000 02151nab a22002777a 4500
003 PILC
005 20221123182409.0
008 181122s xxu||||| |||| 00| 0 eng d
040 _cMANILA TYTANA COLLEGES LIBRARY
100 _aJohnson, Sverre Urnes
245 _aMetacognition and cognition in inpatient MCT and CBT for comorbid anxiety disorders :
_ba study within-person effects /
_cSverre Urnes Johnson, Asle Hoffart, Hans M. Nordahl, Pal G. Ulvenes, KariAnne Vrabel, Bruce E. Wampold
260 _cJanuary 2018
336 _atext
337 _aunmediated
338 _avolume
440 _aJournal of Counseling Psychology.
_n65 : 1, page 86-97
520 _aPsychotherapists have long questioned what mediating processes are linked to outcome of psychotherapy. Few studies examining this question have assessed within-person changes in the process outcome relationship over time. The present study examined changes in cognition and metacognition over the course of therapy using a dataset from a randomized controlled trial comparing Metacognitive therapy (MCT) and Cognitive-behavioral therapy (CBT). The sample included 74 patients measured on process and symptom instruments weekly throughout therapy. Multilevel longitudinal models (sessions nested within patients) were used to examine the relationship between metacognition, cognition, and anxiety. Main effects of metacognition and cognition on anxiety and the interaction with treatment, as well as the reciprocal relationships, were investigated. The results indicate a main effect of both cognitions and metacognitions on predicting anxiety. However, there was no interaction with treatment condition. The reciprocal relationship of anxiety on metacognitions was larger in MCT compared with CBT. This is the first study documenting within-person effects of both cognitions and metacognitions on anxiety over the course of therapy. Implications for therapy are discussed.
521 _aPsychology.
650 _aAnxiety.
650 _aCBT.
650 _aMCT.
650 _aMetacognition.
650 _aProcess-outcome.
942 _2lcc
_cA
998 _c83067
_d141430
999 _c79605
_d79605