An open trial of group metacognitive therapy for obsessive-compulsive disorder
Abstract
Research supporting the metacognitive model of OCD (Wells, A. (2000). Emotional disorders and metacognitions: Innovative cognitive therapy. West Sussex, UK: John Wiley & Sons; Wells, A. (1997). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide. Chichester, UK: John Wiley and Sons) is beginning to accumulate Metacognitive Therapy (MCT) aims to teach clients to shift to a 'metacognitive mode' and incorporates cognitive strategies and behavioural experiments, with the aim of modifying maladaptive metacognitive beliefs rather than the content of anxious beliefs themselves. The current paper reports on a preliminary study, applying MCT in a clinical group setting with eight adults suffering from a variety of OCD presentations. Promising results indicate a larger randomised controlled trial, with recovery achieved for seven of the eight participants on the Yale-Brown Obsessive-Compulsive Scale at 3-month follow-up. All participants demonstrated improvement on measures of OCD symptom severity and metacognitions.
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The sole other trial of group metacognitive therapy enrolled eight adults with obsessive-compulsive disorder.
“The only other group MCT trial included just eight adults with obsessive compulsive disorder (Rees & van Koesveld, 2008), suggesting that more research is required to more fully evaluate the utility of group MCT.”
From Group metacognitive therapy for repetitive negative thinking in primary and non-primary generalized anxiety disorder: An effectiveness trial (2015) · cites this paper as Rees & van Koesveld, 2008
Wells' metacognitive therapy is effective in OCD, with decreases in Y-BOCS from baseline to post of d = 2.28 and d = 2.54.
“Two studies suggest that Wells’ metacognitive therapy is effective in OCD (decreases in Y-BOCS from baseline to post: d = 2.28, d = 2.54) [35, 36].”
From Metacognitive Training for Obsessive-Compulsive Disorder: A study protocol for a randomized controlled trial (2020) · cites this paper as [36]
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- Authors
- Rees, C. S., & van Koesveld, K. E.
- Affiliations
- Curtin University (AU)
- Corresponding author
- Rees, Clare S.
- ORCID
- Rees, Clare S.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 39
- Issue
- 4
- Pages
- 451-458
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W1994419115
- Cited by
- 123
- References
- 36
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 5 · 2020: 9 · 2019: 9 · 2018: 4 · 2017: 9 · 2016: 5 · 2015: 10 · 2014: 11 · 2013: 11 · 2012: 7
- FWCI
- 7.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Funders
- Yale University
- 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
- metacognitive therapy, obsessive-compulsive disorder, group therapy, metacognitive beliefs, behavioural experiments, Yale-Brown Obsessive Compulsive Scale, symptom severity, treatment outcomes
- MeSH terms
- Adult, Cognition Disorders, Female, Humans, Internal-External Control, Life Change Events, Male, Middle Aged, Models, Psychological, Obsessive-Compulsive Disorder, Personality Inventory, Psychiatric Status Rating Scales, Psychotherapy, Group, Surveys and Questionnaires, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome
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