Competitive Memory Training for treating depression and rumination in depressed older adults: A randomized controlled trial

Wilfried, Ekkers; Korrelboom, Kees; Huijbrechts, Irma; Smits, Niels; Cuijpers, Pim; Gaag, Mark van der

doi:10.1016/j.brat.2011.05.010

Cited by 71 publications

(42 citation statements)

References 42 publications

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“…Three of these studies were individual face-to-face treatment formats (Watkins et al, 2009;Watkins et al, 2011;and Watkins et al, 2012), whereas the final study delivered their training face-to-face in group format (Ekkers et al, 2011). Two studies (Watkins et al, 2009;Watkins et al, 2012) assessed concreteness training (CNT) which involves training individuals to be more concrete and specific in their thinking.…”

Section: Resultsmentioning

confidence: 99%

“…weeks depending on client need and results showed that participants taking part in the RF-CBT programme reported significantly lower levels of rumination than those in the waitlist control condition after treatment was completed. Finally, Ekkers et al (2011) considered the efficacy of competitive memory training (COMET) which is a seven-week cognitive behavioural intervention, involving weekly group sessions and homework, for the treatment of depression and rumination. COMET is designed to target underlying cognitive processes instead of the content of dysfunctional cognitions; therefore, its aim was to change the amount of involvement the patient has with their cognitions, rather than to change the negative emotions and thoughts themselves (Ekkers et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, Ekkers et al (2011) considered the efficacy of competitive memory training (COMET) which is a seven-week cognitive behavioural intervention, involving weekly group sessions and homework, for the treatment of depression and rumination. COMET is designed to target underlying cognitive processes instead of the content of dysfunctional cognitions; therefore, its aim was to change the amount of involvement the patient has with their cognitions, rather than to change the negative emotions and thoughts themselves (Ekkers et al, 2011). They found that participants in the COMET condition reported significantly reduced levels of rumination when compared to the waitlist control group; and 27% of participants achieved a clinically significant reduction in rumination.…”

Section: Resultsmentioning

confidence: 99%

“…Measures of rumination and/or worry were included in the majority of studies as secondary measures. However, one study (Watkins et al, 2011) tested an intervention specifically designed to reduce rumination; and other studies stipulated that measuring change in rumination and/or worry was a primary aim (Andersson et al, 2012;Campbell, Labelle, Bacon, Faris, & Carlson, 2012;Ekkers et al, 2011;Jain et al, 2007;Wolitzky-Taylor & Telch, 2010). Most studies assessed change in either worry (N=9) or rumination (N=8), however two studies (Robins, Keng, Ekblad, & Brantley, 2012;van Aalderen et al, 2012) assessed change in worry and rumination.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Five studies employed methods for data imputation that are more robust than LOCF, e.g., mixed model analyses or multiple imputation (Andersson et al 2012;Ekkers et al, 2011;Paxling et al, 2011;Van Aalderen et al, 2012;Wolitzky-Taylor & Telch, 2010); and two of these studies further evidenced best practice by reporting both 'completer' and ITT sample results (Paxling et al, 2011;Wolitzky-Taylor & Telch, 2010). The remaining study (Shapiro et al, 2008) stated they performed ITT analysis but they did not clarify method of data imputation and they reported ITT results only; therefore, it was difficult to assess this study against this criterion.…”

Section: Quality Of Statistical Analysismentioning

confidence: 99%

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Assessing treatments used to reduce rumination and/or worry: A systematic review

Querstret

Cropley

2013

Clinical Psychology Review

196

112

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Perseverative cognitions such as rumination and worry are key components of mental illnesses such as depression and anxiety. Given the frequent comorbidity of conditions in which rumination and worry are present, it is possible they are underpinned by the same cognitive process. Furthermore, rumination and worry appear to be part of a causal chain that can lead to long-term health consequences, including cardiovascular disease and other chronic conditions. It is important therefore to understand what interventions may be useful in reducing their incidence. This systematic review aimed to assess treatments used to reduce worry and/or rumination. As we were interested in understanding the current treatment landscape, we limited our search from 2002-2012. Nineteen studies were included in the review and were assessed for methodological quality and treatment integrity. Results suggested that mindfulness-based and cognitive behavioural interventions may be effective in the reduction of both rumination and worry; with both Internet-delivered and face-to-face delivered formats useful. More broadly, it appears that treatments in which participants are encouraged to change their thinking style, or to disengage from emotional response to rumination and/or worry (e.g., through mindful techniques), could be helpful. Implications for treatment and avenues for future research are discussed.

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