Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder
Metacognitive therapy (MCT) has been shown to be a promising treatment approach for obsessive-compulsive disorder (OCD). The changeability of metacognitions by (metacognitive) treatment and its relevance to treatment outcome is, however, still unclear. The current study investigates, (1) if treatmen...
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2021-09-01
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doaj-166fa1aae7f44a32ba8f843fcc947a5c2021-09-04T07:44:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-09-011210.3389/fpsyt.2021.722782722782Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive DisorderJana Hansmeier0Anke Haberkamp1Julia A. Glombiewski2Cornelia Exner3Department of Psychology, University of Leipzig, Leipzig, GermanyDepartment of Psychology, University of Marburg, Marburg, GermanyDepartment of Psychology, University of Koblenz-Landau, Mainz, GermanyDepartment of Psychology, University of Leipzig, Leipzig, GermanyMetacognitive therapy (MCT) has been shown to be a promising treatment approach for obsessive-compulsive disorder (OCD). The changeability of metacognitions by (metacognitive) treatment and its relevance to treatment outcome is, however, still unclear. The current study investigates, (1) if treatment with MCT or exposure and response prevention (ERP) in a randomized-controlled pilot trial (n = 24 patients with OCD) changes OCD-specific metacognitions of thought fusion beliefs, beliefs about rituals and stop signals, and (2) if these changes are relevant for the treatment outcome in terms of patient- and therapist-rated OCD symptoms. ANOVA with pretest, posttest and follow-up scores could show that all three metacognitions significantly decreased during both treatments. Regarding thought fusion beliefs, a significant interaction effect indicated a higher decrease after MCT than ERP treatment. In hierarchical regression analyses, changes in stop signals from pre- to post-treatment significantly predicted patient-rating OCD symptoms at post-treatment and follow-up at 3 months after treatment. These changes were even predictive of post-treatment outcome after controlling for general metacognitions and dysfunctional cognitive beliefs. These findings support the assumption that metacognitions can change during both treatments and that changes in stop signals might be relevant for the treatment outcome on the symptom level in OCD.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.722782/fullexposure and response preventionmetacognitive therapystop signalsmetacognitionsobsessive-compulsive disorder |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jana Hansmeier Anke Haberkamp Julia A. Glombiewski Cornelia Exner |
spellingShingle |
Jana Hansmeier Anke Haberkamp Julia A. Glombiewski Cornelia Exner Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder Frontiers in Psychiatry exposure and response prevention metacognitive therapy stop signals metacognitions obsessive-compulsive disorder |
author_facet |
Jana Hansmeier Anke Haberkamp Julia A. Glombiewski Cornelia Exner |
author_sort |
Jana Hansmeier |
title |
Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder |
title_short |
Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder |
title_full |
Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder |
title_fullStr |
Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder |
title_full_unstemmed |
Metacognitive Change During Exposure and Metacognitive Therapy in Obsessive-Compulsive Disorder |
title_sort |
metacognitive change during exposure and metacognitive therapy in obsessive-compulsive disorder |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2021-09-01 |
description |
Metacognitive therapy (MCT) has been shown to be a promising treatment approach for obsessive-compulsive disorder (OCD). The changeability of metacognitions by (metacognitive) treatment and its relevance to treatment outcome is, however, still unclear. The current study investigates, (1) if treatment with MCT or exposure and response prevention (ERP) in a randomized-controlled pilot trial (n = 24 patients with OCD) changes OCD-specific metacognitions of thought fusion beliefs, beliefs about rituals and stop signals, and (2) if these changes are relevant for the treatment outcome in terms of patient- and therapist-rated OCD symptoms. ANOVA with pretest, posttest and follow-up scores could show that all three metacognitions significantly decreased during both treatments. Regarding thought fusion beliefs, a significant interaction effect indicated a higher decrease after MCT than ERP treatment. In hierarchical regression analyses, changes in stop signals from pre- to post-treatment significantly predicted patient-rating OCD symptoms at post-treatment and follow-up at 3 months after treatment. These changes were even predictive of post-treatment outcome after controlling for general metacognitions and dysfunctional cognitive beliefs. These findings support the assumption that metacognitions can change during both treatments and that changes in stop signals might be relevant for the treatment outcome on the symptom level in OCD. |
topic |
exposure and response prevention metacognitive therapy stop signals metacognitions obsessive-compulsive disorder |
url |
https://www.frontiersin.org/articles/10.3389/fpsyt.2021.722782/full |
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