Metacognitive therapy (MCT) has been shown to be a promising treatment approach
for obsessive-compulsive disorder (OCD). The changeability of metacognitions by
(metacognitive) treatment and its relevance to treatment outcome is, however, still
unclear. The current study investigates, (1) if treatment with MCT or exposure and
response prevention (ERP) in a randomized-controlled pilot trial (n = 24 patients with
OCD) changes OCD-specific metacognitions of thought fusion beliefs, beliefs about
rituals and stop signals, and (2) if these changes are relevant for the treatment outcome
in terms of patient- and therapist-rated OCD symptoms. ANOVA with pretest, posttest
and follow-up scores could show that all three metacognitions significantly decreased
during both treatments. Regarding thought fusion beliefs, a significant interaction
effect indicated a higher decrease after MCT than ERP treatment. In hierarchical
regression analyses, changes in stop signals from pre- to post-treatment significantly
predicted patient-rating OCD symptoms at post-treatment and follow-up at 3 months
after treatment. These changes were even predictive of post-treatment outcome after
controlling for general metacognitions and dysfunctional cognitive beliefs. These findings
support the assumption thatmetacognitions can change during both treatments and that
changes in stop signals might be relevant for the treatment outcome on the symptom
level in OCD.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:84489 |
| Date | 31 March 2023 |
| Creators | Hansmeier, Jana, Haberkamp, Anke, Glombiewski, Julia A., Exner, Cornelia |
| Publisher | Frontiers Research Foundation |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 1664-0640, 722782 |
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