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Comorbidity is normal in clinical practice. Metacognitive Therapy (MCT) is a transdiagnostic model and could therefore be well suited when it comes to treating patients with high rates of comorbidity. So far, no studies have examined MCT in comparison with the best documented and evidence based treatment, cognitive behavioral treatment(CBT), in a randomized controlled trial consisting of mixed anxiety disorder sample with high degree of comorbidity.
The main aim of this study is to 1) Evaluate the effectiveness of metacognitive therapy in a sample of mixed anxiety disorders as compared to a group receiving existing evidence-based single diagnosis CBT- treatment protocols 2) Investigate patterns and mechanisms of change in the two treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metacognitive therapy | Experimental | The treatment is based on the generic manual by Wells (2009). |
|
| Cognitive behavorial therapy | Active Comparator | CBT includes the diagnose specific manuals for panic disorder (Clark, 1986), Social Phobia (Clark & Wells, 1995) and PTSD (Foa, 2007). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metacognitive therapy | Behavioral |
| ||
| Cognitive behavioral therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety Disorders Interview Schedule for DSM-IV-Lifetime Version | The ADIS -IV is a semistructured diagnostic interview designed to establish reliable DSM-IV anxiety, mood, somatoform and substance disorders. Interviewers assign a 0-8 clinical severity rating (CSR), that indicate their judgement of the degree of distress. | PRE/POST/1 year follow up |
| Beck Anxiety Inventory (BAI) | PRE/POST/weekly and 1 year follow up |
| Measure | Description | Time Frame |
|---|---|---|
| The Symptom Checklist 90(SCL90; Derogatis et al., 1996) | Pre/Post/1 year follow up | |
| The Patient Health Questionnaire depression module (PHQ 9; Spitzer et al., 1999) | Pre/Post and 1 year follow up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Asle Hoffart, Ph.D | Modum Bad and University of Oslo | Study Chair |
| Sverre Urnes Johnson, MA | Modum Bad and University of Oslo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Modum Bad | Vikersund | Buskerud | 3370 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28541060 | Derived | Johnson SU, Hoffart A, Nordahl HM, Ulvenes PG, Vrabel K, Wampold BE. Metacognition and cognition in inpatient MCT and CBT for comorbid anxiety disorders: A study of within-person effects. J Couns Psychol. 2018 Jan;65(1):86-97. doi: 10.1037/cou0000226. Epub 2017 May 25. |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Behavioral |
|
| Metacognitions Questionnaire- 30 (MCQ-30; Wells & Cartwright-Hatton, 2003) | Pre/Post/weekly and 1 year follow up |
| Working Alliance Inventory (WAI; Horwath & Greenberg, 1989) | Pre/Post/weekly and 1 year follow up |
| Cognitive attentional syndrome 1 (CAS1; Wells, 2009) | Pre/Post/weekly and 1 year follow up |
| The Repetitive Thinking Questionnaire(RTQ; McEvoy et al., 2010) | Pre/Post and 1 year follow up |
| PTSD Symptom scale Self Report (PSSR; Foa et al., 1993) | Pre/Post and 1 year follow up |
| Social Phobia Inventory (SPIN; Connor et al., 2000) | Pre/Post and 1 year follow up |
| Mobility inventory (MI; Chambless, 1985) | Pre/Post and 1 year follow up |
| SF 36 | Pre/Post and 1 year follow up |
| The Penn State Worry Questionnaire (PSWQ; Meyer, Miller, Metzger & Borkovec, 1990) | Pre/Post and 1 year follow up |
| Youngs Schema Questionnaire YSQ -75 (Young, 1998) | Pre/Post and 1 year follow up |
| The Inventory of Interpersonal Problems (IIP 64 C; Horowitz et al., 1988) | Pre/Post and 1 year follow up |
| Dysfunctional emotion regulations scale (DERS; Graz & Roemer, 2004) | Pre/Post/ and 1 year follow up |