A Prospective Test of the Clinical Metacognitive Model of Rumination and Depression

Papageorgiou, Costas; Wells, Adrian

doi:10.1521/ijct.2009.2.2.123

Cited by 266 publications

(354 citation statements)

References 13 publications

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“…Change in Contextual Self 18 rumination and depression have been reported in previous studies 12,16,22,25 as have significant negative associations between decentering and depression 16 . These results appear to suggest that being entangled and consistently focused within one's thoughts can contribute to depression while being "disentangled" or "distancing" from one's thoughts may be beneficial.…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 51%

Change in “Self-as-Context” (“Perspective-Taking”) Occurs in Acceptance and Commitment Therapy for People With Chronic Pain and Is Associated With Improved Functioning

Norton

McCracken

2017

The Journal of Pain

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Acceptance and Commitment Therapy (ACT) is based on the Psychological Flexibility (PF) model, which includes a therapeutic process, referred to as "self-as-context" (SAC). This study investigates whether ACT is associated with an effect on SAC and whether this effect is linked to treatment outcomes in people with chronic pain. 412 adults referred to a pain management center participated in the study. Participants completed measures of treatment processes (SAC, pain acceptance) and outcomes (pain-related interference, work and social adjustment, depression) before treatment, upon completion of treatment, and at nine-month follow-up.Paired sample t-tests and analyses of meaningful change were conducted to examine changes in processes and outcomes. Regression analyses with residualized change scores from process and outcome variables, and bivariate growth curve modeling were used to examine the association between change in SAC and change in outcomes. Participants significantly improved on all process and outcome variables at post-treatment (d=.38 to .98) and nine-month followup (d=.24 to .75). 42.0% to 67.5% participants showed meaningful improvements on each outcome at post-treatment and follow-up. Change in SAC was associated with change in outcomes (β=-.21 to -.31; r=-.16 to -.46). Results support a role for change in SAC in treatment as the PF model suggested. PerspectiveThis study shows the delivery of a treatment for chronic pain based on Acceptance and Commitment Therapy was associated with improved self-as-context (SAC) and improved M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTChange in Contextual Self 3 functioning for people with chronic pain, and increases in SAC were associated with improved functioning. These results can inform future treatment development.

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Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 51%

Change in “Self-as-Context” (“Perspective-Taking”) Occurs in Acceptance and Commitment Therapy for People With Chronic Pain and Is Associated With Improved Functioning

Norton

McCracken

2017

The Journal of Pain

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“…http: //dx.doi.org/10.15405/epsbs.2016.05.02.1 eISSN: 2357-1330 (Wells & Carter, 2001), obsessions , post-traumatic stress disorder (PTSD) (Holeva, Tarrier, & Wells, 2001), psychosis (Morrison & Wells, 2003) and depression (Papageorgiou & Wells, 2003).…”

Section: Responsibility Of the Conference Organization Committeementioning

confidence: 99%

Gender Differences In Anxiety, Depression And Metacognition

Lenzo¹,

Toffle²,

Tripodi³

et al. 2016

The European Proceedings of Social and Behavioural Sciences

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There are many gender differences relating to mental health issues and they concern all aspects: diagnosis, treatment and incidence. No research has been conducted to evaluates the role of metacognition on the basis of gender and its relation to other psychological constructs. This study had two primary goals. The first was to compare metacognitions by gender. The second goal was to explore the relations among the constructs of metacognitions, anxiety, depression, pathological worry, and obsessive-compulsive symptoms in two groups. Sixty-four participants (32 men and 32 women) took part in this study; they were assessed with the MCQ-30, STAI, BDI, PSWQ, and PADUA Inventory. T-test results for two independent samples for MCQ-30 did not reveal differences between gender. Results of correlational analysis found significant relations between dysfunctional metacognitive beliefs and other constructs on the basis of gender. In conclusion, results of this study point out that gender differences can play an important role in the clinical efficacy of treatments.

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“…Khawaja & McMahon, 2011;Wells & Carter, 1999;, PTSD (Bennet & Wells, 2010) and depression (e.g. Papageorgiou & Wells, 2009). Studies that have tested the role of metacognition in psychological disorders have used the Metacognitions Questionnaire (MCQ: Cartwright-Hatton & Wells, 1997) or the shortened version MCQ-30 ).…”

Section: Introductionmentioning

confidence: 99%

Development and initial validation of a measure of metacognitive beliefs in health anxiety: The MCQ-HA

Bailey

Wells

2015

Psychiatry Research

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A Prospective Test of the Clinical Metacognitive Model of Rumination and Depression

Cited by 266 publications

References 13 publications

Change in “Self-as-Context” (“Perspective-Taking”) Occurs in Acceptance and Commitment Therapy for People With Chronic Pain and Is Associated With Improved Functioning

Change in “Self-as-Context” (“Perspective-Taking”) Occurs in Acceptance and Commitment Therapy for People With Chronic Pain and Is Associated With Improved Functioning

Gender Differences In Anxiety, Depression And Metacognition

Development and initial validation of a measure of metacognitive beliefs in health anxiety: The MCQ-HA

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