Course and stability of cognitive and metacognitive beliefs in depression

Faissner, Mirjam; Kriston, Levente; Moritz, Steffen; Jelinek, Lena

doi:10.1002/da.22834

Cited by 36 publications

(25 citation statements)

References 42 publications

(78 reference statements)

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“…Nevertheless, the non-interaction observed between sex and circadian typology indicates that circadian typology results are independent of sex. The higher tendency to hold negative beliefs of uncontrollability and danger, to distrust the own memory and to stay continuously aware of self-thinking observed in evening-type supports the assumption of this typology as a risk factor for the development of different psychological problems and pathologies [9,11], as these metacognitive beliefs are related to diverse problems such as drug consumption and addictive behaviors [47,77,78], anxiety and stress [45,46,79] and depressive symptomatology [41,80,81], among others.…”

Section: Discussionsupporting

confidence: 59%

“…Several studies using the Meta-Cognitions Questionnaire [38], which assess a range of metacognitive domains related with psychopathological processes such as low cognitive confidence, positive beliefs about worry, cognitive self-conscientiousness, negative beliefs about uncontrollability and danger, and belief concerning the need to control one's own thoughts, have shown a strong relationship between those and several psychological disorders and symptomatology. In this line, metacognitions have found to be related to different psychological issues such as depression [41], bipolar disorder [42], obsessive-compulsive disorder [43], generalized anxiety disorder [44], anxiety [45,46], gambling [47], substance use disorder [48] and eating disorders [49].…”

Section: Introductionmentioning

confidence: 99%

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Circadian typology is related to emotion regulation, metacognitive beliefs and assertiveness in healthy adults

Antúnez

2020

PLoS ONE

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Circadian typology has been related to several mental health aspects such as resilience, perceived well-being, emotional intelligence and psychological symptoms and disorders. However, the relationship between circadian typology and emotion regulation, metacognitions and assertiveness, which constitute core constructs related to psychological wellbeing and psychopathology, remain unexplored. This study aims to analyze whether circadian typology is related with those three constructs, considering the possible influence of sex. 2283 participants (833 women), aged 18-60 years (30.37 ± 9.26 years), completed the reduced Morningness-Eveningness Questionnaire, the Emotion Regulation Questionnaire, the Meta-Cognitions Questionnaire 30, and the Rathus Assertiveness Schedule. Main effects were observed between circadian typology and cognitive reappraisal, metacognitions, negative beliefs of uncontrollability and danger, cognitive confidence, cognitive selfconsciousness, and assertiveness (F (2,2276) > 4.80, p < 0.009, η p 2 > 0.004, in all cases).

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Section: Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Circadian typology is related to emotion regulation, metacognitive beliefs and assertiveness in healthy adults

Antúnez

2020

PLoS ONE

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“…That approach with a larger sample size would also allow to examine if the statistical trend for association of baseline LQPT to change in IDS is replicable. A possible design could follow the approach of Faissner et al, who used a latent growth model with repeated measurement of cognitive and metacognitive maladaptive beliefs (41). Furthermore, the role of other variables possibly associated with preoperational thinking could also be addressed in a further study.…”

Section: Comparison To Existing Studiesmentioning

confidence: 99%

Preoperational Thinking as a Measure of Social Cognition Is Associated With Long-Term Course of Depressive Symptoms. A Longitudinal Study Involving Patients With Depression and Healthy Controls

et al. 2020

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Background: Deficits in social cognition, referred to as preoperational thinking, are assumed to play a key role in the pathogenesis of persistent depression. The aim of this study was to explore the effect of preoperational thinking on the two-year course of depressive symptoms in a sample of persistently depressed, episodically depressed as well as healthy participants. Methods: We recruited 43 persistently depressed participants, 26 episodically depressed participants and 16 healthy control participants. Preoperational thinking was assessed at baseline with the Luebeck Questionnaire for Recording Preoperational Thinking. Over the period of two years, the course of depressive symptom severity was measured every three months using the Inventory of Depressive Symptomatology. Results: Using linear mixed model analysis we found a significant effect for the influence of preoperational thinking on the severity of depressive symptoms in the observation period. We found a non-significant statistical trend for an association of preoperational thinking with the change of depressive symptom severity. Conclusion: Our analyses suggest that a high degree of preoperational thinking is associated with a higher severity of depressive symptoms and possibly less symptom improvement. These findings support the notion that preoperational thinking is a relevant factor for the further course of depression and might indeed contribute to the maintenance of persistent depression.

