Patients’ perspectives on treatment with Metacognitive Training for Depression (D-MCT): Results on acceptability
Autor: | Steffen Moritz, Marit Hauschildt, Lena Jelinek |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male 050103 clinical psychology Blinding medicine.medical_treatment Metacognition Session (web analytics) Patient acceptance law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Psychoeducation medicine Humans 0501 psychology and cognitive sciences Depression (differential diagnoses) Depressive Disorder Cognitive Behavioral Therapy 05 social sciences Middle Aged Patient Acceptance of Health Care 030227 psychiatry Psychiatry and Mental health Clinical Psychology Treatment Outcome Female Psychology Clinical psychology |
Zdroj: | Journal of Affective Disorders. 221:17-24 |
ISSN: | 0165-0327 |
DOI: | 10.1016/j.jad.2017.06.003 |
Popis: | Background Our understanding of how patients perceive and evaluate treatment for depression is scarce. Because dropout rates are high among individuals in treatment for depression, it is necessary to expand the focus of research to patients’ perspectives on the treatment they receive. The aim of the two studies presented was to evaluate patient acceptance of Metacognitive Training for Depression (D-MCT), a highly standardized group intervention. Methods Acceptability was evaluated in an open case series (Study 1, N = 70) and a randomized controlled trial (RCT; Study 2, N = 84). In both studies, participants rated their subjective appraisal on a 15-item questionnaire after administration of eight D-MCT modules. In Study 1, a subsample of patients also evaluated modules individually after each session. In Study 2, ratings were compared to an active control intervention (walking and psychoeducation sessions), and assessment was repeated at 6-months follow-up. Results High rates of acceptance of the D-MCT were demonstrated in both studies immediately after treatment (post-assessment). In addition, the RCT showed better evaluations for the D-MCT than for the control condition at post-assessment as well as at 6-months follow-up. Weekly session evaluations in Study 1 indicated good acceptance for individual modules. Limitations Evaluations could only be obtained from completers; blinding of patients and therapists was not possible. Conclusions Results of the two studies suggest that D-MCT represents a promising group treatment in terms of patient acceptance and provide an example of how patients’ feedback may be used to improve treatment. |
Databáze: | OpenAIRE |
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