Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study
Objective: Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 2014-10, Vol.48 (10), p.932-943 |
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| container_title | Australian and New Zealand journal of psychiatry |
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| creator | Jordan, Jennifer Carter, Janet D McIntosh, Virginia VW Fernando, Kumari Frampton, Christopher MA Porter, Richard J Mulder, Roger T Lacey, Cameron Joyce, Peter R |
| description | Objective:
Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead of a planned randomized controlled trial.
Method:
A total of 48 participants referred for outpatient therapy were randomized to up to 12 weeks of MCT or CBT. Key outcomes were reduction in depressive symptoms at week 4 and week 12, measured using the independent-clinician-rated Quick Inventory of Depressive Symptomatology16. Intention-to-treat and completer analyses as well as additional methods of reporting outcome of depression are presented.
Results:
Both therapies were effective in producing clinically significant change in depressive symptoms, with moderate-to-large effect sizes obtained. No differences were detected between therapies in overall outcome or early change on clinician-rated or self-reported measures. Post-hoc analyses suggest that MCT may have been adversely affected by greater comorbidity.
Conclusions:
In this large pilot study conducted independently of MCT’s developers, MCT was an effective treatment for outpatients with depression, with similar results overall to CBT. Insufficient power and imbalanced comorbidity limit conclusions regarding comparative efficacy so further studies of MCT and CBT are required. |
| doi_str_mv | 10.1177/0004867414533015 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1566112172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0004867414533015</sage_id><sourcerecordid>1566112172</sourcerecordid><originalsourceid>FETCH-LOGICAL-c395t-679939f5bdbc0f31f101458fe49b9ca6b5f5fb03b6966e4ff1d7eb05d3bcf04e3</originalsourceid><addsrcrecordid>eNp1kE2LFDEQhoMo7rh69yQNInhpTXW-Ot6WxS9Y8aLnJh-V3Sw9nTbpHpz99WaYcRcET3V4n7eoegh5CfQdgFLvKaW8l4oDF4xREI_IBjinLUjgj8nmELeH_Iw8K-WWUmAg1FNy1vEeaK9gQ9w3XIxL11Nc4g6b5QazmffNDnNZS_MQWLwxu5jWbMZ7KKTceJwzlhLT9KExTTaTT9t4h76Z45iWpiyr3z8nT4IZC744zXPy89PHH5df2qvvn79eXly1jmmxtFJpzXQQ1ltHA4MAtP7VB-TaamekFUEES5mVWkrkIYBXaKnwzLpAObJz8va4d87p14plGbaxOBxHM2FaywBCSoAOVFdRekRdTqVkDMOc49bk_QB0OKgd_lVbK69O21e7RX9f-OuyAm9OgCnOjKHKcLE8cH3Puo4fuNdHbhqnuyFOHn_XqXUPnZaMSdr1TFWqPVLFXONwW81P1d3_z_sDaPeaQA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1566112172</pqid></control><display><type>article</type><title>Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study</title><source>MEDLINE</source><source>SAGE Journals</source><creator>Jordan, Jennifer ; Carter, Janet D ; McIntosh, Virginia VW ; Fernando, Kumari ; Frampton, Christopher MA ; Porter, Richard J ; Mulder, Roger T ; Lacey, Cameron ; Joyce, Peter R</creator><creatorcontrib>Jordan, Jennifer ; Carter, Janet D ; McIntosh, Virginia VW ; Fernando, Kumari ; Frampton, Christopher MA ; Porter, Richard J ; Mulder, Roger T ; Lacey, Cameron ; Joyce, Peter R</creatorcontrib><description>Objective:
Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead of a planned randomized controlled trial.
Method:
A total of 48 participants referred for outpatient therapy were randomized to up to 12 weeks of MCT or CBT. Key outcomes were reduction in depressive symptoms at week 4 and week 12, measured using the independent-clinician-rated Quick Inventory of Depressive Symptomatology16. Intention-to-treat and completer analyses as well as additional methods of reporting outcome of depression are presented.
Results:
Both therapies were effective in producing clinically significant change in depressive symptoms, with moderate-to-large effect sizes obtained. No differences were detected between therapies in overall outcome or early change on clinician-rated or self-reported measures. Post-hoc analyses suggest that MCT may have been adversely affected by greater comorbidity.
