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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 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
In the citing paper
“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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Metadata
- 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
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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