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Metacognitive therapy

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https://www.readbyqxmd.com/read/29411360/efficacy-of-group-cognitive-rehabilitation-therapy-in-multiple-sclerosis
#1
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
#2
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...
January 27, 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
#3
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
#4
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
#5
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 utilizing-are highly relevant for all medical professionals, educators, and learners...
December 26, 2017: 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
#6
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
#7
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
https://www.readbyqxmd.com/read/29108671/metacognitive-reflection-and-insight-therapy-for-early-psychosis-a-preliminary-study-of-a-novel-integrative-psychotherapy
#8
Jenifer L Vohs, Bethany L Leonhardt, Alison V James, Michael M Francis, Alan Breier, Nikki Mehdiyoun, Andrew C Visco, Paul H Lysaker
Poor insight impedes treatment in early phase psychosis (EPP). This manuscript outlines preliminary findings of an investigation of the novel metacognitively oriented integrative psychotherapy, Metacognitive Reflection and Insight Therapy, for individuals with early phase psychosis (MERIT-EP). Twenty adults with EPP and poor insight were randomized to either six months of MERIT-EP or treatment as usual (TAU). Therapists were trained and therapy was successfully delivered under routine, outpatient conditions...
November 3, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/29106693/embracing-psychosis-a-cognitive-insight-intervention-improves-personal-narratives-and-meaning-making-in-patients-with-schizophrenia
#9
Steffen Moritz, Candelaria I Mahlke, Stefan Westermann, Friederike Ruppelt, Paul H Lysaker, Thomas Bock, Christina Andreou
Schizophrenia is a complex psychiatric disorder with unknown and presumably heterogeneous etiology. While the disorder can have various outcomes, research is predominantly "deficit-oriented" emphasizing the hardship that the disorder inflicts on sufferers as well as their families and society. Beyond symptom reduction, imparting patients with hope and meaning in life is increasingly considered an important treatment target, which may raise self-esteem, and reduce self-stigma and suicidal ideation. The present study compared a psychotherapeutic treatment aimed at improving cognitive insight, individualized metacognitive intervention (MCT+), with an active control in order to elucidate if personal meaning-making and hope can be improved in patients with psychosis across time...
July 4, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/29104332/metacognitive-therapy-for-emotional-distress-in-adult-cancer-survivors-a-case-series
#10
Peter L Fisher, Angela Byrne, Peter Salmon
Many adult cancer survivors experience persistent emotional distress after completing cancer treatment. The aim of this study was to test the potential of a brief transdiagnostic psychological intervention-metacognitive therapy (MCT)-in reducing emotional distress in adult cancer survivors. A non-concurrent multiple baseline design with 3- and 6-months follow-up was used to evaluate the effects of MCT in four patients consecutively referred to a psycho-oncology service. Each patient received six 1-h sessions of MCT...
2017: Cognitive Therapy and Research
https://www.readbyqxmd.com/read/29095681/randomized-trial-of-conquerfear-a-novel-theoretically-based-psychosocial-intervention-for-fear-of-cancer-recurrence
#11
RANDOMIZED CONTROLLED TRIAL
Phyllis N Butow, Jane Turner, Jemma Gilchrist, Louise Sharpe, Allan Ben Smith, Joanna E Fardell, Stephanie Tesson, Rachel O'Connell, Afaf Girgis, Val J Gebski, Rebecca Asher, Cathrine Mihalopoulos, Melanie L Bell, Karina Grunewald Zola, Jane Beith, Belinda Thewes
Purpose Fear of cancer recurrence (FCR) is prevalent, distressing, and long lasting. This study evaluated the impact of a theoretically/empirically based intervention (ConquerFear) on FCR. Methods Eligible survivors had curable breast or colorectal cancer or melanoma, had completed treatment (not including endocrine therapy) 2 months to 5 years previously, were age > 18 years, and had scores above the clinical cutoff on the FCR Inventory (FCRI) severity subscale at screening. Participants were randomly assigned at a one-to-one ratio to either five face-to-face sessions of ConquerFear (attention training, metacognitions, acceptance/mindfulness, screening behavior, and values-based goal setting) or an attention control (Taking-it-Easy relaxation therapy)...
December 20, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29063592/omega-3-supplementation-associated-with-improved-parent-rated-executive-function-in-youth-with-mood-disorders-secondary-analyses-of-the-omega-3-and-therapy-oats-trials
#12
Anthony T Vesco, Andrea S Young, L Eugene Arnold, Mary A Fristad
BACKGROUND: Improvements in executive functioning (EF) may lead to improved quality of life and lessened functional impairment for children with mood disorders. The aim was to assess the impact of omega-3 supplementation (Ω3) and psychoeducational psychotherapy (PEP), each alone and in combination, on EF in youth with mood disorders. We completed secondary analyses of two randomized controlled trials (RCTs) of Ω3 and PEP for children with depression and bipolar disorder. METHODS: Ninety-five youths with depression or bipolar disorder not otherwise specified/cyclothymic disorder were randomized in 12-week RCTs...
October 24, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29042886/effects-of-group-cognitive-behavioral-therapy-in-young-patients-in-the-early-stage-of-psychosis
#13
Sung-Wan Kim, Ji-Eun Jang, Ju-Yeon Lee, Ga-Young Lee, Hye-Young Yu, Cheol Park, Hee-Ju Kang, Jae-Min Kim, Jin-Sang Yoon
OBJECTIVE: To develop a model of group cognitive-behavioral therapy (CBT) for Korean patients with early psychosis. METHODS: The group CBT utilized in the present study consisted of metacognitive training, cognitive restructuring, and lifestyle managements. The Subjective Well-being Under Neuroleptics (SWN-K), Ambiguous Intentions Hostility Questionnaire (AIHQ), Drug Attitude Inventory (DAI), Beck Depression Inventory (BDI), Perceived Stress Scale (PSS), and Clinical Global Impression (CGI) were administered prior to and after CBT sessions...
September 2017: Psychiatry Investigation
https://www.readbyqxmd.com/read/28922004/behavioral-activation-in-the-treatment-of-metacognitive-dysfunctions-in-inhibited-type-personality-disorders
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28749828/therapists-metacognitive-monitoring-of-the-psychotherapeutic-process-with-patients-with-borderline-personality-disorder
#20
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
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