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Generalized Anxiety Disorder (GAD)
Published in Judy Z. Koenigsberg, Anxiety Disorders, 2020
How can metacognitive therapy offer a benefit for patients with generalized anxiety disorder (GAD)? Metacognitive therapy (MCT) is a recommended intervention for GAD, and aims to modify thought processes rather than the content (Haseth et al., 2019; National Institute for Health and Clinical Excellence [NICE], 2011; Wells, 1995). It has been suggested that Group MCT (g-MCT), a cost-effective intervention, could be as efficacious a treatment as individual MCT and CBT (Haseth et al., 2019).
Treatment Efficacy
Published in Melisa Robichaud, Naomi Koerner, Michel J. Dugas, Cognitive Behavioral Treatment for Generalized Anxiety Disorder, 2019
Melisa Robichaud, Naomi Koerner, Michel J. Dugas
Metacognitive therapy and IU-focused CBT both led to large improvements in pathological worry, symptoms of anxiety, and, interestingly, intolerance of uncertainty. Further, the majority of participants, regardless of which treatment they received, met criteria for treatment responder status. However, in general, outcomes were statistically stronger for metacognitive therapy when the two treatments were directly compared to one another. As noted earlier, the procedures of this trial were different in some notable respects from our own. The extent to which these differences in procedures (and potential differences in therapist characteristics and competence) may have contributed to the findings is unknown. However, what is clear is that more head-to-head trials will have to be conducted before any firm conclusions can be drawn regarding the efficacy of our treatment relative to others.
Mood and Anxiety Disorders in Women
Published in Kathleen A. Kendall-Tackett, Lesia M. Ruglass, Women’s Mental Health Across the Lifespan, 2017
Metacognitive therapy differs from traditional cognitive therapies in that it is aimed at altering distorted beliefs about thought processes themselves. This therapy treats what is called the “cognitive attentional syndrome,” or repetitive negative thinking patterns that resist distraction or redirection. Some examples of distorted beliefs about thought processes include believing that worry is necessary in order to solve problems, or that depressive rumination is uncontrollable. A meta-analytic review has indicated that metacognitive therapy shows promise for even greater levels of effectiveness than traditional CBT (Norman, Van Emmerik, & Morina, 2014).
The evaluation of metacognitive beliefs and emotion recognition in panic disorder and generalized anxiety disorder: effects on symptoms and comparison with healthy control
Published in Nordic Journal of Psychiatry, 2019
Orkun Aydın, Kuzeymen Balıkçı, Fikret Poyraz Çökmüş, Pınar Ünal Aydın
In sum, our results put forth the link between dysfunctional metacognitive beliefs and anxiety disorders, particularly for GAD and PD. Furthermore, the relationship between GAD and emotion recognition was brought on the scene. Recent meta-analyses also suggested that the metacognitive therapy (MCT) and cognitive behavioral therapy (CBT) are beneficial in anxiety disorders [63,64]. However, researchers emphasized that determining the exact cognitive deficits in anxiety disorders might be important in finding the appropriate target in these therapies. Designated treatment methods relevant to the specific anxiety disorder might enhance the utility of the MCT and CBT. In this study, GAD and PD seemed to differentiate in some cognitive aspects. Our results, therefore, could aid in receiving more accurate treatment methods, which is critical in healing mental disorders.
Going meta on metacognitive interventions
Published in Expert Review of Neurotherapeutics, 2018
Steffen Moritz, Paul H. Lysaker, Stefan G. Hofmann, Martin Hautzinger
To conclude, the boundaries between psychotherapeutic approaches are becoming increasingly blurry. Many therapeutic approaches belong to a broader family of psychological interventions (notably CBT). The significance of Metacognitive Therapy lies in its emphasis on metacognitive treatment processes, and we should aim to improve and further develop these processes. However, Metacognitive Therapy clearly does not ‘own’ these processes exclusively. We should be aware that different approaches often have shared change mechanisms and therapeutic techniques. Understanding these commonalities is a good development, one that we as scientists should embrace. Protectionism of terms, techniques, or origins is not helpful. Instead, our efforts should be focused on identifying the processes of change that are associated with specific therapeutic strategies and new ways to improve dissemination.
Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts
Published in Expert Review of Neurotherapeutics, 2022
Michelle G. Newman, Candice Basterfield, Thane M. Erickson, Evan Caulley, Amy Przeworski, Sandra J. Llera
The metacognitive model of GAD suggests that beliefs about uncontrollability or the danger involved in worrying lead to worry about worry, which is followed by attempts to suppress the worries or reassurance seeking [77]. Individuals with GAD may also have positive beliefs about worrying. Metacognitive therapy (MCT) addresses negative and positive beliefs about worrying and suppression of worry via cognitive restructuring to examine the accuracy of the beliefs about worry. It also employs behavioral experiments to examine whether worrying is controllable (e.g. scheduling worry for a later time, etc.).