Qualitative analysis of emotional distress in cardiac patients from the perspectives of cognitive behavioral and metacognitive theories: why might cognitive behavioral therapy have limited benefit, and might metacognitive therapy be more effective?
Open accessAbstract
Introduction: Cognitive behavioural therapy (CBT) alleviates emotional distress in mental health settings, but has only modest effects in cardiac patients. Metacognitive therapy (MCT) also alleviates depression and anxiety in mental health settings and is in its initial stages of evaluation for cardiac patients. Aim: Our objective is to compare how CBT and MCT models conceptualise cardiac patients’ distress, and to explore why CBT has had limited benefit for cardiac patients and whether MCT has the potential to be more efficacious. Method: Forty-nine cardiac rehabilitation patients, who screened positively for anxiety and/or depression, provided semi-structured interviews. We analysed transcripts qualitatively to explore the ‘fit’ of patients’ accounts of their distress with the main elements of cognitive behavioural and metacognitive theories. Four illustrative cases, representative of the diverse presentations in the broader sample, were analysed in detail and are presented here. Results: Conceptualising patients’ distress from the perspective of CBT involved applying many distinct categories to describe specific details of patients’ talk, particularly the diversity of their concerns and the multiple types of cognitive distortion. It also required distinction between realistic and unrealistic thoughts, which was difficult when thoughts were associated with the risk or consequences of cardiac events. From the perspective of MCT a single category – perseverative negative thinking – was sufficient to understand all this talk, regardless of whether it indicated realistic or unrealistic thoughts, and could also be applied to some talk that did not seem relevant from a CBT perspective. Discussion: Conceptualizing distress from the perspective of CBT presents multiple, diverse therapeutic targets, not all of which a time-limited therapy would be to address. Given the difficulty of identifying them as unrealistic or not, thoughts about disease, death or disability may not be amenable to classic CBT techniques such as reality testing. MCT proved more parsimonious and, because it did not distinguish between realistic and unrealistic thoughts, might prove a better fit to emotional distress in cardiac patients.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent research suggests that the application of a metacognitive framework to psychological processes following a CVD poses a good fit, with repetitive negative thinking and metacognitive beliefs found among patients with resulting mental disorders.
“Recent research exploring metacognitions in CVD patients suggests that the application of a metacognitive framework onto the psychological processes following a CVD poses a good fit, with repetitive negative thinking and metacognitive beliefs being found amongst patients with resulting mental disorders (24)1.”
From Metacognitive Short-Term Intervention in Patients With Mental Disorders Following Cardiovascular Events (2022) · cites this paper as [24]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
Process evaluation of complex interventions: Medical Research Council guidance
Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., Moore, L., O'Cathain, A., Tinati, T., Wight, D., et al. (2015) · BMJ · doi:10.1136/bmj.h1258 · Cited by 6,204 · see citing works
Cognitive Therapy of Depression
HOLLON, S. D., & BECK, A. T. (1979) · Cognitive-Behavioral Interventions · doi:10.1016/b978-0-12-404480-7.50012-5 · Cited by 4,685 · see citing works
