Cited by 38Cancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCancer-related cognitive impairment studies

Brief metacognitive therapy for emotional distress in adult cancer survivors.

Open access
Fisher, Peter L., Byrne, Angela, Fairburn, Louise, Ullmer, Helen, Abbey, Gareth, Salmon, Peter·2019·Frontiers in Psychology

Abstract

Background: Adult cancer survivors often experience substantial psychological morbidity following the completion of acute cancer treatment. Unfortunately, current psychological interventions are of limited efficacy. This study explored if metacognitive therapy (MCT); a brief transdiagnostic psychological intervention was potentially efficacious and could be delivered effectively to adult cancer survivors with psychological morbidity. Method: An open trial with 3- and 6-months follow-up evaluated the treatment effects of MCT in 27 consecutively referred individuals to a clinical psychology health service specialising in psycho-oncology. Each participant received a maximum of six 1-hour sessions of MCT. Levels of anxiety, depression, fear of cancer recurrence, post-traumatic stress symptoms, health related quality of life, and metacognitive beliefs and processes were assessed using self-report questionnaires. Results: MCT was associated with statistically significant reductions across all outcome measures which were maintained through to 6 months follow-up. In the ITT sample on the primary treatment outcome measure, the Hospital Anxiety and Depression Scale-Total, 59% of participants met recovery criteria at post treatment and 52% at 6 months follow-up, respectively No participants significantly deteriorated. In the completer sample (N=20), 80% recovered at post-treatment and 70% at 6 months follow-up. MCT was acceptable to patients with approximately 75% of patients completing all treatment sessions. Conclusion: MCT, a brief transdiagnostic psychological intervention can be delivered effectively to a heterogenous group of cancer survivors with promising treatment effects. Examining the efficacy of brief MCT against the current gold standard psychological intervention would be a valuable advance towards improving the quality of life of cancer survivors.

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Crossref · 10.3389/fpsyg.2019.00162

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  • MCT is a feasible treatment with promising effects for mental disorders among somatically ill patients.

    “Findings show that MCT is a feasible treatment with promising effects in that patient group as well (26, 27).”

    From Metacognitive Short-Term Intervention in Patients With Mental Disorders Following Cardiovascular Events (2022) · cites this paper as [27]

    The Abstract and Discussion report that brief MCT was acceptable to adult cancer survivors and had promising effects on psychological morbidity. The study was an open trial in cancer survivors with emotional distress; it does not establish feasibility or effects across somatically ill patients generally or for diagnosed mental disorders. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • This is consistent with studies showing the effectiveness of MCT for patients with somatic diseases that caused or worsened psychiatric disorders.

    “This is consistent with studies showing the effectiveness of MCT for patients with somatic diseases that caused or worsened psychiatric disorders (26–28).”

    From Metacognitive Short-Term Intervention in Patients With Mental Disorders Following Cardiovascular Events (2022) · cites this paper as [27]

    The Discussion reports significant reductions in anxiety, depression and post-traumatic stress symptoms after brief MCT in adult cancer survivors, sustained to six months. The study concerns cancer survivors’ emotional distress, not somatic diseases generally; it also did not establish that cancer caused or worsened psychiatric disorders. The Discussion notes that changes in psychiatric diagnosis were not assessed. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Preliminary studies of metacognitive therapy for treating anxiety and depression within physical illnesses show promising evidence.

    “Preliminary studies of metacognitive therapy for treating anxiety and depression within physical illnesses show promising evidence [67–69].”
  • Initial studies suggest that metacognitive therapy is an acceptable and feasible intervention that was associated with positive outcomes.

    “These initial studies suggest that MCT is an acceptable and feasible intervention that was associated with positive outcomes.”

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1 of the 50 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Wells A. (2009). Metacognitive for Anxiety and Depression. New York, NY: Guildford Press.

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Authors
Fisher, P. L., Byrne, A., Fairburn, L., Ullmer, H., Abbey, G., & Salmon, P.
Affiliations
University of Liverpool (GB)
Corresponding author
Fisher, Peter L.
Venue
Frontiers in Psychology
Published
2019-01-31
Volume
10
Pages
162-162
ISSN
1664-1078 (ISSN-L)
OpenAlex
W2912454299
Cited by
38
References
50
Citations by year
2026: 3 · 2024: 7 · 2023: 4 · 2022: 12 · 2021: 4 · 2020: 6 · 2019: 2
FWCI
2.51
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Solent University Research Portal (Solent University) (publishedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
University of Liverpool
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Keywords
metacognitive therapy, cancer survivors, psychological distress, anxiety, depression, fear of cancer recurrence, posttraumatic stress symptoms, health-related quality of life, metacognitive beliefs, transdiagnostic treatment, psycho-oncology, brief psychological intervention

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