The effectiveness of metacognitive therapy in patients with depression: Two years of follow-up

Document Type : Original Article

Authors

1 Department of Psychology, School of Humanities, University of Maragheh

2 Depertment of Psychology, Faculty of Education and Psychology, University of Tabriz

Abstract

The present research was conducted with the aim to examine the relationship between clinical variables of epilepsy and cognitive disorders of patients with drug-resistantepilepsy(DRE). From among patients with DRE who had a medical record in Ardabil Welfare Organization, Ardabil, Iran, 35 participants aged between 20 and 35 years old, filled out the questionnaire related to demographic and clinical variables in the summer of 2017. Furthermore, to examine cognitive performance, the Rey-Osterrieth complex figure test and Wisconsin Card Sorting Test were employed. Patients who had emotional turmoil scores higher than 28 (cut-off point) were excluded from the study. Data were analyzed using correlation test and simultaneous regression analysis in SPSS software. The results revealed a significant correlation between clinical variables and cognitive performance. Additionally, based on the obtained regression coefficients, disease duration (p = 0.35) did not have a significant role in predicting memory performance. However, seizure frequency (p = 0.01), number of anti-epileptic drugs (AEDs) consumed (p = 0.03), and age at the onset of seizure (p = 0.01) had significant roles in predicting the memory performance. The results also revealed that disease duration (p = 0.47), seizure frequency (p = 0.70), and age at the onset of seizure (p = 0.06) had no significant role in predicting the executive function. Nevertheless, the number of AEDs consumed (p = 0.02) had a significant role in predicting the executive function. Clinical factors of epilepsy had a role in predicting cognitive performance of the patients

Keywords

References

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Butler, A. C, Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17–31. doi: 10.1016/j.cpr.2005.07.003
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. doi:10.1037/0022-006X.56.6.893
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markely, D. K., Gollan, J. K., Atkins, D. C., Dunner, D. L., & Jacobsen, N. S. (2006). Randomized trial of behavioural activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670.  doi: 10.1037/0022-006X.74.4.658.
Edwards, B. C., Lambert, M. J., Moran, P. W., McCully, T., Smith, K. C., & Ellingson, G. (1984). A meta-analytic comparison of the beck depression inventory and the Hamilton rating scale for depression as measures of treatment outcome. British Journal of Clinical Psychology, 23, 93–99. doi: 10.1111/j.2044-8260. 1984.tb00632.x
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders––Patient Edition (SCID-IP. Version 2.0. 4. 97 revision): Biometrics Research Department, New York State Psychiatric Institute, New York.
Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobsen, N. S. (1998). Cognitive-behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66(2), 377–384. doi: 10.1037//0022-006x.66.2.377
Just, N., & Alloy, L. B. (1997). The response styles theory of depression: Tests and an extension of the theory. Journal of Abnormal Psychology, 106, 221–229. doi: 10.1037/0021-843X.106.2.221
Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77(3), 1061– 1072. doi: 10.1037//0022-3514.77.5.1061.
Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67, 92–104. doi: 10.1037//0022-3514.67.1.92.
Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27(7), 261–273. doi: 10.1023/A:1023962332399
Papageorgiou, C., & Wells, A. (2001a). Metacognitive beliefs about rumination in recurrent major depression. Cognitive and Behavioral Practice, 8(1), 160–164. doi: 10.1016/S1077-7229(01)80021-3
Papageorgiou, C., & Wells, A. (2001b). Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale. Behavior Therapy, 32(1), 13–26.  doi. 10.1016/S1077-7229(01)80021-3
Papageorgiou, C., & Wells, A. (1998). Effects of attention training on hypochondriasis: A brief case series. Psychological Medicine, 28(7): 193–200. doi: 10.1016/S0005-7894(01)80041-1
Teasdale, J., Segal, Z., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(2), 615–623. doi: 10.1037/0022-006X.68.4.615
Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove, UK: Erlbaum. Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: The S-REF model, Behavior Research and Therapy, 34(22), 881–888. doi.org/10.1016/S0005-7967(96)00050-2
Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Wiley.
Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioral and Cognitive Psychotherapy, 23(2), 310–320. doi: 10.1017/S1352465800015897
Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioral and Cognitive Psychotherapy, 23(4): 310–320. doi: 10.1017/S1352465800015897
Wells, A., White, J., & Carter, K. (1997). Attention training: Effects on anxiety and beliefs in panic and social phobia. Clinical Psychology and Psychotherapy, 4(1): 226–232. doi: 10.1002/SICI1099-0879199712
Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: An attentional training approach to treatment. Behavior Therapy, 21(3), 273–280.  doi: 10.1016/S0005-7894(05)80330-2
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognition’s questionnaire: Properties of the MCQ-30. Behavior Research and Therapy, 42(3), 385–396.  doi: 10.1016/S0005-7967(03)00147-5
Wells, A. (2005). Detached mindfulness in cognitive therapy: A metacognitive analysis and ten techniques. Journal of Rational-Emotive of Cognitive-Behavior Therapy, 23(1), 337–355.  doi: 10.1023/A:1023962332399
Wells, A., & Matthews, G (1994). Attention and emotion: A clinical perspective. Hove, UK: Erlbaum.420. doi: 10/1002/cpp.5640020208.
Wells, A., Fisher, p., Mayer, s., Wheatly, J., Patel, T., R.Brewin, C. (2007). Metaconitive therapy in of Recurrent and Persistent Depression: A multiple- baseline study of a new treatment. Cognitive Therapy Research, 50(6), 367-73. doi:  10.1007/S10608-007-9178-2.
Journal of Research in Psychopathology
Volume 1, Issue 1
July 2020
Pages 1-9

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