A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder

Wells, Adrian; Welford, Mary; King, Paul R.; Papageorgiou, Costas; Wisely, Julie; Mendel, Elizabeth

doi:10.1016/j.brat.2009.11.013

Cited by 160 publications

(126 citation statements)

References 19 publications

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“…However, decentering is not exclusive to mindfulness practicing. There are other therapies such as Acceptance and Commitment Therapy (Hayes, Strosahl, & Wilson, 1999) or Metacognitive-based Therapy, where decentering constitutes a key process in their beneficial effects, without involving meditation practices (Moritz et al, 2011;van der Heiden, Muris, & van der Molen, 2012;Wells et al, 2010). In this regard, some authors already suggested that efficacy of Cognitive Behavior Therapy (CBT) to treat depression may rely on metacognitive awareness rather than on cognitive-content modification (Teasdale, Segal, & Williams, 1995).…”

Section: Accepted Manuscript Introductionmentioning

confidence: 99%

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

et al. 2014

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Section: Accepted Manuscript Introductionmentioning

confidence: 99%

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

et al. 2014

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“…increasing and decreasing worry whilst performing tasks to determine if worrying actually enhances performance or improves coping). Outcome studies suggest that this approach is associated with greater levels of recovery than approaches comprised of applied relaxation or CBT treatment focused on intolerance of uncertainty (Fisher, 2006;Wells, Welford, King, Papageorgiou, Wisely & Mendel, 2010;Heiden, Methorst, Muris & Molen, 2012).…”

Section: Discussionmentioning

confidence: 99%

The perseverative worry bout: A review of cognitive, affective and motivational factors that contribute to worry perseveration

Meeten

2016

Biological Psychology

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This paper reviews the cognitive, affective and attentional factors that contribute to individual perseverative worry bouts. We describe how automatic biases in attentional and interpretational processes contribute to threat detection and to the inclusion of negative intrusive thoughts into the worry stream typical of the "what if …?" thinking style of pathological worriers. The review also describes processes occurring downstream from these perceptual biases that also facilitate perseveration, including cognitive biases in beliefs about the nature of the worry process, the automatic deployment of strict goal-directed responses for dealing with the threat, the role of negative mood in facilitating effortful forms of information processing (i.e. systematic information processing styles), and in providing negative information for evaluating the success of the worry bout. We also consider the clinical implications of this model for an integrated intervention programme for pathological worrying.

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“…The control group was initially explained that 3 class sessions were held to relieve anxiety. ment on patients with generalized anxiety disorder, using compatible and incompatible strategies on these patients, the activity of the syndrome would be reduced (13)(14)(15).…”

Section: Tenthmentioning

confidence: 99%

“…They further showed that metacognitive therapy reduces generalized anxiety disorder among students. Metacognitive therapy is among therapeutic methods with effectiveness on generalized anxiety, which has been approved in numerous studies (13)(14)(15)(16). In another study, it was found that metacognitive therapy reduces generalized anxiety syndrome as well as metacognitive beliefs (17), which showed a significant difference between the metacognitive therapy and control groups.…”

Section: Introductionmentioning

confidence: 99%

“…This approach is based on the fundamental theory of executive function and is self-regulated. Metacognitive therapy has been first offered to treat generalized anxiety disorder and has proved to be effective in the rate of recovery and treatment progress in different studies (13)(14)(15). This therapy includes technics and strategies that challenge the patients' process and way of thinking instead of targeting the contents of their cognitions and changing their way of responding to cognitive processes, such as anxiety.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Metacognitive Therapy on Cognitive-Attentional Syndrome and Low Cognitive Confidence Among Female Students During 2015 and 2016

Honarm

Abafat

Hashemi

et al. 2017

Jundishapur J Chronic Dis Care

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Background: Generalized anxiety disorder is chronic and can be continued. The present study was conducted to examine the effectiveness of metacognitive therapy on cognitive-attentional syndrome and low cognitive confidence among female students of Shahid Chamran university of Ahvaz, who had generalized anxiety disorder. Methods: This was a quasi-experimental study with a pretest and posttest and a control group. The statistical population included all female students of Shahid Chamran university of Ahvaz, who were invited to participate in the present study by a phone call. First, for an initial diagnosis of the disorder, the generalized anxiety disorder scale was given to the students. Then, those individuals with a high score in anxiety questionnaire (cut-off point: 10 and above) underwent a structured clinical interview, and 28 individuals with generalized anxiety criteria were selected. The test group underwent ten 90-minute sessions of Wells metacognitive therapy. The questionnaire of cognitive-attentional syndrome and cognitive trust was used as a measurement tool in the pretest and the posttest. Data were analyzed by descriptive statistics and multivariate analysis variance test. Results: Multivariate variance analysis showed that the mean value of cognitive-attentional syndrome and low cognitive confidence in the test group significantly reduced compared to the control group. Conclusions: The findings revealed that MCT reduces the studied variables and indicated the effectiveness of meta-cognitive therapy on generalized anxiety.

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A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder

Cited by 160 publications

References 19 publications

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

Assessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample

The perseverative worry bout: A review of cognitive, affective and motivational factors that contribute to worry perseveration

The Effect of Metacognitive Therapy on Cognitive-Attentional Syndrome and Low Cognitive Confidence Among Female Students During 2015 and 2016

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