McLeod, J. (1999) · SAGE Publications Ltd eBooks · doi:10.4135/9781849209588.n8 · Cited by 3,964 · see citing works
Framework for design and evaluation of complex interventions to improve health
Campbell, M. (2000) · BMJ · doi:10.1136/bmj.321.7262.694 · Cited by 3,474 · see citing works
The Impact of Event Scale: Revised
Weiss, D. S. (2007) · Springer eBooks · doi:10.1007/978-0-387-70990-1_10 · Cited by 3,009 · see citing works
Cognitive Therapy and the Emotional Disorders
Ince, L. P. (1977) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1977.31.4.633 · Cited by 2,889 · see citing works
Psychometric properties of the Impact of Event Scale—Revised
Creamer, M., Bell, R., & Failla, S. (2003) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.07.010 · Cited by 1,947 · see citing works
Anxiety Disorders and Phobias: A Cognitive Perspective
Dietch, J. T. (1986) · Psychosomatics · doi:10.1016/s0033-3182(86)72726-6 · Cited by 1,514 · see citing works
Lichtman, J. H., Bigger, J. T., Blumenthal, J. A., Frasure-Smith, N., Kaufmann, P. G., Lespérance, F., Mark, D. B., Sheps, D. S., Taylor, C. B., & Froelicher, E. S. (2008) · Circulation · doi:10.1161/circulationaha.108.190769 · Cited by 1,482 · see citing works
Hoffman, S. G., & Smits, J. A. J. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0415 · Cited by 1,420 · see citing works
Thinking and Depression: I. Idiosyncratic Content and Cognitive Distortions
BECK, A. T. (1963) · Archives of General Psychiatry · doi:10.1001/archpsyc.1963.01720160014002 · Cited by 1,308 · see citing works
Metacognitive therapy for anxiety and depression
Veeraraghavan, V. (2009) · Anxiety, Stress & Coping · doi:10.1080/10615800902833770 · Cited by 1,165 · see citing works
Modelling cognition in emotional disorder: the S-REF model
Wells, A., & Matthews, G. (1996) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00050-2 · Cited by 1,067 · see citing works
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013) · The Canadian Journal of Psychiatry · doi:10.1177/070674371305800702 · Cited by 1,066 · see citing works
Advances in cognitive theory and therapy: The generic cognitive model
Beck, A. T., & Haigh, E. A. P. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153734 · Cited by 1,055 · see citing works
Meta-Cognition and worry: A cognitive model of generalized anxiety disorder
Wells, A. (1995) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465800015897 · Cited by 866 · see citing works
Levitt, H. M., Motulsky, S. L., Wertz, F. J., Morrow, S. L., & Ponterotto, J. G. (2017) · Qualitative Psychology · doi:10.1037/qup0000082 · Cited by 851 · see citing works
Prevalence of depression in survivors of acute myocardial infarction: Review of the evidence
Thombs, B. D., Bass, E. B., Ford, D. E., Stewart, K. J., Tsilidis, K. K., Patel, U., Fauerbach, J. A., Bush, D. E., & Ziegelstein, R. C. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00269.x · Cited by 841 · see citing works
A Call for Qualitative Power Analyses
Onwuegbuzie, A. J., & Leech, N. L. (2006) · Quality & Quantity · doi:10.1007/s11135-005-1098-1 · Cited by 841 · see citing works
Thinking and Depression: II. Theory and Therapy
BECK, A. T. (1964) · Archives of General Psychiatry · doi:10.1001/archpsyc.1964.01720240015003 · Cited by 820 · see citing works
Lespérance, F., Frasure‐Smith, N., Talajic, M. R., & Bourassa, M. G. (2002) · Circulation · doi:10.1161/hc0902.104707 · Cited by 722 · see citing works
Even minimal symptoms of depression increase mortality risk after acute myocardial infarction
Bush, D. E., Ziegelstein, R. C., Tayback, M., Richter, D., Stevens, S. S., Zahalsky, H., & Fauerbach, J. A. (2001) · The American Journal of Cardiology · doi:10.1016/s0002-9149(01)01675-7 · Cited by 620 · see citing works
Psychological interventions for coronary heart disease.
