Efficacy of metacognitive therapy for hypoactive sexual desire disorder among Iranian couples

Ramezani, Mohammad Arash; Ahmadi, Khodabakhsh; Besharat, MohammadAli; Noohi, Sima; Ghaemmaghami, Afagh

doi:10.1080/10503307.2017.1301690

Cited by 10 publications

(8 citation statements)

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“…With few exceptions, the reported comorbidity rates were high. Four studies did not report comorbidity rates, and one study (Ramezani et al, 2017 ) excluded patients with comorbid disorders. For the 17 studies that reported comorbidity rates in percentages, the mean for the MCT conditions was 65% (standard deviation 24, range 0–100%).…”

Section: Resultsmentioning

confidence: 99%

“…The vast majority of studies ( n = 18) followed a published disorder-specific treatment manual for the primary disorder, whereas four studies followed the generic model of intervention as presented by Wells ( 2009 ). Three studies (Rabiei et al, 2012 ; Morrison et al, 2014 ; Ramezani et al, 2017 ) investigated a psychological disorder for which no formal manual had yet been developed. In these cases, the authors had adapted a treatment manual for another disorder to the disorder in question.…”

Section: Resultsmentioning

confidence: 99%

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The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

2018

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Background: Metacognitive therapy (MCT) continues to gain increased ground as a treatment for psychological complaints. During the last years, several clinical trials on the efficacy of MCT have been published. The aim of the current study was to provide an updated meta-analytic review of the effect of MCT for psychological complaints.Methods: We conducted a systematic search of trials on MCT for young and adult patients with psychological complaints published until January 2018, using PsycINFO, PubMed, the Cochrane Library, and Google Scholar. Trials with a minimum of 10 participants in the MCT condition were included.Results: A total of 25 studies that examined a variety of psychological complaints met our inclusion criteria, of which 15 were randomized controlled trials. We identified only one trial that was conducted with children and adolescents. In trials with adult patients, large uncontrolled effect size estimates from pre- to post-treatment and follow-up suggest that MCT is effective at reducing symptoms of the targeted primary complaints, anxiety, depression, and dysfunctional metacognitions. The comparison with waitlist control conditions also resulted in a large effect (Hedges' g = 2.06). The comparison of MCT to cognitive and behavioral interventions at post-treatment and at follow-up showed pooled effect sizes (Hedges' g) of 0.69 and 0.37 at post-treatment (k = 8) and follow-up (k = 7), respectively.Conclusions: Our findings indicate that MCT is an effective treatment for a range of psychological complaints. To date, strongest evidence exists for anxiety and depression. Current results suggest that MCT may be superior to other psychotherapies, including cognitive behavioral interventions. However, more trials with larger number of participants are needed in order to draw firm conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

2018

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“…By addressing these underlying cognitive processes, couples can improve communication, emotional regulation, and overall relationship dynamics (20). Research findings have confirmed the effectiveness of metacognitive therapy in improving dysfunctional communication patterns, and self-control in couples (21,22).…”

Section: Introductionmentioning

confidence: 74%

The Effectiveness of Metacognitive Therapy on Relational Beliefs and Self-Differentiation in Couples with Marital Conflict

Esmaeili,

Asgari,

Ehteshamzadeh

et al. 2024

J Clin Res Paramed Sci

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Background: Metacognitive therapy targets self-differentiation and relational beliefs by helping couples identify unhelpful thinking patterns that fuel conflict. By addressing these underlying cognitive processes, metacognitive therapy aims to improve both individual well-being and relational dynamics. Objectives: This research aimed to determine the effectiveness of metacognitive therapy in couples with marital conflicts attending the family court in Karaj city. Methods: The present study employed a semi-experimental design with a pretest-posttest and control group. The statistical population of this study comprised all couples applying for divorce who had sought divorce or marital dispute resolution at the family court in Karaj in the year 2023. A sample of 32 individuals (16 individuals per group) was selected through voluntary sampling, considering the study entry criteria, and randomly assigned to the experimental and control groups. Participants completed questionnaires on their relational beliefs and self-differentiation in the pretest and posttest stages. The experimental group underwent 16 sessions of 90-minute metacognitive therapy, while the control group received no intervention. Data analysis was conducted using analysis of covariance. Data analysis was performed using SPSS-27 software. Results: Metacognitive therapy significantly improved relational beliefs compared to the control group (P < 0.001). The experimental group's mean score increased from 85.19 (± 9.89) at pretest to 135.88 (± 11.91) at posttest, while the control group showed minimal change (pretest: 89.31 ± 7.99; posttest: 95.75 ± 16.94). Similar improvements were observed in self-differentiation scores (P < 0.001). The experimental group's mean score increased from 120.81 (± 8.88) at pretest to 173.50 (± 14.45) at posttest, compared to minimal change in the control group (pretest: 126.31 ± 7.40; posttest: 125.75 ± 11.06). Conclusions: The present study yielded significant findings that support the effectiveness of metacognitive therapy in improving relational and marital functioning. These results are promising, suggesting that metacognitive therapy may be a valuable intervention for couples experiencing marital conflict.

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“…There is no MCT model described for sexual disorders. A novel study by Ramezani et al (2017) [ 65 ] studied the impact of MCT (using the depression model of MCT proposed by Wells, 2009 [ 1 ]) in a multi-center, RCT (n = 30) among patients with hypoactive sexual desire disorder. The intervention arm received MCT, and the control arm was administered Masters-Johnson Sex Therapy (MJST).…”

Section: Reviewmentioning

confidence: 99%

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

Sharma¹,

Sagar²,

Kaloiya³

et al. 2022

Cureus

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Metacognitive therapy (MCT) is a novel and promising transdiagnostic psychotherapy intervention based on the Self-Regulatory Executive Function model of conceptualizing emotional disorders. It was developed by Adrian Wells in 2009. Its therapeutic response occurs by reducing dysfunctional metacognitive beliefs regarding worry and rumination, often seen in patients with psychiatric disorders. Since its inception, it has been increasingly applied to a wide spectrum of psychiatric illnesses, but mainly focusing on mood and anxiety disorders. To our knowledge, no study has detailed its existing therapeutic scope in psychiatry. In this comprehensive narrative review, we describe the various psychiatric illnesses in which MCT has been used, the advantages of MCT, and the limitations of the MCT research. In addition, we propose some solutions to systematically examine its place in psychiatry. We encountered its potential role in treating trauma and stress-related disorders, obsessive-compulsive spectrum disorders, personality disorders, psychotic disorders, substance use disorders, and sexual disorders.

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Efficacy of metacognitive therapy for hypoactive sexual desire disorder among Iranian couples

Abstract: MCT affected sexual desire more than MJST as evaluated after therapy but the gain was not maintained at follow-up. Future research needs to investigate whether a greater focus on metacognitive beliefs about sexual behavior can improve the stability of treatment effects.

Cited by 10 publications

References 40 publications

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

The Efficacy of Metacognitive Therapy: A Systematic Review and Meta-Analysis

The Effectiveness of Metacognitive Therapy on Relational Beliefs and Self-Differentiation in Couples with Marital Conflict

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

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