The Metacognitive Training for obsessive-compulsive disorder: A pilot study
Open accessAbstract
More than 50% of patients with obsessive-compulsive disorder (OCD) do not receive first-line psychological treatment such as cognitive-behavioral therapy with exposure and response prevention. To narrow this treatment gap, there is an urgent need for therapies that are easy to disseminate and highly accepted by patients. The aim of the present pilot study was to evaluate the effectiveness of the Metacognitive Group Training for OCD (MCT-OCD). Fifty patients with OCD participated in the MCT-OCD for 4 weeks during their inpatient stay in a single-arm pilot trial. Patients were assessed before and after the intervention and filled out an online survey 6 months after post assessment. Results showed a decrease in obsessive compulsive symptoms according to the Yale-Brown Obsessive Compulsive Scale (primary outcome) from baseline to post assessment with a large effect size. Symptom reduction remained stable over 6 months and was positively correlated with appraisal ratings of the training. The reduction in frequency of obsessive compulsive symptoms, distress due to obsessive compulsive symptoms, cognitive biases, and depressive symptoms remained stable over 6 months after the intervention. Our findings tentatively imply that the MCT-OCD is a promising treatment for OCD patients. A randomized controlled trial is thus warranted to further clarify the efficacy of the MCT-OCD. Trial Registration: German Clinical Trials Register (DRKS-ID: DRKS00012531), date of registration: 16.06.2017.
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The MCT-OCD in its pilot version has been shown to result in a reduction of OC symptoms with large effect sizes.
“and to result in a reduction of OC symptoms with large effect sizes [49]”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [49]
The Discussion (page not supplied) reports a large decline in OC symptoms from baseline to post-treatment (d = 1.48) after patients participated in the pilot MCT-OCD. But MCT-OCD was an add-on to other inpatient treatments, and the authors say the reduction cannot be exclusively attributed to it. The claim overstates the evidence by saying MCT-OCD was shown to result in the reduction. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe MCT-OCD pilot study demonstrated that patients' OC symptoms decreased with a large effect from baseline to post assessment (η2partial = 0.50).
“Evaluation of the effectiveness of the MCT-OCD pilot study demonstrated that patients’ OC symptoms decreased with a large effect from baseline to post assessment (η2partial = 0.50) [49].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [49]
The Discussion reports a large decline in OC symptoms from baseline to post-assessment (d = 1.48). However, the table in our copy places partial η² = 0.50 under the analysis spanning baseline, post-assessment, and follow-up, not the baseline-to-post comparison. The study also notes that MCT-OCD was added to other inpatient treatments, so the decline cannot be attributed exclusively to it. Page numbers were unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured
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- Authors
- Miegel, F., Demiralay, C., Sure, A., Moritz, S., Hottenrott, B., Cludius, B., & Jelinek, L.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Miegel, Franziska
- ORCID
- Venue
- Current Psychology
- Published
- 2020-11-26
- Volume
- 41
- Issue
- 10
- Pages
- 7114-7124
- ISSN
- 1046-1310 (ISSN-L)
- 1936-4733
- OpenAlex
- W3107352550
- Cited by
- 15
- References
- 75
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 3
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Psychology (publishedVersion, cc-by)
- Funders
- Universitätsklinikum Hamburg-Eppendorf (UKE)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- obsessive-compulsive disorder, metacognitive training, treatment gap, inpatient care, cognitive biases, depressive symptoms, symptom maintenance, treatment acceptability
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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