A 30-month follow-up of generalized anxiety disorder: Status after metacognitive therapy and intolerance of uncertainty-therapy

Heiden, Colin van der; Melchior, Kim

doi:10.5750/ejpch.v2i4.812

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…The mean length of the included follow-up periods was 8.2 months from post-treatment (standard deviation 5.9, range 3–24 months). As displayed in Figure 1 , we excluded one publication (van der Heiden and Melchior, 2014 ), which was a 30-month follow-up of an included trial (van der Heiden et al, 2012 ), as the publication reported on 34 out of the original 126 participants. We further chose not to include the follow-up data in another study (van der Heiden et al, 2013 ), as the authors had not included the data in their primary analysis due to a large dropout rate.…”

Section: Resultsmentioning

confidence: 99%

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

2018

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Background: Metacognitive therapy (MCT) continues to gain increased ground as a treatment for psychological complaints. During the last years, several clinical trials on the efficacy of MCT have been published. The aim of the current study was to provide an updated meta-analytic review of the effect of MCT for psychological complaints.Methods: We conducted a systematic search of trials on MCT for young and adult patients with psychological complaints published until January 2018, using PsycINFO, PubMed, the Cochrane Library, and Google Scholar. Trials with a minimum of 10 participants in the MCT condition were included.Results: A total of 25 studies that examined a variety of psychological complaints met our inclusion criteria, of which 15 were randomized controlled trials. We identified only one trial that was conducted with children and adolescents. In trials with adult patients, large uncontrolled effect size estimates from pre- to post-treatment and follow-up suggest that MCT is effective at reducing symptoms of the targeted primary complaints, anxiety, depression, and dysfunctional metacognitions. The comparison with waitlist control conditions also resulted in a large effect (Hedges' g = 2.06). The comparison of MCT to cognitive and behavioral interventions at post-treatment and at follow-up showed pooled effect sizes (Hedges' g) of 0.69 and 0.37 at post-treatment (k = 8) and follow-up (k = 7), respectively.Conclusions: Our findings indicate that MCT is an effective treatment for a range of psychological complaints. To date, strongest evidence exists for anxiety and depression. Current results suggest that MCT may be superior to other psychotherapies, including cognitive behavioral interventions. However, more trials with larger number of participants are needed in order to draw firm conclusions.

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Section: Resultsmentioning

confidence: 99%

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

2018

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“…A study on 30‐month follow‐up for MCT and intolerance of uncertainty therapy (IUT; van der Heiden & Melchior, 2014 ) reported a recovery rate of 75% for MCT and 50% for IUT. However, the study used different criteria for recovery (cut‐off point ≤ 53; reliable change index ≥ 7).…”

Section: Discussionmentioning

confidence: 99%

“…The superiority of MCT was observed over follow‐up periods in these initial studies that ranged from 6 to 24 months. Van der Heiden and Melchior ( 2014 ) conducted a 30‐month follow‐up of patients treated in their trial. They showed that both MCT and CBT patients maintained their gains during the interim period from 6‐month to 30‐month follow‐up, with MCT producing a significantly better outcome at 30‐month follow‐up as evidenced by a large between‐group effect ( d = 1.16) and higher recovery rate (75% vs. 50%).…”

Section: Introductionmentioning

confidence: 99%

Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study

et al. 2021

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Objective: Metacognitive therapy (MCT) and cognitive-behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed-up patients who had previously participated in a randomized controlled trial of MCT compared against CBT.Method: We collected 9-year follow-up data on 39 out of 60 original patients (i.e., 65% response rate).Results: At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re-diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group. Conclusions:This follow-up study showed a continuation of gains in both treatments at long-term follow-up, but with outcomes continuing to favor MCT and strengthening its comparative superiority.

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Cognitieve therapie bij gegeneraliseerde angststoornis

Heiden¹

2019

Cognitieve Therapie

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A 30-month follow-up of generalized anxiety disorder: Status after metacognitive therapy and intolerance of uncertainty-therapy

Cited by 5 publications

References 13 publications

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study

Cognitieve therapie bij gegeneraliseerde angststoornis

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