CoChat
Sign Up
Cited by 12Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPulmonary Hypertension Research and TreatmentsPsychotherapy Techniques and Applications

Metacognitive therapy for adjustment disorder in a patient with newly diagnosed pulmonary arterial hypertension: a case report.

Open access
Winter, Lotta, Naumann, Franziska, Olsson, Karen, Fuge, Jan, Hoeper, Marius M., Kahl, Kai G.·2020·Frontiers in Psychology
DOI 10.3389/fpsyg.2020.00143PMC PMC7028769
Open this paper in CoChat — free accountOpen PDF

Abstract

Adjustment disorders (ADs) belong to the worldwide most diagnosed mental disorders and are particularly frequent in patients with an underlying physical illness. Pulmonary arterial hypertension (PAH) is a severe and disabling disease, which significantly impacts on quality of life and has high mortality rates. The authors here present the case of a young female who developed a severe adjustment disorder with both anxious and depressive symptoms after a diagnosis of PAH requiring intensive care treatment due to right heart failure. Psychosocial functioning was severely impaired, and physical health reduced. Following hemodynamic stabilization and the establishment of PAH treatment, the patient was admitted to the Department of Psychiatry, Social Psychiatry and Psychotherapy and received metacognitive therapy (MCT). AD with mixed anxiety and depressed mood was diagnosed according to DSM-V criteria. At the start of treatment, she reported significant mental distress, indicated by a total sum score of the Hospital Anxiety and Depression Scale (HADS) of 20 points. The 6-min walking distance was only 358 m before the patient was exhausted. She then was treated with MCT without further psychopharmacological drugs. After only four MCT sessions, she fully remitted from AD which was accompanied by an 11-point reduction in the HADS (to 9 points). MCT specific scores also improved (MCQ-30 sum score decreased from 77 to 35). Notably, physical capacity improved as well, documented by an improved walking distance (439 m; +22%). This is the first case of a patient with AD in the context of PAH treated with MCT. The case report suggests that MCT is a possible psychotherapeutic treatment option for AD in the context of a potentially life-threatening disease. The study design does not permit an attribution of outcome to MCT but it suggests MCT is a potentially viable and acceptable treatment option.

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.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fpsyg.2020.00143

Cites

50 of 50 references verified0 citation errors · 0 not checkable

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.

A few free checks a day · papers already verified open instantly · results are public

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?

  • 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 [28]

    The Case Presentation > Treatment reports reduced anxiety and depression symptoms after MCT in a patient with pulmonary arterial hypertension and adjustment disorder. But the Abstract explicitly says the case-report design does not permit attributing the outcome to MCT; it supports MCT as a possible treatment option, not established effectiveness. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Brief psychological interventions can help patients with CVDs get back into everyday activity.

    “some studies have provided promising data, showing, that brief psychological interventions can help patients with CVDs get back into everyday activity (25).”

    From Improving mental well-being in psychocardiology—a feasibility trial for a non-blended web application as a brief metacognitive-based intervention in cardiovascular disease patients (2023) · cites this paper as [25]

    The Case Presentation > Treatment reports four weekly MCT sessions and a 23% increase in walking distance afterward in one patient with pulmonary arterial hypertension. It does not report a return to everyday activity across patients with cardiovascular diseases; the Abstract also cautions that the study design cannot attribute the improvement to MCT. (LLM, conf=0.86)

    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].”

    From Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review (2020) · cites this paper as [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.”

    From Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review (2020) · cites this paper as [69]

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

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Winter, L., Naumann, F., Olsson, K., Fuge, J., Hoeper, M. M., & Kahl, K. G.
Affiliations
Medizinische Hochschule Hannover (DE)
Corresponding author
Winter, Lotta
ORCID
Venue
Frontiers in Psychology
Publisher
Frontiers Media SA
Published
2020-02-12
Volume
11
Pages
143-143
ISSN
1664-1078 (ISSN-L)
DOI
10.3389/fpsyg.2020.00143
PMC
PMC7028769
OpenAlex
W3002940278
Cited by
12
References
50
Citations by year
2026: 1 · 2023: 2 · 2022: 7 · 2021: 1 · 2020: 1
FWCI
2.66
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
metacognitive therapy, adjustment disorder, pulmonary arterial hypertension, anxiety, depression, psychosocial functioning, right heart failure, physical capacity, psychosomatic disorders

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