de Jong, R J M van Donkersgoed, M E Timmerman, M Aan Het Rot, L Wunderink, J Arends, M van Der Gaag, A Aleman, P H Lysaker, G H M Pijnenborg
BACKGROUND: Impaired metacognition is associated with difficulties in the daily functioning of people with psychosis. Metacognition can be divided into four domains: Self-Reflection, Understanding the Other's Mind, Decentration, and Mastery. This study investigated whether Metacognitive Reflection and Insight Therapy (MERIT) can be used to improve metacognition. METHODS: This study is a randomized controlled trial. Patients in the active condition (n = 35) received forty MERIT sessions, the control group (n = 35) received treatment as usual...
April 25, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29689185/implementation-intentions-for-self-selected-occupational-therapy-goals-two-case-reports
#5
Mary Vining Radomski, Gordon Giles, Marsha Finkelstein, Jenny Owens, Mark Showers, Joette Zola
OBJECTIVE: We evaluated the feasibility of an intervention combining metacognitive strategy instruction (MSI) with training in implementation intentions for adults with mild traumatic brain injury (mTBI). Implementation intentions are written premade decision statements specifying when, where, and how goal behaviors are to be enacted. METHOD: Two participants with mTBI received a six-session intervention that included setting a daily implementation intention for an occupational therapy goal...
May 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29624832/metacognitive-interpersonal-therapy-in-group-mit-g-for-young-adults-with-personality-disorders-a-pilot-randomized-controlled-trial
#6
Raffaele Popolo, Angus MacBeth, Flaviano Canfora, Daniela Rebecchi, Cecilia Toselli, Giampaolo Salvatore, Giancarlo Dimaggio
Young adults with personality disorders (PD) other than borderline are in urgent need of validated treatments to help them in managing important life transitions. Therapeutic interventions focused upon social and interpersonal difficulties may facilitate these individuals in maximizing opportunities for employment, forming stable romantic relationships, and belong to social groups. It is also important that they are offered evidence-based, first-line time-limited treatments in order to maximize effectiveness and reduce costs...
April 6, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29615092/improving-the-effectiveness-of-psychological-interventions-for-depression-and-anxiety-in-the-cardiac-rehabilitation-pathway-using-group-based-metacognitive-therapy-pathway-group-mct-study-protocol-for-a-randomised-controlled-trial
#7
Adrian Wells, Kirsten McNicol, David Reeves, Peter Salmon, Linda Davies, Anthony Heagerty, Patrick Doherty, Rebecca McPhillips, Rebecca Anderson, Cintia Faija, Lora Capobianco, Helen Morley, Hannah Gaffney, Gemma Shields, Peter Fisher
BACKGROUND: Anxiety and depression are prevalent among cardiac rehabilitation patients but pharmacological and psychological treatments have limited effectiveness in this group. Furthermore, psychological interventions have not been systematically integrated into cardiac rehabilitation services despite being a strategic priority for the UK National Health Service. A promising new treatment, metacognitive therapy, may be well-suited to the needs of cardiac rehabilitation patients and has the potential to improve outcomes...
April 3, 2018: Trials
https://www.readbyqxmd.com/read/29609519/a-review-of-prospective-memory-in-individuals-with-acquired-brain-injury
#8
Sarah A Raskin, Jasmin Williams, Emily M Aiken
OBJECTIVE: Prospective memory (PM) deficits have emerged as an important predictor of difficulty in daily life for individuals with acquired brain injury (BI). This review examines the variables that have been found to influence PM performance in this population. In addition, current methods of assessment are reviewed with a focus on clinical measures. Finally, cognitive rehabilitation therapies are reviewed, including compensatory, restorative and metacognitive approaches. METHOD: Preferred reporting items for systematic reviews and meta-analyses guidelines were used to identify studies...
April 2, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29568726/promoting-recovery-from-severe-mental-illness-implications-from-research-on-metacognition-and-metacognitive-reflection-and-insight-therapy
#9
REVIEW
Paul Henry Lysaker, Jay A Hamm, Ilanit Hasson-Ohayon, Michelle L Pattison, Bethany L Leonhardt
Research indicates that individuals with schizophrenia recover. Recovery, however means different things to different individuals and regardless of what kind of experiences define recovery, the individual diagnosed with the serious mental illness must feel ownership of their recovery. This raises the issue of how mental health services should systematically promote recovery. This paper explores the practical implications for research on metacognition in schizophrenia for this issue. First, we present the integrated model of metacognition, which defines metacognition as the spectrum of activities which allow individual to have available to themselves an integrated sense of self and others as they appraise and respond to the unique challenges they face...
