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Metacognitive therapy

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https://www.readbyqxmd.com/read/29179137/group-metacognitive-therapy-vs-mindfulness-meditation-therapy-in-a-transdiagnostic-patient-sample-a-randomised-feasibility-trial
#1
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...
November 21, 2017: 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
#2
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...
November 10, 2017: 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
#3
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
#4
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
#5
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
#6
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)...
November 2, 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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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