Richards, S. H., Anderson, L., Jenkinson, C. E., Whalley, B., Rees, K., Davies, P., Bennett, P., Liu, Z., West, R., Thompson, D. R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002902.pub4 · Cited by 571 · see citing works
Gehi, A., Haas, D., Pipkin, S., & Whooley, M. A. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.21.2508 · Cited by 488 · see citing works
Cognitive Therapy of Anxiety Disorders: Science and Practice
Sudak, D. M. (2010) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000386918.08053.3d · Cited by 479 · see citing works
Yohannes, A. M., Willgoss, T. G., Baldwin, R., & Connolly, M. J. (2009) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2463 · Cited by 478 · see citing works
(1998) · PubMed · Cited by 460 · see citing works
What can qualitative research do for randomised controlled trials? A systematic mapping review
O'Cathain, A., Thomas, K. J., Drabble, S. J., Rudolph, A., & Hewison, J. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002889 · Cited by 438 · see citing works
Depression in adults: recognition and management
(2017) · Clinical pharmacist · doi:10.1211/cp.2017.20202439 · Cited by 394 · see citing works
Depression, mortality, and medical morbidity in patients with coronary heart disease
Carney, R. M., & Freedland, K. E. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00111-2 · Cited by 378 · see citing works
Welton, N. J., Caldwell, D. M., Adamopoulos, E., & Vedhara, K. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp014 · Cited by 360 · see citing works
Rutledge, T. R., Redwine, L. S., Linke, S., & Mills, P. J. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318291d798 · Cited by 277 · see citing works
THE EFFICACY OF METACOGNITIVE THERAPY FOR ANXIETY AND DEPRESSION: A META-ANALYTIC REVIEW
Normann, N., van Emmerik, A., & Nexhmedin Morina, B. (2014) · Depression and Anxiety · doi:10.1002/da.22273 · Cited by 266 · see citing works
Depression as a risk factor for mortality after acute myocardial infarction
Carney, R. M., Blumenthal, J. A., Catellier, D., Freedland, K. E., Berkman, L. F., Watkins, L. L., Czajkowski, S. M., Hayano, J., & Jaffe, A. S. (2003) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2003.08.007 · Cited by 249 · see citing works
Simplifying Qualitative Data Analysis Using General Purpose Software Tools
Pelle, N. L. (2004) · Field Methods · doi:10.1177/1525822x03259227 · Cited by 240 · see citing works
Treatment of Depression After Coronary Artery Bypass Surgery: A Randomized Controlled Trial
Freedland, K. E., Skala, J. A., Carney, R. M., Rubin, E. H., Lustman, P. J., Dávila-Román, V. G., Steinmeyer, B. C., & Hogue, C. W. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.7 · Cited by 228 · see citing works
Anxiety and cardiovascular disease risk: a review
Tully, P. J., Harrison, N. J., Cheung, P., & Cosh, S. (2016) · Current Cardiology Reports · doi:10.1007/s11886-016-0800-3 · Cited by 211 · cited 2× · see citing works
“A meta-analysis found that generalized anxiety disorder and panic disorder are over twice as prevalent in coronary heart disease (CHD) patients than in the general population, and are comorbid with depressive disorders in approximately 50% of cases, a rate of comorbidity that is similar to community and psychiatric sa…”
BackgroundDepression and health-care costs during the first year following myocardial infarction
Frasure‐Smith, N., Lespérance, F., Gravel, G., Masson, A., Juneau, M., Talajic, M. R., & Bourassa, M. G. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00088-4 · Cited by 202 · see citing works
What can qualitative research do for randomised controlled trials? A systematic mapping review
O’Cathain, A., Thomas, K. J., Drabble, S. J., Rudolph, A., & Hewison, J. (2013) · Trials · doi:10.1186/1745-6215-14-s1-o52 · Cited by 198 · see citing works
Reavell, J., Hopkinson, M., Clarkesmith, D., & Lane, D. A. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000626 · Cited by 189 · cited 1× · see citing works
“When compared to usual care or comparison conditions, including physical exercise or educational interventions, effect sizes have ranged from 0.12 to 0.44 (Welton et al., 2009; Dickens et al., 2013; Rutledge et al., 2013; Jeyanantham et al., 2017; Reavell et al., 2018).”
BackgroundInfluentialBuckley, J., Furze, G., Doherty, P., Speck, L., Connolly, S. B., Hinton, S., Jones, J. L., & BACPR, O. B. O. (2013) · Heart · doi:10.1136/heartjnl-2012-303460 · Cited by 180 · see citing works
Long-term follow-up of the Ischemic Heart Disease Life Stress Monitoring Program.
