Metakognitive und andere kognitiv-verhaltenstherapeutische Verfahren bei posttraumatischer Belastungsstörung

Simons, Michael

doi:10.1159/000286699

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…PTSD is one of the most common, chronic, and debilitating psychiatric disorders. According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5, it is categorized as “a disorder related to trauma and stress developing upon exposition to a traumatic event.” The disease is characterized by 4 cluster symptoms as ( 1 ) disturbance, ( 2 ) avoidance, ( 3 ) negative changes in cognition/mood, and ( 4 ) exaggerated irritability ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis

Sahebi

Yousefi

Moayedi

et al. 2020

IJPS

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Objective: Firefighters are exposed to many different chemicals and physical hazards and experience a significant number of accidents and injuries. They are exposed to high-risk of posttraumatic stress disorder (PTSD). The purpose of this study was to determine the prevalence of PTSD among Iranian firefighters. Method: This was a systematic review and meta-analysis. Valid Persian and English keywords were searched in data resources, including SID, Magiran, Irandoc, Google Scholar, PubMed, Scopus, and Web of Science to retrieve articles on the prevalence of PTSD among Iranian firefighters. The STROBE checklist was used to assess the quality of the articles. Heterogeneity among the studies was assessed by I2 index. The data were analyzed using Stata14 software. Results: Of the 316 articles selected in the initial search, 3 articles the inclusion criteria and were used for the meta-analysis. A total of 274 firefighters were studied. The prevalence of PTSD was 23.17% among Iranian firefighters (I2 = 92.4%, 95% CI = 6.71-39.62, p < 0.001). Conclusion: The prevalence of PTSD is among Iranian firefighters relatively high and has been on the rise over the recent years.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis

Sahebi

Yousefi

Moayedi

et al. 2020

IJPS

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“…Studies of metacognitive therapy as developed by Wells and Sembi [30] seek to correct dysfunctional beliefs about an individual's trauma and have been shown to be effective in decreasing PTSD symptoms ( [31]; see also [32]). Metacognitive therapy offers an alternative to direct trauma confrontations in prolonged exposure therapy or cognitive behavior therapy (CBT), such as by practicing detached mindfulness through the abandonment of threat monitoring; in contrast, CBT discusses cognitive content, rather than cognitive processes, and corrects the metacognitive evaluations of this content [33].…”

Section: Metacognitive Awareness In Ptsdmentioning

confidence: 99%

Depressive Symptoms are Associated with More Negative Global Metacognitive Biases in Combat Veterans, and Biases Covary with Symptom Changes over Time

Agnoli

Zuberer

Nanni-Zepeda

et al. 2023

Depression and Anxiety

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Metacognitive awareness, insight into one’s abilities, is thought to be disrupted in depression and posttraumatic stress disorder (PTSD), with more negative metacognitive biases and reduced awareness, respectively. However, studies have rarely examined global aspects of metacognitive awareness in depression and PTSD, instead using task-specific measures. In 467 trauma-exposed post-9/11 veterans, we administered assessments of PTSD and depression, self-report and objective measures of cognitive functioning (neuropsychological battery of memory, attention, and executive function measures), and self-report and objective measures of general health (index of five cardiometabolic factors). We used self-report/objective correlations to measure metacognitive sensitivity and 'self-report minus objective' scores to measure bias. We also examined associations between changes in metacognitive awareness and changes in PTSD and depression over time. Metacognitive sensitivity was comparable between individuals with and without PTSD and depression. However, metacognitive bias was significantly more negative in those with greater depressive symptoms (i.e., underconfidence) across cognition and health, independent of PTSD symptoms. Notably, metacognitive bias changes covaried with depressive and PTSD symptom changes two years later. This shows that, in trauma-exposed veterans, negative metacognitive biases are specifically related to depressive symptoms and these biases may be relatively domain general. Further, our longitudinal results suggest that, rather than being a stable trait, metacognitive biases change with PTSD/depressive symptoms over time.

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Metacognitive Therapy

Wells¹,

Simons²

2013

The Wiley Handbook of Cognitive Behavioral Therapy

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Metacognitive therapy is based on an information processing model. Psychological disorder is seen as resulting from extended thinking in response to negative thoughts or beliefs. This thinking occurs as a specific cognitive attentional syndrome comprised of worry, rumination, focusing on threat, and coping behaviors that have paradoxical effects. The cognitive attentional syndrome prolongs the sense of threat and impairs flexible mental control and is caused by metacognition; in particular, the domains of positive and negative metacognitive beliefs. Metacognitive therapy, developed by Adrian Wells, aims to reduce the cognitive attentional syndrome and modify these underlying metacognitions. The treatment directly improves the control of worry, rumination, and attention, and challenges metacognitive beliefs. The theory and treatment is supported by empirical evidence and the results of clinical trials show that the treatment effect sizes are large. The principles and practice of metacognitive therapy are described and illustrated in obsessive‐compulsive disorder and posttraumatic stress disorder.

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Metakognitive und andere kognitiv-verhaltenstherapeutische Verfahren bei posttraumatischer Belastungsstörung

Cited by 7 publications

References 13 publications

Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis

Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis

Depressive Symptoms are Associated with More Negative Global Metacognitive Biases in Combat Veterans, and Biases Covary with Symptom Changes over Time

Metacognitive Therapy

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