Metakognitives Training bei Psychose und Depression

Jelinek, Lena; Kolbeck, Katharina; Moritz, Steffen

doi:10.1007/s15202-016-1396-6

Cited by 8 publications

(13 citation statements)

References 23 publications

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“…Our results suggest that both cognitive and metacognitive beliefs might be valuable treatment targets for psychotherapy, and further studies should be dedicated to this question. One example of this practice is the D-MCT, which was developed by Jelinek, Hauschildt, and Moritz (2015) as a group intervention, is compatible with cognitive behavioral therapy, and integrates a metacognitive point of view (for efficacy, see Jelinek et al, 2016Jelinek et al, , 2017.…”

Section: Resultsmentioning

confidence: 99%

Course and stability of cognitive and metacognitive beliefs in depression

et al. 2018

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Maladaptive cognitive beliefs as measured by the Dysfunctional Attitudes Scale (DAS) increase vulnerability to depression. Maladaptive metacognitive beliefs as measured by the Metacognitive Questionnaire‐30 (MCQ‐30) are also thought to contribute to depression. However, the long‐term stability of metacognitive beliefs in depression has not yet been investigated. It is unclear whether metacognitive beliefs can add explanatory power to depression above and beyond maladaptive cognitive beliefs. The aim of the present study was to investigate the role and stability of cognitive and metacognitive maladaptive beliefs in depression. Eighty‐four patients with depression were assessed with the DAS, three subscales of the MCQ‐30 (positive metacognitive beliefs about worry and rumination [PB]; negative metacognitive beliefs about the uncontrollability of rumination [NB]; metacognitive beliefs concerning the need to control one's thoughts [NFC]), the Hamilton Depression Rating Scale, and the Beck Depression Inventory at baseline and were reassessed 3.5 years later. Analyses using a longitudinal latent growth model showed that change on the DAS and baseline scores and change on the MCQ‐30 (NB and NFC) significantly predicted change in self‐rated depressive symptoms over 3.5 years. However, the DAS explained more additional variance than the integration of the MCQ‐30 subscales. Subscales of the MCQ‐30 were more stable than the DAS. Although cognitive and metacognitive maladaptive beliefs were both predictors of depression, the DAS was a better predictor than the MCQ‐30 subscales. Nevertheless, because maladaptive metacognitive beliefs were more stable than maladaptive cognitive beliefs, they should be considered an important underlying vulnerability factor for depression.

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Section: Resultsmentioning

confidence: 99%

Course and stability of cognitive and metacognitive beliefs in depression

et al. 2018

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“…The group was conducted as an open group; thus, patients could start the group at any of the modules. A comprehensive treatment manual is available in German for these six modules (Jelinek, Hauschildt, & Moritz, 2015); the slide presentations can be downloaded via www. uke.de/depression.…”

Section: Interventionmentioning

confidence: 99%

“…To achieve this aim, we decided to extend our existing lowthreshold group intervention for depression, the Metacognitive Training for Depression (D-MCT; Jelinek, Hauschildt, & Moritz, 2015), by…”

Section: Introductionmentioning

confidence: 99%

Metacognitive Training for Depression: Feasibility, safety and acceptability of two new treatment modules to reduce suicidality

Jelinek

Peth

Runde

et al. 2020

Clin Psychology and Psychoth

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Recent evidence favours psychological interventions explicitly targeting suicidality; however, group treatments on suicidality are rare and are assumed to have unfavourable effects. We developed two modules specifically addressing suicidality that replace two existing modules in the Metacognitive Training for Depression (D-MCT). The aim of the current study was to examine the feasibility, safety, and acceptability of this intervention (D-MCT/S). Forty-eight inpatients with depression received eight sessions of D-MCT/S over 4 weeks in addition to standard treatment. Patients were assessed before the training, 4 and 8 weeks later regarding suicidality (primary outcome: Beck Suicide Scale [BSS]), hopelessness, depression (e.g. Hamilton Depression Rating Scale [HDRS]), dysfunctional attitudes, and self-esteem. Negative effects of the modules and subjective appraisal were assessed. Suicidality, hopelessness, and depression decreased over time. Whereas the effects on the BSS onlyreached trend level, a large effect was observed when the suicide item of the HDRS was used. Two of the 46 patients (4%) reported a deterioration in their symptoms, but this was not associated with the D-MCT/S. Negative effects of the general training were rather low, and acceptability was high. In general, patients evaluated the two new modules on suicidality similarly to the established modules. However, both modules were assessed as distressing by 39% of the patients. When we addressed suicidality in the D-MCT/S, we did not observe any contagious effects. In fact, the pilot versions of the two modules on suicidality are promising in terms of feasibility, safety, and acceptability. The results will be used to improve current shortcomings.

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“…Groups met twice a week and the post-assessment occurred 4 weeks after baseline. The D-MCT intervention strictly followed the D-MCT manual [39]. The HT intervention was also performed twice weekly in a group format.…”

Section: Designmentioning

confidence: 99%

“…In contrast, teaching patients about the aforementioned memory problems and biases is not part of standard CBT programs. Metacognitive Training for Depression (D-MCT) aims to fill this gap [39]. D-MCT amalgamates CBT exercises with a metacognitive approach that aims to modify depression-related “Beckian” emotional, as well as more general cognitive biases.…”

Section: Introductionmentioning

confidence: 99%

Metacognitive Training for Depression (D-MCT) reduces false memories in depression. A randomized controlled trial

et al. 2018

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Metacognitive Training for Depression (D-MCT) is a highly standardized group program targeted at depression-related ("Beckian") emotional as well as cognitive biases, including mood-congruent and false memory. While prior results are promising with respect to psychopathological outcomes (depression), it is unclear whether D-MCT also meets its goal of improving cognitive biases, such as false memories. In the framework of a randomized controlled trial (registered trial, DRKS00007907), we investigated whether D-MCT is superior to an active control condition (health training, HT) in reducing the susceptibility of depressed patients for false memories. False memories were examined using parallel versions of a visual variant of the Deese-Roediger McDermott paradigm. Both groups committed less false memories at post assessment after 4 weeks compared to baseline. Relative to HT, D-MCT led to a significant decrease in high-confident false memories over time. The study presents first evidence that D-MCT decreases the susceptibility of depressed patients for false memories, particularly for errors made with high confidence that are presumably the most "toxic" in terms of mood-congruent memory distortions.

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Metakognitives Training bei Psychose und Depression

Cited by 8 publications

References 23 publications

Course and stability of cognitive and metacognitive beliefs in depression

Course and stability of cognitive and metacognitive beliefs in depression

Metacognitive Training for Depression: Feasibility, safety and acceptability of two new treatment modules to reduce suicidality

Metacognitive Training for Depression (D-MCT) reduces false memories in depression. A randomized controlled trial

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