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| Content Provider | frontiers |
|---|---|
| Author | Schneider, Brooke C. Veckenstedt, Ruth Karamatskos, Evangelos Pinho, Lara Guedes Morgado, Bruno Fonseca, César Moritz, Steffen Jelinek, Lena |
| Abstract | Background: Metacognitive Training for Depression in older adults (MCT-Silver; www.uke.de/mct-silver) is a cognitive-behavioral based group intervention that aims at reducing depression by targeting (meta)cognitive beliefs and rumination. In the present study, it was examined whether negative cognitive beliefs, positive metacognitive beliefs and/or rumination may be implicated as mediators of MCT-Silver’s effects on depression. Materials and Methods: We conducted a secondary analysis of a randomized controlled trial comparing MCT-Silver to an active control intervention (cognitive remediation) including 66 older adults (60 years and older) with complete baseline data. Clinician-rated (Hamilton Depression Rating Scale) and self-reported (Beck Depression Inventory-II) depression, negative cognitive beliefs (Dysfunctional Attitudes Scale-18B), positive metacognitive beliefs (positive beliefs subscale; Metacognition Questionnaire-30) and rumination (10-item Ruminative Responses Scale) were assessed before (pre) and after eight weeks of treatment (post), as well as three months later (follow-up). It was examined whether change in depression (pre- to follow-up) was mediated by change in negative cognitive beliefs, positive metacognitive beliefs and/or rumination (pre- to post-assessment). Results: Mediation results differed for self-reported vs. clinician-rated depression. The effect of MCT-Silver on reduction in clinician-rated depression was mediated by a reduction in self-reported rumination, whereas reduction in self-reported depression was mediated by a reduction in negative cognitive beliefs. Positive metacognitive beliefs were not a significant mediator for either outcome. Conclusions: The current study provides initial evidence for the roles of negative cognitive beliefs and rumination in the treatment of depression in later life with MCT-Silver. Given the divergence of findings and lack of causal precedence, mechanisms of change for MCT-Silver cannot yet be equivocally identified. |
| ISSN | 16641078 |
| DOI | 10.3389/fpsyg.2023.1153377 |
| Volume Number | 14 |
| Journal | Frontiers in Psychology |
| Language | English |
| Publisher Date | 2023-03-22 |
| Access Restriction | Open |
| Subject Keyword | Metacognitive Training (MCT) Negative cognitions Depression Older adults Intervention Rumination |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychology |
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