Conclusions:
In this large pilot study conducted independently of MCT’s developers, MCT was an effective treatment for outpatients with depression, with similar results overall to CBT. Insufficient power and imbalanced comorbidity limit conclusions regarding comparative efficacy so further studies of MCT and CBT are required.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.1177/0004867414533015</identifier><identifier>PMID: 24810871</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Behavior therapy ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Bipolar Disorder - therapy ; Cognitive therapy ; Cognitive Therapy - methods ; Depression ; Depression, Mental ; Depressive Disorder, Major - therapy ; Evaluation ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Mood disorders ; Pilot Projects ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Treatment ; Treatment Outcome ; Treatments ; Young Adult</subject><ispartof>Australian and New Zealand journal of psychiatry, 2014-10, Vol.48 (10), p.932-943</ispartof><rights>The Royal Australian and New Zealand College of Psychiatrists 2014</rights><rights>2015 INIST-CNRS</rights><rights>The Royal Australian and New Zealand College of Psychiatrists 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-679939f5bdbc0f31f101458fe49b9ca6b5f5fb03b6966e4ff1d7eb05d3bcf04e3</citedby><cites>FETCH-LOGICAL-c395t-679939f5bdbc0f31f101458fe49b9ca6b5f5fb03b6966e4ff1d7eb05d3bcf04e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0004867414533015$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0004867414533015$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,782,786,21828,27933,27934,43630,43631</link.rule.ids><backlink>$$Uhttps://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,998129633602837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0$$DView this record in NLNZ$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28832241$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24810871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jordan, Jennifer</creatorcontrib><creatorcontrib>Carter, Janet D</creatorcontrib><creatorcontrib>McIntosh, Virginia VW</creatorcontrib><creatorcontrib>Fernando, Kumari</creatorcontrib><creatorcontrib>Frampton, Christopher MA</creatorcontrib><creatorcontrib>Porter, Richard J</creatorcontrib><creatorcontrib>Mulder, Roger T</creatorcontrib><creatorcontrib>Lacey, Cameron</creatorcontrib><creatorcontrib>Joyce, Peter R</creatorcontrib><title>Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective:
Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead of a planned randomized controlled trial.
Method:
A total of 48 participants referred for outpatient therapy were randomized to up to 12 weeks of MCT or CBT. Key outcomes were reduction in depressive symptoms at week 4 and week 12, measured using the independent-clinician-rated Quick Inventory of Depressive Symptomatology16. Intention-to-treat and completer analyses as well as additional methods of reporting outcome of depression are presented.
Results:
Both therapies were effective in producing clinically significant change in depressive symptoms, with moderate-to-large effect sizes obtained. No differences were detected between therapies in overall outcome or early change on clinician-rated or self-reported measures. Post-hoc analyses suggest that MCT may have been adversely affected by greater comorbidity.