Frasure‐Smith, N., & Prince, R. (1989) · Psychosomatic Medicine · doi:10.1097/00006842-198909000-00002 · Cited by 148 · see citing works
Jeyanantham, K., Kotecha, D., Thanki, D., Dekker, R. L., & Lane, D. A. (2017) · Heart Failure Reviews · doi:10.1007/s10741-017-9640-5 · Cited by 133 · see citing works
Dickens, C., Cherrington, A., Adeyemi, I., Roughley, K., Bower, P., Garrett, C., Bundy, C., & Coventry, P. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31827ac009 · Cited by 127 · see citing works
Quality of Life Following Cardiac Surgery: Impact of the Severity and Course of Depressive Symptoms
Goyal, T. M., Idler, E. L., Krause, T. J., & Contrada, R. J. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000174046.40566.80 · Cited by 119 · see citing works
Psychosocial Nursing Therapy Following Sudden Cardiac Arrest: Impact on Two-Year Survival
Cowan, M. J., Pike, K. C., & Budzynski, H. K. (2001) · Nursing Research · doi:10.1097/00006199-200103000-00002 · Cited by 118 · see citing works
Dickens, C. M., Cherrington, A., & McGowan, L. (2012) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515111430928 · Cited by 106 · see citing works
The Diagnosis of and Treatment Recommendations for Anxiety Disorders
Bandelow, B., Lichte, T., Rudolf, S., Wiltink, J., & Beutel, M. E. (2014) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2014.0473 · Cited by 100 · see citing works
The illness experiences of patients after a first time myocardial infarction
Østergaard, B., & Petersson, K. (2003) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00196-9 · Cited by 100 · see citing works
The interpersonal experience of health care through the eyes of patients with diabetes
Ciechanowski, P. S., & Katon, W. J. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.08.002 · Cited by 99 · see citing works
Michalsen, A., Grossman, P., Lehmann, N., Knoblauch, N. T. M., Paul, A. E., Moebus, S., Budde, T., & Dobos, G. J. (2005) · Psychotherapy and Psychosomatics · doi:10.1159/000087781 · Cited by 99 · see citing works
Tailoring cognitive-behavioral therapy to treat anxiety comorbid with advanced cancer
Greer, J. A., Park, E. R., Prigerson, H. G., & Safren, S. A. (2010) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.24.4.294 · Cited by 96 · see citing works
Effects of a health education programme with telephone follow‐up during cardiac rehabilitation
Kemenade, T. V. E., Maes, S., & van den Broek, Y. (1994) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1994.tb01133.x · Cited by 94 · see citing works
Depression and five year survival following acute myocardial infarction: A prospective study
Carney, R. M., Freedland, K. E., Steinmeyer, B. C., Blumenthal, J. A., Berkman, L. F., Watkins, L. L., Czajkowski, S. M., Burg, M. M., & Jaffe, A. S. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.12.005 · Cited by 93 · see citing works
WCA Recommendations for the Long-Term Treatment of Generalized Anxiety Disorder
Allgulander, C., Bandelow, B., Hollander, E., Montgomery, S., Nutt, D., Okasha, A., Pollack, M. H., Stein, D. J., & Swinson, R. P. (2003) · CNS Spectrums · doi:10.1017/s1092852900006945 · Cited by 92 · see citing works
A randomized control trial of cardiac rehabilitation
Burgess, A. W., Lerner, D., D’Agostino, R. B., Vokonas, P., Hartman, C. R., & Gaccione, P. (1987) · Social Science & Medicine · doi:10.1016/0277-9536(87)90154-7 · Cited by 84 · see citing works
Müller, J., Hess, J., & Hager, A. (2010) · International Journal of Cardiology · doi:10.1016/j.ijcard.2010.09.029 · Cited by 82 · see citing works
Thewes, B., Bell, M. L., & Butow, P. N. (2013) · Psycho-Oncology · doi:10.1002/pon.3252 · Cited by 70 · see citing works
Claesson, M., Birgander, L. S., Lindahl, B., Nasic, S., Åström, M., Asplund, K., & Burell, G. (2005) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200503000-00009 · Cited by 70 · see citing works
Improving psychologic adjustment to chronic illness in cardiac patients
McLaughlin, T. J., Aupont, O., Zivin, K., Stone, P. H., Mullan, M. G., Colagiovanni, J., Polishuk, E., Johnstone, M. T., & Locke, S. E. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00256.x · Cited by 68 · see citing works
Cook, S. A., Salmon, P., Dunn, G., Holcombe, C., Cornford, P. A., & Fisher, P. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9640-x · Cited by 64 · see citing works
Self-citationMetacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome
