Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial
Abstract 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 struc...
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doaj-6c90971a58764755a902331baa7c0f402020-11-25T03:12:40ZengBMCBMC Psychiatry1471-244X2020-07-0120111310.1186/s12888-020-02648-3Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trialFranziska Miegel0Cüneyt Demiralay1Steffen Moritz2Janina Wirtz3Birgit Hottenrott4Lena Jelinek5Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-EppendorfAbstract 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 (η2 partial = 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.http://link.springer.com/article/10.1186/s12888-020-02648-3BeliefsGroup therapyCBTAnxietyMetacognitionsBiases |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Franziska Miegel Cüneyt Demiralay Steffen Moritz Janina Wirtz Birgit Hottenrott Lena Jelinek |
spellingShingle |
Franziska Miegel Cüneyt Demiralay Steffen Moritz Janina Wirtz Birgit Hottenrott Lena Jelinek Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial BMC Psychiatry Beliefs Group therapy CBT Anxiety Metacognitions Biases |
author_facet |
Franziska Miegel Cüneyt Demiralay Steffen Moritz Janina Wirtz Birgit Hottenrott Lena Jelinek |
author_sort |
Franziska Miegel |
title |
Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial |
title_short |
Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial |
title_full |
Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial |
title_fullStr |
Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial |
title_full_unstemmed |
Metacognitive Training for Obsessive-Compulsive Disorder: a study protocol for a randomized controlled trial |
title_sort |
metacognitive training for obsessive-compulsive disorder: a study protocol for a randomized controlled trial |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2020-07-01 |
description |
Abstract 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 (η2 partial = 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. |
topic |
Beliefs Group therapy CBT Anxiety Metacognitions Biases |
url |
http://link.springer.com/article/10.1186/s12888-020-02648-3 |
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