Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of Metacognitive (MCT) and Cognitive-Behavioral (CBT) Interventions on Reducing the General Anxiety Symptoms and Metacognitive Beliefs of Patient with This Disorder

Document Type : Original Article (s)

Authors
Fariba Monnazami 1
Reza Bagherian-Sararuodi 2
Mohsen Ahmadi Tahour Soltani 3
Mehdi Rabiei 4
1 Instructor, Department of Psychology, Islamic Azad University, Hamedan Branch, Hamedan, Iran
2 Associate Professor, Department of Psychiatry, School of Medicine AND Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Clinical Psychology, School of Medicine, Baqyiatallah University of Medical Sciences, Tehran, Iran
4 PhD Student And Faculty Member, Department of Clinical Psychology, School of Medicine, Baqyiatallah University of Medical Sciences, Tehran, Iran
Abstract
Background: Although it seem that metacognitive processing system have a remarkable impact on general anxiety disorder (GAD), but studies about the effectiveness of metacognitive interventions in reducing the GAD symptoms are not frequent. The purpose of this study was comparing the effectiveness of metacognitive (MCT) and cognitive-behavioral therapy (CBT) on reducing GAD symptoms and metacognitive beliefs.Methods: In this clinical trial study, 45 patients with GAD who met the diagnostic criteria by psychiatrist or psychologist, were selected randomly from the patients referred to psychiatric and psychological clinics and centers of Hamadan City, Iran, in 2012. They were randomly assigned into three groups of cognitive-behavioral intervention, metacognitive intervention and control. Data were gathered before and after the interventions via general anxiety disorder scale (GADS) and metacognitive beliefs questionnaire (MCQ). Data analysis was done using Multivariate ANOVA and LSD post hoc statistical tests.Findings: There was a significant difference between three group scores at post-test (P < 0.01). The mean scores of metacognitive therapy group in GAD symptoms and metacognitive beliefs were lower than other two groups and as well as cognitive-behavioral group rather than control group.Conclusion: The metacognitive and cognitive-behavioral interventions are effective in reducing GAD symptoms and metacognitive beliefs but first one is more effective.
Keywords
Metacognitive intervention
Cognitive-behavioral intervention
General anxiety disorder (GAD)
Metacognitive beliefs
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Journal of Isfahan Medical School
Volume 31, Issue 233 - Serial Number 233
March and April 2013
Pages 475-485

  • Receive Date 02 February 2013
  • Accept Date 06 April 2022