Maher-Edwards, L., Fernie, B. A., Murphy, G., Wells, A., & Spada, M. M. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.09.016 · Cited by 56 · see citing works
Distress in Parkinson’s disease: contributions of disease factors and metacognitive style
Allott, R., Wells, A., Morrison, A. P., & Walker, R. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.187.2.182 · Cited by 55 · see citing works
Black, J. L., Allison, T. G., Williams, D. E., Rummans, T. A., & Gau, G. T. (1998) · Psychosomatics · doi:10.1016/s0033-3182(98)71360-x · Cited by 54 · see citing works
Koertge, J., Janszky, I., Sundin, Ö., Blom, M., Georgiades, A., László, K. D., Alinaghizadeh, H., & Ahnve, S. (2007) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2007.01887.x · Cited by 53 · see citing works
Andersen, J., Øyen, N., Bjorvatn, C., et al. (2008) · Journal of Genetic Counseling · doi:10.1007/s10897-008-9167-y · Cited by 53 · see citing works
Tang, N. K. Y., Salkovskis, P. M., Hodges, A., Soong, E., Hanna, M., & Hester, J. (2008) · British Journal of Clinical Psychology · doi:10.1348/014466508x336167 · Cited by 51 · see citing works
Purewal, R., & Fisher, P. L. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2017.11.029 · Cited by 45 · see citing works
Self-citationvan de Wal, M., Gielissen, M. F. M., Servaes, P., Knoop, H., Speckens, A. E. M., & Prins, J. B. (2015) · BMC Psychology · doi:10.1186/s40359-015-0068-1 · Cited by 43 · see citing works
O'Neil, A. E., Taylor, C. B., Hare, D. L., Sanderson, K. A., Cyril, S., Venugopal, K., Chan, B., Atherton, J. J., Hawkes, A. L., Walters, D., et al. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487314547655 · Cited by 42 · see citing works
Adrian Wells, A., McNicol, K., Reeves, D., Salmon, P., Davies, L. M., Heagerty, A. M., Doherty, P., McPhillips, R., Anderson, R., Faija, C., et al. (2018) · Trials · doi:10.1186/s13063-018-2593-8 · Cited by 42 · see citing works
Self-citationMetacognitions, anxiety, and distress related to motor fluctuations in Parkinson's disease.
Brown, R. G., & Fernie, B. A. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.09.021 · Cited by 41 · see citing works
Anxiety and depression in people with epilepsy: The contribution of metacognitive beliefs
Fisher, P. L., & Noble, A. J. (2017) · Seizure · doi:10.1016/j.seizure.2017.06.012 · Cited by 41 · see citing works
Self-citationMetacognitive Therapy for Emotional Distress in Adult Cancer Survivors: A Case Series
Fisher, P. L., Byrne, A., & Salmon, P. (2017) · Cognitive Therapy and Research · doi:10.1007/s10608-017-9862-9 · Cited by 35 · see citing works
Self-citationAn integrated secondary prevention group programme reduces depression in cardiac patients
Turner, A., Murphy, B. M., Higgins, R. O., Elliott, P. C., Grande, M. R. L., Goble, A. J., & Worcester, M. C. (2012) · European Journal of Preventive Cardiology · doi:10.1177/2047487312467747 · Cited by 34 · see citing works
Metacognitive Factors in Chronic Fatigue Syndrome
Maher‐Edwards, L., Fernie, B. A., Murphy, G., Nikčević, A. V., & Spada, M. M. (2011) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.757 · Cited by 31 · see citing works
Turner, A., Hambridge, J. A., Baker, A., Bowman, J., & McElduff, P. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412460592 · Cited by 30 · see citing works
Patient Perspectives About Depressive Symptoms in Heart Failure
Dekker, R. L. (2013) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e318273a5d6 · Cited by 28 · see citing works
Fisher, P., McNicol, K., Young, B., Smith, E., & Salmon, P. (2015) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2014.0046 · Cited by 23 · see citing works
Self-citationTreating Anxiety in Patients with Coronary Heart Disease: A Randomized Controlled Trial
Merswolken, M., Siebenhuener, S., Orth‐Gomér, K., Zimmermann‐Viehoff, F., & Deter, H. (2011) · Psychotherapy and Psychosomatics · doi:10.1159/000329177 · Cited by 21 · see citing works
Thinking about motor fluctuations: An examination of metacognitions in Parkinson's disease
Fernie, B. A., Spada, M. M., Chaudhuri, К. R., Klingelhoefer, L., & Brown, R. G. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.05.001 · Cited by 20 · see citing works
The association between metacognitions and the impact of Fibromyalgia in a German sample
Kollmann, J., Gollwitzer, M., Spada, M. M., & Fernie, B. A. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.02.002 · Cited by 20 · see citing works
How Many Meta-Analyses Does it Take to Settle a Question?
