Effectiveness of Meta-Cognitive and Cognitive-Behavioral Therapy in Patients with Major Depressive Disorder

Ahmad Ashouri; Mohammad-Kazem Atef-Vahid; Banafsheh Gharaee; Maryam Rasoulian

IJ Psychiatry and Behavioral Sciences

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Effectiveness of Meta-Cognitive and Cognitive-Behavioral Therapy in Patients with Major Depressive Disorder

Author(s):

Ahmad Ashouri¹,

Mohammad-Kazem Atef-Vahid ^1,*,

Banafsheh Gharaee¹,

Maryam Rasoulian²

1Clinical Psychologist, Assistant Professor, Tehran Institute of Psychiatry and Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran

2Psychiatrist, Associate Professor, Tehran Institute of Psychiatry and Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran

IJ Psychiatry and Behavioral Sciences:Vol. 7, issue 2; 34-24

Published online:Dec 30, 2013

Article type:Research Article

Received:Sep 06, 2011

Accepted:Mar 24, 2012

How to Cite:Ahmad AshouriMohammad-Kazem Atef-Vahid Banafsheh GharaeeMaryam RasoulianEffectiveness of Meta-Cognitive and Cognitive-Behavioral Therapy in Patients with Major Depressive Disorder.Iran J Psychiatry Behav Sci.7(2):34-24.

Abstract

Objective: The present study aimed to compare the effectiveness of metacognitive therapy (MCT) and cognitive-behavior therapy (CBT) in treating Iranian patients with major depressive disorder (MDD).

Methods: Thirty three outpatients meeting DSM-IV-TR criteria for MDD without any other axis I and II disorders were randomly assigned to one of three treatment conditions, i.e. MCT, CBT and pharmacotherapy. The Beck Depression Inventory-II-Second Edition (BDI-II), Beck Anxiety Inventory (BAI), Ruminative Response Scale (RRS) and Dysfunctional Attitude Scale (DAS) were administered for pre-treatment, posttreatment and follow-up. Data were analyzed by repeated measures analysis of variance (ANOVA).

Results: Based on repeated measures ANOVA, all the participants demonstrated improvement in depression, anxiety, dysfunctional attitude and ruminative response. Based on percentage results, all the patients in MCT and CBT groups showed significant improvement at post-treatment phase.

Conclusions: MCT and CBT were more effective than pharmacotherapy alone In treatment of MDD.

Declaration of interest: None.

Citation: Ashouri A, Kazem Atef-Vahid M, Gharraee B, Rasulian M. Effectiveness of meta-cognitive and cognitive-behavioral therapy in patients with major depressive disorder. Iran J Psychiatry Behave Sci 2013; 7(2): 24-34.

Keywords

Cognitive Behavior Therapy

Major Depression Disorder

Metacognitive Model

Metacognitive Therapy

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