Behavioral activation in the treatment of metacognitive dysfunctions in inhibited-type personality disorders.

Gordon-King, Keely; Schweitzer, Robert; Dimaggio, Giancarlo

doi:10.1037/pst0000120

Cited by 7 publications

(14 citation statements)

References 19 publications

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“…Clients are then invited to try new actions and to expand their meaning making repertoire and to pursue goals they feel that deeply belong to them to live a progressively more adapted and fulfilling life. MIT has been demonstrated to be effective in a single case series of patients with PD (Dimaggio et al ., ), and results have been replicated in a multiple‐baseline single case series (see Gordon‐King, Schweitzer, & Dimaggio, , ).…”

Section: Introductionmentioning

confidence: 82%

Metacognitive Interpersonal Therapy in group (MIT‐G) for young adults with personality disorders: A pilot randomized controlled trial

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MacBeth

Canfora³

et al. 2018

Psychol Psychother

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Young adults with personality disorders (PD) other than borderline are in urgent need of validated treatments to help them in managing important life transitions. Therapeutic interventions focused upon social and interpersonal difficulties may facilitate these individuals in maximizing opportunities for employment, forming stable romantic relationships, and belong to social groups. It is also important that they are offered evidence-based, first-line time-limited treatments in order to maximize effectiveness and reduce costs. We developed a 16-session programme of group-based Metacognitive Interpersonal Therapy (MIT-G) including psychoeducation on the main interpersonal motives, an experiential component enabling practice of awareness of mental states; and use of mentalistic knowledge for purposeful problem-solving. We report a feasibility, acceptability, and clinical significance randomized clinical trial. Participants meeting inclusion criteria were randomized to receive MIT-G (n = 10) or waiting list+TAU (n = 10). Dropout rate was low and session attendance high (92.19%). Participants in the MIT-G arm had symptomatic and functional improvements consistent with large effect sizes. In the MIT-G arm similarly large effects were noted for increased capacity to understand mental states and regulate social interactions using mentalistic knowledge. Results were sustained at follow-up. Our findings suggest potential for applying MIT-G in larger samples to further test its effectiveness in reducing PD-related symptoms and problematic social functioning.

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Section: Introductionmentioning

confidence: 82%

Metacognitive Interpersonal Therapy in group (MIT‐G) for young adults with personality disorders: A pilot randomized controlled trial

Popolo

MacBeth

Canfora³

et al. 2018

Psychol Psychother

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“…These PDs are also been defined as internalizing (Harford et al, 2013 ; Krueger, McGue, & Iacino, 2001 ) or with prominent traits of detachment and negative affectivity (American Psychiatric Association, 2013). MIT has demonstrated effectiveness in a single case series of patients with PD (Dimaggio et al, 2017 ) and results have been replicated in a multiple-baseline single case series (Gordon-King, Schweitzer & Dimaggio, 2017 ).…”

Section: Introductionmentioning

confidence: 97%

Metacognitive interpersonal therapy in group: a feasibility study

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MacBeth

Brunello

et al. 2018

ResPsy

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Patients with personality disorders (PDs) other than borderline, with prominent features of social inhibition and over-regulation of emotions, are in need of specialized treatments. Individuals present with poor metacognition, that is the capacity to understand mental states and use psychological knowledge for the sake of purposeful problem solving; and are guided by maladaptive interpersonal schemas. We developed a short-term group intervention, Metacognitive Interpersonal Therapy in Groups (MIT-G), incorporating psychoeducational and experiential elements, to help these individuals become more aware of their drives when interacting with others; and to help them adopt more flexible behaviors via improvements in metacognition. We present results of an effectiveness study, evaluating whether we could replicate the initial positive results of our first pilot randomized controlled trial. Seventeen young adults outpatients with personality disorders were included in the 16 session program. Effect sizes were calculated for change from baseline to treatment end for the primary outcome, symptoms and functioning (Clinical Outcomes in Routine Evaluation Outcome Measure) and then for one putative mechanism of change – metacognition. Emotional dysregulation and alexithymia were also assessed. Qualitative evaluations of the acceptability and subjective impact of the treatment were also performed. MIT-G was acceptable to participants. There were medium to large magnitude changes from pre- to post- treatment on wellbeing, emotion dysregulation, alexithymia and metacognition. These gains were maintained at follow-up. There was evidence of clinically significant change on key variables. MIT-G appears acceptable to patients, as evidenced by the absence of drop-out from treatment. In light of the positive outcomes of this study and the expanding evidence base, MIT-G is a candidate for dissemination and investigations in larger trials as a possible effective intervention for PDs characterized by tendencies to overcontrol.

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“…A related line of research also suggests that addressing metacognitions could be beneficial for patients with interpersonal problems (in this case personality disorders). This has been labeled metacognitive IPT ( Dimaggio et al, 2017 ; Gordon-King et al, 2017 ) and is quite different from MCT, but has adopted some techniques from MCT.…”

Section: Discussionmentioning

confidence: 99%

Metacognitive Therapy for Depression Reduces Interpersonal Problems: Results From a Randomized Controlled Trial

et al. 2018

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Interpersonal problems are significantly elevated in patients with depression. Metacognitive therapy (MCT) for depression does not address interpersonal problems but is associated with large reduction in depressive symptoms. The main aim of the current study was to explore whether MCT leads to improvements in interpersonal problems in patients with depression. The study was a waitlist controlled trial and assessments took place at pre- and post-treatment as well as 6-month follow-up. At pre-treatment, the sample had more interpersonal problems compared to samples from other studies of psychiatric outpatients. MCT was associated with large reductions in interpersonal problems. Level of interpersonal problems were not related to poorer treatment response. MCT, which does not directly target interpersonal problems, worked well for patients with depression and interpersonal problems. Future research should compare MCT with other evidence-based treatments for patients with depression and interpersonal problems.

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Behavioral activation in the treatment of metacognitive dysfunctions in inhibited-type personality disorders.

Cited by 7 publications

References 19 publications

Metacognitive Interpersonal Therapy in group (MIT‐G) for young adults with personality disorders: A pilot randomized controlled trial

Metacognitive Interpersonal Therapy in group (MIT‐G) for young adults with personality disorders: A pilot randomized controlled trial

Metacognitive interpersonal therapy in group: a feasibility study

Metacognitive Therapy for Depression Reduces Interpersonal Problems: Results From a Randomized Controlled Trial

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