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Cited by 18Cardiac Health and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

Establishing the feasibility of group metacognitive therapy for anxiety and depression in cardiac rehabilitation: a single-blind randomized pilot study.

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Wells, Adrian, Reeves, David, Heal, Calvin, Fisher, Peter, Davies, Linda, Heagerty, Anthony, Doherty, Patrick, Capobianco, Lora·2020·Frontiers in Psychiatry
DOI 10.3389/fpsyt.2020.00582PMC PMC7344162
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Abstract

BACKGROUND: Anxiety and depression are common in cardiac rehabilitation (CR) patients. However, CR programs which incorporate psychological techniques achieve modest reductions in emotional distress. More efficacious interventions that can be easily integrated within services are required. A promising alternative to current psychological interventions is metacognitive therapy (MCT). The aim was to evaluate the acceptability and feasibility of delivering Group-MCT to CR patients experiencing symptoms of anxiety and depression. METHOD AND RESULTS: Fifty-two CR patients with elevated anxiety and/or depression were recruited to a single-blind randomized feasibility trial across three UK National Health Service Trusts and randomized to usual CR or usual CR plus six weekly sessions of group-MCT. Acceptability and feasibility of adding group-MCT to CR was based on recruitment rates, withdrawal, and drop-out by the primary end-point of 4 months; number of MCT and CR sessions attended; completion of follow-up questionnaires; and ability of the outcome measures to discriminate between patients. The study was also used to re-estimate the required sample size for a full-scale trial. We also examined the extent by which non-specialists adhered to the Group-MCT protocol. Group-MCT was found to be feasible and acceptable for CR patients with anxiety and depression. Recruitment and retention of participants was high, and attendance rates at CR were similar for both groups. CONCLUSION: The results suggest the addition of MCT to CR did not have a negative impact on retention and support a full-scale trial of Group-MCT for cardiac patients.

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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 [26]

    The Abstract’s Method and Results and the Conclusions report that group MCT was feasible and acceptable for cardiac rehabilitation patients with anxiety and depression. The Introduction describes promising pilot results in cancer patients, but this cardiac pilot does not establish treatment effects across somatically ill patients generally. (LLM, conf=0.82)

    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 [26]

    The Methods and Results describe group MCT for cardiac-rehabilitation patients with anxiety or depression, and the Discussion calls it feasible and acceptable. The Conclusions say this pilot supported a full-scale trial; they do not establish MCT’s effectiveness in this population or show that cardiac disease caused or worsened the psychiatric symptoms. The Introduction mentions promising pilot results in cancer, but does not establish the broader claim. (LLM, conf=0.87)

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Research works printed but not linked: 1

  1. [2]British Association for Cardiovascular Prevention and Rehabilitation (BACPR) BACPR Standards and Core Components, 3rd Edition British Association of Cardiovascular Prevention and Rehabilitation (2017). Retrieved From: http://www.bacpr.com/resources/6A7_BACR_Standards_and_Core_ Components_2017.pdf.

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Authors
Wells, A., Reeves, D., Heal, C., Fisher, P., Davies, L., Heagerty, A., Doherty, P., & Capobianco, L.
Affiliations
  • Manchester Academic Health Science Centre (GB)
  • University of Liverpool (GB)
  • University of Manchester (GB)
  • Manchester Royal Infirmary (GB)
  • University of York (GB)
  • Greater Manchester Mental Health NHS Foundation Trust (GB)
ORCID
Venue
Frontiers in Psychiatry
Publisher
Frontiers Media SA
Published
2020-06-30
Volume
11
Pages
582-582
ISSN
1664-0640 (ISSN-L)
DOI
10.3389/fpsyt.2020.00582
PMC
PMC7344162
OpenAlex
W3039962617
Cited by
18
References
53
Citations by year
2026: 4 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 3
FWCI
1.70
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, cc-by)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Institute for Health 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
metacognitive therapy, group therapy, cardiac rehabilitation, anxiety, depression, feasibility, acceptability, participant recruitment and retention

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