Moderators and predictors of outcome in metacognitive and cognitive behavioural therapy for co‐morbid anxiety disorders

Johnson, Sverre Urnes; Hoffart, Asle

doi:10.1002/cpp.2361

Cited by 5 publications

(3 citation statements)

References 41 publications

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“…Early psychological interventions can support the patient in regaining ordinary daily routine. To treat PTSD, anxiety, worry, and panic reactions the use of cognitive behavioural therapy or metacognitive therapy could be given a trial, as these techniques have shown some efficacy in all these conditions[ 47 , 48 ]. In this framework, psychoeducational interventions are used to teach the patient to manage possible stress reactions[ 49 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic in the intensive care unit: Psychological implications and interventions, a systematic review

Monti¹,

Marconi²,

Bocci³

et al. 2023

World J Psychiatry

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BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic produced changes in intensive care units (ICUs) in patient care and health organizations. The pandemic event increased patients’ risk of developing psychological symptoms during and after hospitalisation. These consequences also affected those family members who could not access the hospital. In addition, the initial lack of knowledge about the virus and its management, the climate of fear and uncertainty, the increased workload and the risk of becoming infected and being contagious, had a strong impact on healthcare staff and organizations. This highlighted the importance of interventions aimed at providing psychological support to ICUs, involving patients, their relatives, and the staff; this might involve the reorganisation of the daily routine and rearrangement of ICU staff duties. AIM To conduct a systematic review of psychological issues in ICUs during the COVID-19 pandemic involving patients, their relatives, and ICU staff. METHODS We investigated the PubMed and the ClinicalTrials.gov databases and found 65 eligible articles, upon which we commented. RESULTS Our results point to increased perceived stress and psychological distress in staff, patients and their relatives and increased worry for being infected with severe acute respiratory syndrome coronavirus-2 in patients and relatives. Furthermore, promising results were obtained for some psychological programmes aiming at improving psychological measures in all ICU categories. CONCLUSION As the pandemic limited direct inter-individual interactions, the role of interventions using digital tools and virtual reality is becoming increasingly important. All considered, our results indicate an essential role for psychologists in ICUs.

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Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic in the intensive care unit: Psychological implications and interventions, a systematic review

Monti¹,

Marconi²,

Bocci³

et al. 2023

World J Psychiatry

View full text Add to dashboard Cite

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“…The transdiagnostic approach of MCT makes it easy to adapt and requires less time to gain mastery, which makes it appealing to psychotherapists. MCT is well-suited to the current situation of psychiatric disorders, where comorbidity is common, and comorbid disorders share similar underlying psychological substrates and psychosocial vulnerabilities [ 19 , 20 ]. MCT can simultaneously address symptoms of multiple psychiatric disorders instead of treating them one at a time, as done in sequential approaches such as CBT.…”

Section: Reviewmentioning

confidence: 99%

Comparison of Metacognitive Therapy Versus Cognitive Behavioral Therapy for Generalized Anxiety Disorder: A Meta-Analysis of Randomized Control Trials

Rawat,

Sangroula,

Khan

et al. 2023

Cureus

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The aim of this meta-analysis is to compare the efficacy of meta-cognitive therapy (MCT) and cognitive behavioral therapy (CBT) in patients with generalized anxiety disorder (GAD). This study is reported according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic electronic literature search was conducted on April 20, 2023, to find studies reporting on the efficacy of MCT for GAD. The search keywords included “Generalized anxiety disorders,” “meta-cognitive therapy,” “cognitive behavior therapy,” and “randomized control trials.: The following databases were searched to find relevant articles: PubMed, PsychInfo, CINAHL, and SCOPUS. Outcomes assessed in the present meta-analysis included the change in the Penn State Worry Questionnaire (PSWQ) from baseline to completion of treatment and after two years of follow-up. The PSWQ measures the trait of worry in adults. Worry is regarded as a dominant feature of GAD. Secondary outcomes assessed in this meta-analysis included symptom severity using the Beck anxiety inventory (BAI). Change in BAI was scored from baseline to completion of treatment and after two years of follow-up. A total of three studies were included in this meta-analysis. The results show that patients treated with MCT had greater reductions in PSWQ and BAI scores post-treatment and after two years of treatment, as well as higher rates of recovery compared to those treated with CBT. These findings suggest that MCT is a promising approach for treating GAD and may have advantages over traditional CBT approaches.

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“…Owing to its transdiagnostic approach, which makes it easily adaptable, and requires less time capital to gain mastery, it may naturally appeal to psychotherapists. It is well placed in relation to the existing realities of psychiatric disorders where comorbidity is the rule rather than the exception, and often comorbid disorders have similar underlying psychological substrate and psychosocial vulnerabilities [ 76 - 78 ]. Its principles can be applied to treat symptoms of multiple psychiatric disorders concurrently instead of treating different psychiatric disorders sequentially with approaches such as CBT.…”

Section: Reviewmentioning

confidence: 99%

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

Sharma¹,

Sagar²,

Kaloiya³

et al. 2022

Cureus

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Metacognitive therapy (MCT) is a novel and promising transdiagnostic psychotherapy intervention based on the Self-Regulatory Executive Function model of conceptualizing emotional disorders. It was developed by Adrian Wells in 2009. Its therapeutic response occurs by reducing dysfunctional metacognitive beliefs regarding worry and rumination, often seen in patients with psychiatric disorders. Since its inception, it has been increasingly applied to a wide spectrum of psychiatric illnesses, but mainly focusing on mood and anxiety disorders. To our knowledge, no study has detailed its existing therapeutic scope in psychiatry. In this comprehensive narrative review, we describe the various psychiatric illnesses in which MCT has been used, the advantages of MCT, and the limitations of the MCT research. In addition, we propose some solutions to systematically examine its place in psychiatry. We encountered its potential role in treating trauma and stress-related disorders, obsessive-compulsive spectrum disorders, personality disorders, psychotic disorders, substance use disorders, and sexual disorders.

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Moderators and predictors of outcome in metacognitive and cognitive behavioural therapy for co‐morbid anxiety disorders

Cited by 5 publications

References 41 publications

COVID-19 pandemic in the intensive care unit: Psychological implications and interventions, a systematic review

COVID-19 pandemic in the intensive care unit: Psychological implications and interventions, a systematic review

Comparison of Metacognitive Therapy Versus Cognitive Behavioral Therapy for Generalized Anxiety Disorder: A Meta-Analysis of Randomized Control Trials

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

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