March 22, 2018: World Journal of Psychiatry
https://www.readbyqxmd.com/read/29540925/a-transdiagnostic-approach-to-interventions-in-addictive-disorders-third-wave-therapies-and-other-current-interventions
#10
REVIEW
Gitanjali Narayanan, Shaima Naaz
Recent research points to a shift from categorical diagnoses to a dimensional understanding of psychopathology and mental health disorders. In parallel, there has been a rise in newer psychosocial treatment modalities, which are inherently transdiagnostic. Transdiagnostic approaches are those that identify core vulnerabilities and apply universal principles to therapeutic treatment. As treatment of substance use disorders (SUD) must invariably accommodate such vulnerabilities, clinicians are finding such interventions useful...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29510757/correction-to-metacognitive-therapy-vs-eye-movement-desensitization-and-reprocessing-for-posttraumatic-stress-disorder-study-protocol-for-a-randomized-superiority-trial
#11
Hans M Nordahl, Joar Øveraas Halvorsen, Odin Hjemdal, Mimoza Rrusta Ternava, Adrian Wells
TRIALS (2018) 19: 16. HTTPS://DOI.ORG/10.1186/S13063-017-2404-7: In the original publication of this article [1] the SPIRIT figure for the study protocol was not included. In this Correction Article the SPIRIT figure (Fig. 1) is published. The original publication has been updated with the SPIRIT figure.
March 6, 2018: Trials
https://www.readbyqxmd.com/read/29504794/a-randomized-controlled-trial-of-emotion-regulation-therapy-for-generalized-anxiety-disorder-with-and-without-co-occurring-depression
#12
Douglas S Mennin, David M Fresco, Mia Skytte O'Toole, Richard G Heimberg
OBJECTIVE: Generalized anxiety disorder (GAD) and major depression (MDD), especially when they co-occur, are associated with suboptimal treatment response. One common feature of these disorders is negative self-referential processing (NSRP; i.e., worry, rumination), which worsens treatment outcome. Emotion Regulation Therapy (ERT) integrates principles from affect science with traditional and contemporary cognitive-behavioral treatments to identify and modify the functional nature of NSRP by targeting motivational and regulatory mechanisms, as well as behavioral consequences...
March 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29489070/the-efficacy-of-metacognitive-training-for-delusions-in-patients-with-schizophrenia-a-meta-analysis-of-randomized-controlled-trials-informs-evidence-based-practice
#13
Yu-Chen Liu, Chia-Chun Tang, Tsai-Tzu Hung, Pei-Ching Tsai, Mei-Feng Lin
BACKGROUND: Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear. AIMS: To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variables (intervention approach, intervention dose, and participant factors) of an MCT study that could influence the effect size. METHODS: Parallel-arm design of MCT for delusions published from 2007 to 2016 were collected and then cross-referenced using these keywords: delusion (psychosis or psychotic or schizophrenia) and metacognitive (training or therapy or intervention)...
April 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29411360/efficacy-of-group-cognitive-rehabilitation-therapy-in-multiple-sclerosis
#14
A Mani, E Chohedri, P Ravanfar, A Mowla, A Nikseresht
OBJECTIVE: Cognitive impairment occurs in 40%-65% of patients with multiple sclerosis (MS). Several techniques for cognitive rehabilitation (CR) in these patients have been evaluated; however, the results have been controversial. In this study, we investigated the efficacy of group compensatory CR in patients with MS-related cognitive impairment. MATERIALS AND METHODS: Thirty-four female patients with diagnosed relapsing-remitting MS and evidence of impaired cognitive function were included and randomized to intervention (n = 17) and control (n = 17) groups...