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“…With regard to change processes, previous studies showed that D‐MCT influences changes in metacognitive processes (Jelinek, Van Quaquebeke et al ., ) and that changes in metacognitive processes are associated with long‐term change of depressive symptoms (Faissner, Kriston, Moritz, & Jelinek, ), thus providing empirical support for the therapeutic rationale of the intervention.…”

Section: Discussionmentioning

confidence: 99%

Long‐term efficacy of Metacognitive Training for Depression (D‐MCT): A randomized controlled trial

Jelinek

Faissner

Moritz

et al. 2018

British J Clinic Psychol

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Objectives. The availability of treatment for depression needs to be improved. Among the barriers are the dearth of group programmes and the high demand of many programmes with regard to staff expertise. The Metacognitive Training for Depression (D-MCT) is a new, easy-to-administer, cognitive behaviour-based group intervention. In a previous 6-month trial, D-MCT was highly accepted by patients and efficacious compared to a control treatment. The aim of the current study was to examine whether the effects of the D-MCT can be sustained over 3.5 years.Design. Long-term follow-up of a randomized controlled trial. Methods.A total of 84 patients with a confirmed diagnosis of unipolar depressive disorder were enrolled in a randomized, controlled, assessor-blind, parallel group trial comparing two interventions added to usual care: D-MCT and general health training (HT). Patients were reassessed 3.5 years after the interventions were terminated. Primary outcome was the Hamilton Depression Rating Scale. Self-assessed depressive symptom severity (BDI), dysfunctional cognitive (DAS) and metacognitive (MCQ) beliefs, self-esteem (RSE), and quality of life (WHOQOL-BREF) served as secondary outcomes.Results. Primary intention-to-treat analyses using analysis of covariance showed negative results, and only secondary post-hoc analyses utilizing latent growth modelling demonstrated superiority of D-MCT over HT with regard to the long-term course of depressive symptom severity and cognitive and metacognitive outcomes as well as physical and psychological quality of life.Conclusions. Findings suggest that D-MCT may be a promising add-on treatment for unipolar depression that should be investigated in large multi-centre studies. Independent replications are needed. Practitioner pointsClinical implications:The current study shows tentative evidence that positive effects of the D-MCT reported at the 6month follow-up assessment were sustained over 3.5 years. 245Potential positive effects regard severity of depression, dysfunctional cognitive, and metacognitive beliefs as well as quality of life. If positive results are replicated with less trained therapists, D-MCT offers the possibility of providing a simple and easy-to-administer CBT-based group treatment for depression with long lasting effects. Limitations:Sample size was small; a large-scale multi-centre trial would be desirable to gain high statistical power with an adequate sample size and to allow the investigation of possible allegiance effects. D-MCT was delivered as an add-on intervention and not as a stand-alone intervention.

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Course and stability of cognitive and metacognitive beliefs in depression

Cited by 36 publications

References 42 publications

Circadian typology is related to emotion regulation, metacognitive beliefs and assertiveness in healthy adults

Circadian typology is related to emotion regulation, metacognitive beliefs and assertiveness in healthy adults

Preoperational Thinking as a Measure of Social Cognition Is Associated With Long-Term Course of Depressive Symptoms. A Longitudinal Study Involving Patients With Depression and Healthy Controls

Long‐term efficacy of Metacognitive Training for Depression (D‐MCT): A randomized controlled trial

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