Chronic PTSD Treated With Metacognitive Therapy: An Open Trial

Wells, Adrian; Welford, Mary; Fraser, Janelle; King, Paul R.; Mendel, Elizabeth; Wisely, Julie; Knight, Andrew; Rees, D. Andrew S.

doi:10.1016/j.cbpra.2006.11.005

Cited by 52 publications

(37 citation statements)

References 17 publications

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“…type of trauma, severity of symptoms and co-morbidity. Whilst the small sample might affect the reliability and generalizability of results, the data are consistent with the findings of an earlier controlled trial (Wells and Colbear 2012) and two other non-randomized studies (Wells and Sembi 2004a;Wells et al 2008) suggesting that MCT is an effective treatment for PTSD.…”

Section: Discussionsupporting

confidence: 84%

“…This treatment guides the client to bring the CAS under flexible control so that threat-modes of processing subside. Preliminary evidence from controlled case series, an uncontrolled trial and a pilot randomized controlled trial (RCT) support the potential efficacy of MCT in treating PTSD (Wells and Colbear 2012;Wells and Sembi 2004a;Wells et al 2008). Moreover, training of flexible attention control using specific metacognitive therapy (MCT) techniques can ameliorate traumarelated intrusive thoughts (Nassif and Wells 2014).…”

Section: Introductionmentioning

confidence: 92%

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Metacognitive Therapy Versus Prolonged Exposure in Adults with Chronic Post-traumatic Stress Disorder: A Parallel Randomized Controlled Trial

et al. 2014

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A parallel randomized controlled trial compared metacognitive therapy (MCT) with prolonged exposure (PE) in 32 patients with PTSD of C3 months duration. Participants were assigned to; eight sessions of therapy (MCT or PE) or an 8-week wait period (WL). There was only one drop-out from each treatment. Both active treatments were effective, resulting in significantly lower symptoms of PTSD, anxiety and depression compared with the WL. At post-treatment MCT was superior to PE on self-report symptoms of PTSD and superior to WL on objective measures of hyper-arousal (heart-rate). Recovery rates and reliable improvement in both MCT and PE were high. MCT exerted effects more rapidly and within group effect sizes in MCT were much larger than those in PE at the end of treatment. Clinical gains remained evident at follow-up by which time the treated groups did not differ. In conclusion; both treatments were effective but MCT had a clear advantage. The clinical implications and suggestions for future research are discussed.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 92%

Metacognitive Therapy Versus Prolonged Exposure in Adults with Chronic Post-traumatic Stress Disorder: A Parallel Randomized Controlled Trial

et al. 2014

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“…Such treatment techniques are components of metacognitive therapy (Wells & Sembi, 2004a) and preliminary support for the effectiveness of metacognitive therapy for PTSD has been found (Wells & Sembi, 2004b;Wells et al, 2008). Further investigation into the relationship between change in metacognitive beliefs, including meta-memory beliefs, and symptom change during treatment for PTSD is warranted.…”

Section: Discussionmentioning

confidence: 97%

Metacognition, memory disorganization and rumination in posttraumatic stress symptoms

Bennett

Wells

2010

Journal of Anxiety Disorders

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“…selektive Aufmerksamkeit für vermeintliche Gefahrenquellen). Für die Entstehung und Behandlung der PTBS werden folgende Annahmen formuliert [Wells, 2000[Wells, , 2009 [Wells und Sembi, 2004;Wells et al, 2008]. In einer wartelistekontrollierten Studie mit 20 Patienten fanden sich ebenfalls große Effekte hinsichtlich PTBS-Symptomen, ängstlichen und depressiven Erlebens nach durchschnittlich 6,4 Sitzungen [Colbear und Wells, in Vorbereitung].…”

Section: Grundannahmen Der Metakognitiven Therapie Der Ptbsunclassified

Metakognitive und andere kognitiv-verhaltenstherapeutische Verfahren bei posttraumatischer Belastungsstörung

Simons¹

2010

Verhaltenstherapie

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In dieser Arbeit sollen Grundannahmen und Interventionen der Metakognitiven Therapie (MKT) zur Behandlung von posttraumatischen BelastungsstÖrungen (PTBS) mit denen der Kognitiven Verhaltenstherapie (KVT) verglichen werden. In der KVT gelten Vermeidung und dysfunktionale GedÄchtnisprozesse («TraumagedÄchtnis») sowie problematische Kognitionen als ursÄchlich fÜr die Ausbildung einer PTBS. Als wichtigste Intervention gelten daher Expositionsbehandlung und kognitive Umstrukturierung. In der MKT gelten dysfunktionale kognitive und Aufmerksamkeitsprozesse (GrÜbeln, Sorgen, Vermeidung, GedankenunterdrÜckung, selektive Aufmerksamkeit fÜr Gefahrenquellen) als Ursachen der PTBS. Exposition oder Diskussionen von Gedankeninhalten werden nicht als notwendig erachtet, vielmehr werden die Patienten angeleitet, Traumaerinnerungen aus innerer Distanz achtsam wahrzunehmen («losgelÖste Achtsamkeit») und scheinbar unkontrollierbare perseverierende Denkprozesse (GrÜbeln und Sorgen) zu kontrollieren. Erste empirische Wirksamkeitsnachweise fÜr Erwachsene und eigene Erfahrungen in der Arbeit mit Kindern und Jugendlichen sind vielversprechend.

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Chronic PTSD Treated With Metacognitive Therapy: An Open Trial

Cited by 52 publications

References 17 publications

Metacognitive Therapy Versus Prolonged Exposure in Adults with Chronic Post-traumatic Stress Disorder: A Parallel Randomized Controlled Trial

Metacognitive Therapy Versus Prolonged Exposure in Adults with Chronic Post-traumatic Stress Disorder: A Parallel Randomized Controlled Trial

Metacognition, memory disorganization and rumination in posttraumatic stress symptoms

Metakognitive und andere kognitiv-verhaltenstherapeutische Verfahren bei posttraumatischer Belastungsstörung

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