Linden, W. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318295e046 · Cited by 19 · see citing works
Gender matters in cardiac rehabilitation and diabetes: Using Bourdieu's concepts
Angus, J., Dale, C., Nielsen, L. S., Kramer, M., Lapum, J. L., Pritlove, C., Abramson, B. L., Price, J., Marzolini, S., OH, P. I., et al. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.01.003 · Cited by 19 · see citing works
Clinical Considerations for Working with Patients with Advanced Cancer
Taylor‐Ford, M. (2014) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-014-9398-z · Cited by 8 · see citing works
Brief Cognitive Behavior Therapy for Cancer Patients
TEMPLE, S. D. (2017) · Routledge eBooks · doi:10.4324/9781315670768 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- Beck J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond, 2nd Edn. New York, NY: Guilford Press.
- Moorey S. Greer S. (2012). Oxford Guide to CBT for People with Cancer. 2nd Edn. New York, NY: Oxford Press.
- National Institute for Health Care Excellence (2009). Depression in Adults with a Chronic Physical Health Problem: Recognition and Management. Available online at: https://www.nice.org.uk/guidance/cg91/resources/depression-in-adults-with-chronic-physical-health-problem-recognition-and-management-975744316357 39808015
- National Institute for Health Care Excellence (2011). Generalised Anxiety Disorder and Panic Disorder in Adults: Management. Available online at: https://www.nice.org.uk/guidance/cg113/chapter/1-Guidance 31961629
- Writing Committee for the ENRICHD Investigators (2003). The effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) randomized trial. JAMA 289, 3106– 3116. 10.1001/jama.289.23.3016 12813116 · DOI
Cited by
Sorted by citations
Wells, A., Reeves, D., Heal, C., Davies, L. M., Shields, G. E., Heagerty, A., Fisher, P., Doherty, P., & Capobianco, L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.886407 · Cited by 16 · see citing works
Self-citationWinter, L., Naumann, F., Olsson, K., Fuge, J., Hoeper, M. M., & Kahl, K. G. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00143 · Cited by 12 · see citing works
Wells, A., Reeves, D., Heal, C., Fisher, P., Doherty, P., Davies, L., Heagerty, A., & Capobianco, L. (2022) · Health Psychology · doi:10.1037/hea0001168 · Cited by 11 · see citing works
Self-citationGebhardt, P., Caldarone, F., Westhoff-Bleck, M., Olsson, K. M., Hoeper, M. M., Park, D.-H., Stapel, B., Breitner, M. H., Werth, O., Heitland, I., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.812807 · Cited by 3 · see citing works
“Recent research exploring metacognitions in CVD patients suggests that the application of a metacognitive framework onto the psychological processes following a CVD poses a good fit, with repetitive negative thinking and metacognitive beliefs being found amongst patients with resulting mental disorders (24)1.”
BackgroundLarionov, K., Petrova, E., Demirbuga, N., Werth, O., Breitner, M. H., Gebhardt, P., Caldarone, F., Duncker, D., Westhoff-Bleck, M., Sensenhauser, A., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1138475 · Cited by 1 · see citing works
“ATT is the first technique that helps break down the dysfunctional processes that support CAS.”
BackgroundInfluential
- Authors
- McPhillips, R., Salmon, P., Wells, A., & Fisher, P.
- Affiliations
- Manchester Academic Health Science Centre (GB)
- University of Liverpool (GB)
- Corresponding author
- McPhillips, Rebecca
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2019-01-04
- Volume
- 9
- Pages
- 2288-2288
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6328488
- OpenAlex
- W2907166979
- Cited by
- 32
- References
- 89
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 1
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-1211-20011)
- Department of Health and Social Care
- Programme Grants for Applied Research (RP‐PG‐1211‐20011)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- emotional distress, cardiac patients, cognitive behavioral therapy, metacognitive therapy, cardiac rehabilitation, anxiety, depression, cognitive distortions, therapeutic target
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 ›
Are you an author, or do you see a problem with this page? Request a review
