The Effectiveness of Group Metacognitive Therapy for Generalised Anxiety Disorder: A Pilot Study

Heiden, Colin van der; Melchior, Kim; Stigter, Ella de

doi:10.1007/s10879-013-9235-y

Cited by 23 publications

(16 citation statements)

References 15 publications

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“…As displayed in Figure 1 , we excluded one publication (van der Heiden and Melchior, 2014 ), which was a 30-month follow-up of an included trial (van der Heiden et al, 2012 ), as the publication reported on 34 out of the original 126 participants. We further chose not to include the follow-up data in another study (van der Heiden et al, 2013 ), as the authors had not included the data in their primary analysis due to a large dropout rate.…”

Section: Resultsmentioning

confidence: 99%

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%

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

2018

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“…The clinically significant results obtained for the group MCT appeared to be better or equal to the group CBT cohort and those typically found in RCTs of CBT for OCD, especially given the low attrition rate in a group for whom 76.8% were prescribed medication. The results of the group MCT also contribute to a growing body of empirical evidence attesting to the effectiveness of this intervention in group formats for generalized anxiety disorder in children (Esbjørn et al, 2018) and adults (Van der Heiden et al, 2013; McEvoy et al, 2015), depression (Dammen et al, 2015), antidepressant and CBT-resistant depression (Papageorgiou and Wells, 2015), and transdiagnostic patient samples (Capobianco et al, 2018).…”

Section: Discussionmentioning

confidence: 95%

Group Cognitive-Behavior Therapy or Group Metacognitive Therapy for Obsessive-Compulsive Disorder? Benchmarking and Comparative Effectiveness in a Routine Clinical Service

et al. 2018

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Cognitive-behavior therapy (CBT), delivered in an individual or group format, is the recommended treatment of choice for Obsessive-Compulsive Disorder (OCD), but no studies have benchmarked the outcomes for group CBT in real-world clinical settings. The first aim of this evaluation was to benchmark the outcomes for group CBT in a sample of 125 patients who attended a routine clinical service for OCD. The results showed that the outcomes for the group CBT were comparable to those reported in previous treatment studies. However, consistent with the CBT for OCD literature, 28% of patients receiving CBT reported minimal improvement. The second aim of this evaluation was to carry out a benchmarking analysis for group metacognitive therapy (MCT) to determine if this could provide any advantages in a sample of 95 patients who also attended this clinical service over a subsequent period. The clinically significant results obtained for group MCT improved upon or equaled those obtained for group CBT and those typically found in treatment studies. The group MCT cohort improved significantly more than the group CBT cohort even after controlling for important pre-treatment variables including age, gender, number of diagnoses, symptoms of depression, and psychotropic medication. MCT had significantly higher clinical response rates. Based on international expert consensus criteria, 86.3% of patients in the MCT cohort responded compared with 64% in CBT. The implications of these findings are discussed.

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“…MCT has also shown promising results when delivered using a group format in mental health settings. To date there have been nine studies evaluating Group-MCT across various disorders including obsessive compulsive disorder ( 20 , 21 ), generalized anxiety disorder ( 22 – 24 ), depression ( 25 , 26 ), and in mixed disorder groups ( 27 , 28 ). No studies to date have compared Group-MCT with individual MCT, but a preliminary comparison of Group-MCT with group mindfulness based stress reduction in mixed anxiety and depression groups found that both were feasible and acceptable, with large within-subject effects ( 27 ).…”

Section: Introductionmentioning

confidence: 99%