Conclusions:
In this large pilot study conducted independently of MCT’s developers, MCT was an effective treatment for outpatients with depression, with similar results overall to CBT. Insufficient power and imbalanced comorbidity limit conclusions regarding comparative efficacy so further studies of MCT and CBT are required.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Behavior therapy</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Bipolar Disorder - therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Depression</subject><subject>Depression, Mental</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Pilot Projects</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Young Adult</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE2LFDEQhoMo7rh69yQNInhpTXW-Ot6WxS9Y8aLnJh-V3Sw9nTbpHpz99WaYcRcET3V4n7eoegh5CfQdgFLvKaW8l4oDF4xREI_IBjinLUjgj8nmELeH_Iw8K-WWUmAg1FNy1vEeaK9gQ9w3XIxL11Nc4g6b5QazmffNDnNZS_MQWLwxu5jWbMZ7KKTceJwzlhLT9KExTTaTT9t4h76Z45iWpiyr3z8nT4IZC744zXPy89PHH5df2qvvn79eXly1jmmxtFJpzXQQ1ltHA4MAtP7VB-TaamekFUEES5mVWkrkIYBXaKnwzLpAObJz8va4d87p14plGbaxOBxHM2FaywBCSoAOVFdRekRdTqVkDMOc49bk_QB0OKgd_lVbK69O21e7RX9f-OuyAm9OgCnOjKHKcLE8cH3Puo4fuNdHbhqnuyFOHn_XqXUPnZaMSdr1TFWqPVLFXONwW81P1d3_z_sDaPeaQA</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Jordan, Jennifer</creator><creator>Carter, Janet D</creator><creator>McIntosh, Virginia VW</creator><creator>Fernando, Kumari</creator><creator>Frampton, Christopher MA</creator><creator>Porter, Richard J</creator><creator>Mulder, Roger T</creator><creator>Lacey, Cameron</creator><creator>Joyce, Peter R</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>DUNLO</scope><scope>GOM</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study</title><author>Jordan, Jennifer ; Carter, Janet D ; McIntosh, Virginia VW ; Fernando, Kumari ; Frampton, Christopher MA ; Porter, Richard J ; Mulder, Roger T ; Lacey, Cameron ; Joyce, Peter R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-679939f5bdbc0f31f101458fe49b9ca6b5f5fb03b6966e4ff1d7eb05d3bcf04e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Behavior therapy</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Bipolar Disorder - therapy</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Depression</topic><topic>Depression, Mental</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Pilot Projects</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jordan, Jennifer</creatorcontrib><creatorcontrib>Carter, Janet D</creatorcontrib><creatorcontrib>McIntosh, Virginia VW</creatorcontrib><creatorcontrib>Fernando, Kumari</creatorcontrib><creatorcontrib>Frampton, Christopher MA</creatorcontrib><creatorcontrib>Porter, Richard J</creatorcontrib><creatorcontrib>Mulder, Roger T</creatorcontrib><creatorcontrib>Lacey, Cameron</creatorcontrib><creatorcontrib>Joyce, Peter R</creatorcontrib><collection>Index New Zealand (A&I)</collection><collection>Index New Zealand</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jordan, Jennifer</au><au>Carter, Janet D</au><au>McIntosh, Virginia VW</au><au>Fernando, Kumari</au><au>Frampton, Christopher MA</au><au>Porter, Richard J</au><au>Mulder, Roger T</au><au>Lacey, Cameron</au><au>Joyce, Peter R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>48</volume><issue>10</issue><spage>932</spage><epage>943</epage><pages>932-943</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective:
Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead of a planned randomized controlled trial.
Method:
A total of 48 participants referred for outpatient therapy were randomized to up to 12 weeks of MCT or CBT. Key outcomes were reduction in depressive symptoms at week 4 and week 12, measured using the independent-clinician-rated Quick Inventory of Depressive Symptomatology16. Intention-to-treat and completer analyses as well as additional methods of reporting outcome of depression are presented.
Results:
Both therapies were effective in producing clinically significant change in depressive symptoms, with moderate-to-large effect sizes obtained. No differences were detected between therapies in overall outcome or early change on clinician-rated or self-reported measures. Post-hoc analyses suggest that MCT may have been adversely affected by greater comorbidity.
Conclusions:
In this large pilot study conducted independently of MCT’s developers, MCT was an effective treatment for outpatients with depression, with similar results overall to CBT. Insufficient power and imbalanced comorbidity limit conclusions regarding comparative efficacy so further studies of MCT and CBT are required.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24810871</pmid><doi>10.1177/0004867414533015</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-8674 |
| ispartof | Australian and New Zealand journal of psychiatry, 2014-10, Vol.48 (10), p.932-943 |
| issn | 0004-8674 1440-1614 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1566112172 |
| source | MEDLINE; SAGE Journals |
| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Behavior therapy Behavior therapy. Cognitive therapy Biological and medical sciences Bipolar Disorder - therapy Cognitive therapy Cognitive Therapy - methods Depression Depression, Mental Depressive Disorder, Major - therapy Evaluation Female Humans Male Medical sciences Middle Aged Miscellaneous Mood disorders Pilot Projects Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Treatment Treatment Outcome Treatments Young Adult |
| title | Metacognitive therapy versus cognitive behavioural therapy for depression: a randomized pilot study |
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