February 7, 2018: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/29377848/metacognitive-interpersonal-therapy-for-personality-disorders-featuring-emotional-inhibition-a-multiple-baseline-case-series
#15
Keely Gordon-King, Robert D Schweitzer, Giancarlo Dimaggio
Metacognitive interpersonal therapy (MIT) is an integrative psychotherapeutic approach targeting personality disorders (PDs) featuring inhibition and avoidance. The current case series reports the outcome of a time-limited, 12-month MIT intervention for people with PDs featuring emotional inhibition. Seven participants were diagnosed with a PD on the basis of a structured clinical interview. The study followed a multiple baseline design, with baseline measures taken for 3 weeks before intervention. Participants underwent 12 months of weekly MIT sessions, with outcome measures taken every 3 months...
April 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29313400/gofar-improving-attention-behavior-and-adaptive-functioning-in-children-with-fetal-alcohol-spectrum-disorders-brief-report
#16
Claire D Coles, Julie A Kable, Elles Taddeo, Dorothy Strickland
OBJECTIVE: This brief report describes the GoFAR intervention designed to improve attention, behavior, and adaptive functioning in children with FASD, ages 5 to 10 years. METHODS: Thirty children were randomized to one of three conditions: GoFAR; FACELAND, and CONTROL; 25 completed the interventions. Over 10 sessions children and caregivers learned a metacognitive strategy (FAR) designed to improve cognitive control of behavior and adaptive functioning and practiced it during behavior analog therapy...
January 9, 2018: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/29310718/metacognitive-therapy-vs-eye-movement-desensitization-and-reprocessing-for-posttraumatic-stress-disorder-study-protocol-for-a-randomized-superiority-trial
#17
Hans M Nordahl, Joar Øveraas Halvorsen, Odin Hjemdal, Mimoza Rrusta Ternava, Adrian Wells
BACKGROUND: The psychological treatment of choice for patients with severe posttraumatic stress disorder (PTSD) is cognitive behavioural exposure therapy or Eye Movement Desensitisation Reprocessing (EMDR). Whilst these are the most effective treatments, approximately 30-45% of the patients show no significant improvements and follow-up data are sparse. Furthermore, a proportion of patients with severe trauma does not benefit or avoid exposure therapy due to the potential to overwhelm them...
January 8, 2018: Trials
https://www.readbyqxmd.com/read/29280755/using-relational-reasoning-strategies-to-help-improve-clinical-reasoning-practice
#18
Denis Dumas, Dario M Torre, Steven J Durning
Clinical reasoning-the steps up to and including establishing a diagnosis and/or therapy-is a fundamentally important mental process for physicians. Unfortunately, mounting evidence suggests that errors in clinical reasoning lead to substantial problems for medical professionals and patients alike, including suboptimal care, malpractice claims, and rising health care costs. For this reason, cognitive strategies by which clinical reasoning may be improved-and that many expert clinicians are already using-are highly relevant for all medical professionals, educators, and learners...
May 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29179137/group-metacognitive-therapy-vs-mindfulness-meditation-therapy-in-a-transdiagnostic-patient-sample-a-randomised-feasibility-trial
#19
Lora Capobianco, David Reeves, Anthony P Morrison, Adrian Wells
Two transdiagnostic therapies for treating psychological disorder are Metacognitive Therapy (MCT) and Mindfulness Based Stress Reduction (MBSR). These two approaches have yet to be compared and therefore the current study aimed to evaluate the feasibility of a study of group MCT and MBSR in treating anxiety and depression. A feasibility trial with 40 participants (aged 19-56) was conducted. Patients were randomly assigned to receive either eight weeks of group MCT or MBSR. The primary outcome was feasibility which included recruitment rates, retention and treatment acceptability...
January 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29145078/the-efficacy-of-group-metacognitive-therapy-for-children-mct-c-with-generalized-anxiety-disorder-an-open-trial
#20
Barbara Hoff Esbjørn, Nicoline Normann, Bianca Munkebo Christiansen, Marie Louise Reinholdt-Dunne
Metacognitive therapy is an effective treatment for anxiety disorders in adults. Studies have demonstrated that the underlying theoretical model is also supported in children. It has therefore been suggested that metacognitive therapy for children may be effective. Our study is an open trial of metacognitive therapy for children with generalized anxiety as their primary disorder. Therapy was provided in groups. Families were interviewed with the Anxiety Disorders Interview Schedule - child/parent versions. They reported on the child's anxiety levels using the Revised Childrens Anxiety and Depression Scale - child/parent versions...
January 2018: Journal of Anxiety Disorders
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