The Metacognitive Training for obsessive-compulsive disorder: A pilot study

Miegel, Franziska; Demiralay, Cüneyt; Sure, Anna; Moritz, Steffen; Hottenrott, Birgit; Cludius, Barbara; Jelinek, Lena

doi:10.1007/s12144-020-01158-5

Cited by 13 publications

(12 citation statements)

References 65 publications

(71 reference statements)

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“…Besides showing promising in-session as well as between-session effects, the MCT-OCD in its pilot version has also been shown to be highly accepted by patients with OCD [48], to have module-specific positive effects [50], and to result in a reduction of OC symptoms with large effect sizes [49]. As OCD patients often do not receive the most effective treatment for OCD (CBT with ERP), the MCT-OCD aims to provide a treatment option that is low threshold and highly accepted by patients.…”

Section: Discussionmentioning

confidence: 99%

“…This indicates that the MCT-OCD modules specifically reduce the biases that are addressed in each module. Evaluation of the effectiveness of the MCT-OCD pilot study demonstrated that patients' OC symptoms decreased with a large effect from baseline to post assessment (η 2 partial = 0.50) [49]. However, the pilot study lacked a control group and included only patients currently undergoing a comprehensive inpatient treatment, limiting the conclusions.…”

Section: Metacognitive Training For Patients With Ocdmentioning

confidence: 99%

“…Despite the generally positive subjective appraisal of the myMCT, 67 to 83% of patients mentioned that instead of using myMCT as a self-help treatment, they would like to use it in face-toface psychotherapy [44,45]. To meet this preference, we converted the myMCT to a group format that is comprised of four modules primarily targeting (meta-)cognitive biases and beliefs, and this was positively evaluated by patients in a pilot trial [48][49][50]. In the pilot trial patients with OCD participated in the MCT-OCD, which included four modules that were conducted over 4 weeks during their inpatient stay in a single-arm trial.…”

Section: Metacognitive Training For Patients With Ocdmentioning

confidence: 99%

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Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial

et al. 2020

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Background A high number of patients with obsessive-compulsive disorder (OCD) do not receive cognitive-behavioral therapy with exposure and response prevention, which is the most effective treatment for OCD. Therefore, Metacognitive Training for OCD (MCT-OCD) was developed, which is a structured group therapy aiming at the modification of dysfunctional (meta-)cognitive biases, beliefs and coping styles. It can be administered by less trained personnel, thus may reach a higher number of patients. An uncontrolled pilot study (MCT-OCD pilot version) provided first evidence that the training is highly accepted by patients; OC symptoms decreased with a high effect size (η2partial = 0.50). The aim of the present study is to address the shortcomings of the pilot study (e.g., no control group) and to assess the efficacy of the revised version of the MCT-OCD in the framework of a randomized controlled trial. Methods Eighty patients with OCD will be recruited. After a blinded assessment at baseline (−t1), patients will be randomly assigned either to the intervention group (MCT-OCD; n = 40) or to a care as usual control group (n = 40). The MCT-OCD aims to enhance patients’ metacognitive competence in eight modules by addressing dysfunctional (meta-)cognitive biases and beliefs associated with OCD (e.g., intolerance of uncertainty). After 8 weeks, patients will be invited to a post assessment (t1), and then they will receive a follow-up online questionnaire 3 months following t1 (t2). The primary outcome is the Y-BOCS total score, and the secondary outcomes include the HDRS, OCI-R, OBQ-44, MCQ-30, WHOQOL-BREF, BDI-II, and subjective appraisal ratings of the MCT-OCD. We expect that OC symptoms will decrease more in the intervention group compared with the care as usual control group from –t1 to t1 and that treatment gains will be maintained until t2. Discussion The planned study is the first to investigate the MCT-OCD, a promising new treatment, in a randomized controlled trial. The MCT-OCD may help to overcome existing treatment barriers for patients with OCD. Trial registration German Registry for Clinical Studies (DRKS00013539), 22.02.2018.

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Section: Discussionmentioning

confidence: 99%

Section: Metacognitive Training For Patients With Ocdmentioning

confidence: 99%

Section: Metacognitive Training For Patients With Ocdmentioning

confidence: 99%

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Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial

et al. 2020

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“…However, in one study, the effectiveness of MCT was reduced in patients with moderate to severe delusional symptoms, which underscores the need for a specific adaptation of metacognitive training for the acute setting (van Oosterhout et al, 2014). MCT has also been adapted to several other psychiatric disorders such as depression (D-MCT; Jelinek et al, 2015), depression in later life (MCT-Silver; Schneider et al, 2018), obsessive-compulsive disorder (Miegel et al, 2020), bipolar disorder (Haffner et al, 2017), borderline personality disorder (Schilling et al, 2015) and problem gambling (Gehlenborg et al, 2020). In addition, it is now available as a mobile application (Lüdtke et al, 2018).…”

Section: From Mct To Mct-acutementioning

confidence: 99%

‘You are trying to teach us to think more slowly!’: Adapting Metacognitive Training for the acute care setting—A case report

Fischer

Scheunemann

Bohlender

et al. 2022

Clin Psychology and Psychoth

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Psychological group interventions for the acute inpatient care setting are scarce. Whereas Metacognitive Training for patients with Psychosis (MCT) provides a widely accessible, easy‐to‐implement intervention for patients with mild to moderate symptoms, it is less adequate for the acute care setting with respect to length and density of information. We present the adaptation process and the resulting adaptation of MCT, MCT‐Acute, for the acute inpatient care setting. We report the case of a first patient, NK, who participated in MCT‐Acute during her mandated stay on the locked acute ward due to an exacerbation of schizophrenia. NK participated in MCT‐Acute 12 times, evaluated the training overall as positive and reported that she used exercises she had learned during training to improve her mood. She also described changing her behaviour in everyday life to think more slowly and make less hasty decisions, which is a central topic discussed in MCT and MCT‐Acute. Conducting an adapted version of MCT in the acute care setting is feasible, and the present case report suggests that MCT‐Acute may be a useful complement to a multidisciplinary treatment plan to stabilize patients with severe mental illness in acute inpatient care.

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“…Metacognitive Training-Silver (MCT-Silver; www.uke.de/ mct-silver) is a low-threshold, CBT-based group intervention developed for older adults with depression. It is based on Metacognitive Training for psychosis (MCT; Moritz et al, 2014), which inspired the development of further MCTs for depression among young and middle-aged adults (D-MCT; Jelinek et al, 2015Jelinek et al, , 2016Jelinek et al, , 2019, obsessive-compulsive disorder (Miegel et al, 2021), borderline personality disorder (Schilling et al, 2018), pathological gambling (Gehlenborg et al, 2021), and bipolar disorder (Haffner et al, 2018). Several other metacognition-based interventions have been developed over the past years in addition to MCT (for a review see Moritz et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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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The Metacognitive Training for obsessive-compulsive disorder: A pilot study

Cited by 13 publications

References 65 publications

Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial

Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial

‘You are trying to teach us to think more slowly!’: Adapting Metacognitive Training for the acute care setting—A case report

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

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