Metacognitive therapy for obsessive-compulsive disorder: A case report

Melchior, Kim; Franken, Ingmar H.A.; Heiden, Colin van der

doi:10.1521/bumc.2018.82.4.375

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Among study completers (N = 19), MCT was associated with large effect sizes for obsessive-compulsive (OC) symptoms, depressive symptoms, and thought-fusion beliefs at the three-month follow-up. Similar findings were also reported in a case study examining the efficacy of MCT in managing OC symptoms in a middle-aged individual [ 28 ]. Treatment was associated with large reductions in dysfunctional beliefs about OC symptoms and clinically significant recovery on Y-BOCS, with gains maintained at the three-month follow-up.…”

Section: Reviewsupporting

confidence: 88%

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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Section: Reviewsupporting

confidence: 88%

The Scope of Metacognitive Therapy in the Treatment of Psychiatric Disorders

Sharma¹,

Sagar²,

Kaloiya³

et al. 2022

Cureus

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“…Indeed, these findings suggest that promoting genuine forms of mindfulness through interventions and methodology that focus on a balanced time perspective may be beneficial in reducing some negative metacognitive beliefs and promoting wellbeing in individuals with worry-related issues. This may be useful in the management of several mental health conditions such as anxiety and depression [ 84 , 85 ], and it could be crucial in addressing other issues related to negative metacognitive beliefs, such as OCD [ 84 , 86 , 87 ]. Moreover, public health campaigns to raise awareness about the impact of time perspective on mental health are needed given that this construct may not be widely recognized among the general public.…”

Section: Discussionmentioning

confidence: 99%

Association between time perspective and metacognition among Lebanese adults: the mediating role of mindfulness

Chahine,

El Zouki,

Mhanna

et al. 2023

BMC Psychiatry

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Background Mindfulness may serve as a component of metacognitive beliefs and can also be viewed as a form of time perspective. The interplay between time perspective and metacognitive beliefs remains understudied. Both aspects, however, display considerable stability over time and significantly influence an individual’s life and well-being. Lebanon, marked by its diverse and complex history, struggles with various political, social, and economic challenges. This study offers a valuable and unprecedented opportunity to examine these connections within a distinct cultural context, shedding light on the unique experiences of the Lebanese population. Therefore, our research aims to investigate the connection between time perspective and metacognition, with a focus on the role of mindfulness as a mediator. Methods This cross-sectional study was conducted from August to November 2022 and involved participants from various regions of Lebanon. The questionnaire included sociodemographic data and scales such as the Arabic versions of the 15-item Short Form of the Zimbardo Time Perspective Inventory, the Metacognitions Questionnaire, the Freiburg Mindfulness Inventory and the Acceptance and Action Questionnaire (AAQ-2). Results Our investigation recruited 423 participants. The analysis showed that individuals with a positive stance on their past, a hedonistic present, or a future-oriented outlook exhibited heightened levels of mindfulness. This elevated state of mindfulness, in turn, demonstrated a significant link to augmented cognitive self-consciousness (An increased introspection into one’s own thoughts). We also observed a direct association between a future-focused time perspective and high scores of cognitive self-consciousness. Furthermore, mindfulness emerged as a crucial mediator in the relationships between time perspectives and negative beliefs about the danger of worry. Similarly, individuals with a positive view on their past, a hedonistic present orientation, or a future-focused mindset demonstrated elevated levels of mindfulness, which was correlated with less negative beliefs about the danger of worry. Notably, a positive past perspective was directly associated with less negative views on worry and the subsequent loss of control, whereas higher future focused time perspective scores was significantly and directly associated with more negative beliefs about worry, whereas more future focused time perspective was significantly and directly associated with more negative beliefs about worry. Conclusion Our findings found several meaningful associations between our variables, but it primarily underscored the significance of considering distinct subcomponents within mindfulness and psychopathological metacognition that may overlap, shedding light on their differential impacts on psychological well-being. We were also able to mirror the dual pathway theory of time perspective suggested in previous studies. These insights carry notable implications for the development and refinement of mindfulness-based and metacognitive interventions, emphasizing the need for tailored approaches that consider varying time perspectives. Continued investigation in this area promises to advance our understanding of these constructs and refine their practical applications in mental health interventions and well-being enhancement strategies.

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