Effects of Metacognitive Training (D-MCT) on Metacognition and Ruminative Thought Levels of Major Depression Patients

Özgüç, Safiye; Tanrıverdi, Derya

doi:10.1007/s11469-022-00869-z

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…To date, the effects of D-MCT on rumination has only been considered in two studies ( Jelinek et al, 2013 ; Özgüç and Tanriverdi, 2022 ), which yielded significant reductions in rumination at small (Cohen’s d = 0.32) and large ( η 2 = 0.229) effects, respectively. Further work is needed to examine whether these findings can be replicated in future studies and specifically for MCT-Silver in older adults.…”

Section: Discussionmentioning

confidence: 99%

“…There is also evidence of maintenance of these changes after 3 years ( Jelinek et al, 2019 ). In separate studies, a superior effect of D-MCT as an add-on intervention among patients completing an intensive inpatient program was found for negative cognitive beliefs ( Hauschildt et al, 2022 ) and in a study with outpatients, significantly greater reductions in rumination and metacognitive beliefs were found in the D-MCT group compared to a wait-list control ( Özgüç and Tanriverdi, 2022 ). In an initial examination of the relative contributions of metacognitive vs. cognitive processes to depression reduction in D-MCT, Jelinek et al (2017) compared negative cognitive beliefs with three subscales of the Metacognitive Questionnaire (MCQ; ‘need for control’, ‘negative beliefs’, ‘positive beliefs’).…”

Section: Introductionmentioning

confidence: 98%

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Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver)

et al. 2023

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BackgroundMetacognitive Training for Depression in older adults (MCT-Silver; www.uke.de/mct-silver) is a cognitive-behavioral based group intervention that aims at reducing depression by targeting (meta)cognitive beliefs and rumination. In the present study, it was examined whether negative cognitive beliefs, positive metacognitive beliefs and/or rumination may be implicated as mediators of MCT-Silver’s effects on depression.Materials and methodsWe conducted a secondary analysis of a randomized controlled trial comparing MCT-Silver to an active control intervention (cognitive remediation) including 66 older adults (60 years and older) with complete baseline data. Clinician-rated (Hamilton Depression Rating Scale) and self-reported (Beck Depression Inventory-II) depression, negative cognitive beliefs (Dysfunctional Attitudes Scale-18B), positive metacognitive beliefs (positive beliefs subscale; Metacognition Questionnaire-30) and rumination (10-item Ruminative Response Scale) were assessed before (pre) and after 8 weeks of treatment (post), as well as 3 months later (follow-up). It was examined whether change in depression (pre- to follow-up) was mediated by change in negative cognitive beliefs, positive metacognitive beliefs and/or rumination (pre- to post-assessment).ResultsMediation results differed for self-reported vs. clinician-rated depression. The effect of MCT-Silver on reduction in clinician-rated depression was mediated by a reduction in self-reported rumination, whereas reduction in self-reported depression was mediated by a reduction in negative cognitive beliefs. Positive metacognitive beliefs were not a significant mediator for either outcome.ConclusionThe current study provides initial evidence for the roles of negative cognitive beliefs and rumination in the treatment of depression in later life with MCT-Silver. Given the divergence of findings and lack of causal precedence, mechanisms of change for MCT-Silver cannot yet be equivocally identified.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver)

et al. 2023

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“…MCT-Silver is based on metacognitive training for psychosis (MCT; Moritz and Woodward, 2007) and metacognitive training for depression (D-MCT; Jelinek et al, 2015). Randomized controlled trials on D-MCT provide evidence for its efficacy on depressive symptoms (Jelinek et al, 2016), as well as metacognitive and negative cognitive beliefs (Hauschildt et al, 2022;Özgüç and Tanriverdi, 2022) at shortand intermediate follow-up intervals. Long-term efficacy of D-MCT remains equivocal (Jelinek et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial to evaluate the efficacy of metacognitive training for older adults with depression (MCT-Silver) in Portugal: study protocol

Pinho,

Silva,

Fonseca

et al. 2023

Front. Psychol.

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IntroductionDepression is one of the most common psychological disorders in later life. Although psychological interventions are recommended by treatment guidelines, most older adults with depression remain untreated. The aim of this study is to evaluate the efficacy of the Portuguese version of Metacognitive Training for Depression in later life (MCT-Silver).MethodsThis is a study protocol of an observer-blind, parallel-group, randomized controlled trial to compare the efficacy of MCT-Silver with a treatment as usual (TAU) control group among older adults (age 65 years and older) with depressive symptoms according to the Montgomery-Asberg Depression Scale. Participants will be tested at three assessment time points (baseline, immediately following the intervention [8 weeks], and 3 months after the intervention). The primary outcome is change in self-rated depression symptoms assessed by the Beck Depression Inventory (BDI-II). Secondary outcomes include clinician-rated depression, self-esteem, dysfunctional beliefs, metacognitive beliefs, ruminations, attitudes toward aging and quality of life. A self-designed subjective appraisal rating scale consisting of 21-items will be used to assess participant acceptance of MCT-Silver.DiscussionMCT-Silver is an innovative intervention, which aims to reduce dysfunctional thoughts as well as depression-related behaviors and coping strategies through the metacognitive perspective. Until now, the training has only been tested in Germany. It is expected that after 8 weeks of treatment and 3 months later, the experimental group will demonstrate significant reductions in depressive symptoms, metacognitive beliefs, dysfunctional attitudes and ruminative responses compared to the TAU group. Moreover, quality of life, self-esteem, and attitudes towards aging will be significantly improved in MCT-Silver compared to the TAU group.Clinical trial registrationClinicalTrials.gov, NCT05640492.

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Effects of Metacognitive Training (D-MCT) on Metacognition and Ruminative Thought Levels of Major Depression Patients

Cited by 2 publications

References 22 publications

Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver)

Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver)

A randomized controlled trial to evaluate the efficacy of metacognitive training for older adults with depression (MCT-Silver) in Portugal: study protocol

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