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Cited by 152Obsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychoanalysis and Psychopathology Research

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

Change in metacognitions predicts outcome in obsessive–compulsive disorder patients undergoing treatment with exposure and response prevention

Solem, Stian, Håland, Åshild Tellefsen, Vogel, Patrick A., Hansen, Bjarne, Wells, Adrian·2009·Behaviour Research and Therapy
DOI 10.1016/j.brat.2009.01.003
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Abstract

Wells' (Wells, A. (1997). Cognitive therapy of anxiety disorders: a practice manual and conceptual guide. Chichester, UK: Wiley) metacognitive model of obsessive-compulsive disorder (OCD) predicts that metacognitions must change in order for psychological treatment to be effective. The aim of this study was to explore: (1) if metacognitions change in patients undergoing exposure treatment for OCD; (2) to determine the extent to which cognitive and metacognitive change predicts symptom improvement and recovery. The sample consisted of 83 outpatients with a diagnosis of OCD who completed exposure and response prevention treatment. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Metacognitions Questionnaire (MCQ-30) and the Obsessive Beliefs Questionnaire (OBQ-44) were administered before treatment, after treatment, and at 12-month follow-up. Treatment resulted in significant changes in symptoms, metacognition score, responsibility and perfectionism. Regression analysis using post-treatment Y-BOCS as the dependent variable indicated that when the overlap between predictors was controlled for, only changes in metacognition were significant. Changes in metacognitions explained 22% of the variance in symptoms at post-treatment when controlling for pre-treatment symptoms and changes in mood. A further regression revealed that two MCQ-30 subscales made individual contributions. The patients had significantly higher scores compared to community controls on the MCQ-30. Patients who achieved clinical significant change had lower scores on the MCQ-30 compared to patients who did not change. The results did not change significantly from post-treatment to follow-up assessment. These findings provide further support for the importance of metacognitions in treating OCD.

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Metadata

Authors
Solem, S., Håland, Å. T., Vogel, P. A., Hansen, B., & Wells, A.
Affiliations
  • Norwegian University of Science and Technology (NO)
  • Sørlandet Sykehus (NO)
Corresponding author
Solem, Stian
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2009-04
Volume
47
Issue
4
Pages
301-307
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2009.01.003
OpenAlex
W1983463944
Cited by
152
References
47
Citations by year
2026: 2 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 16 · 2020: 11 · 2019: 8 · 2018: 7 · 2017: 16 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 11 · 2012: 13
FWCI
9.57
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
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, metacognition, exposure and response prevention, metacognitive model, treatment outcome prediction, cognitive therapy, responsibility, perfectionism, obsessive beliefs, Yale-Brown Obsessive Compulsive Scale
MeSH terms
Adult, Cognition, Female, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Patient Compliance, Prognosis, Psychiatric Status Rating Scales, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult

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