The Efficacy of Group Metacognitive Therapy on Self-Esteem and Mental Health of Patients Suffering from Major Depressive Disorder

authors:

avatar Vahid Farahmand 1 , avatar Ramezan Hassanzadeh 1 , avatar Bahram Mirzaian 1 , avatar Mohammad Reza Fayyazi Bordbar 2 , * , avatar Jaleh Feizi 3

Department of Psychology, School of Humanities, Sari Branch, Islamic Azad University, Sari, Iran
Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Psychology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Iranian Journal of Psychiatry and Behavioral Sciences: Vol.8, issue 2; 4-10
published online: June 30, 2014
article type: Original Article
received: August 27, 2013
revised: December 04, 2013
accepted: January 16, 2014

how to cite: Farahmand V, Hassanzadeh R , Mirzaian B , Fayyazi Bordbar M R, Feizi J. The Efficacy of Group Metacognitive Therapy on Self-Esteem and Mental Health of Patients Suffering from Major Depressive Disorder. Iran J Psychiatry Behav Sci. 2014;8(2): 4-10. 

Abstract

Objective: The present research aims to analyze the efficacy of group metacognitive therapy (MCT) on selfesteem and mental Health of those who suffer from major depressive disorder.
Methods: The research was a randomized clinical controlled trial, using pretest and posttest with 2 months of follow-up. Twenty-two patients with major depressive disorder based on DSM-IV-TR criteria were selected through available sampling from patients of two psychiatric hospitals of Mashhad, Iran, in 2011. They were allocated randomly into two groups of trial (n = 11) and control (n = 11). Citalopram and sertraline were prescribed as antidepressant to both groups. The experimental group also attended nine 90-minute sessions of MCT (a 5-week program). Eysenck self-esteem scale (ESES) and Mental Health Checklist (MHC) were used in pretest, posttest, and follow-up as the study instrument. The data were analyzed by analysis of covariance (ANCOVA) using SPSS.
Results: ANCOVA revealed that the patients receiving group MCT had significantly increased (p < 0.001) self-esteem in posttest, which remained significant in the follow up (p < 0.001). Moreover, mental health scores had increased in the MCT group (posttest, p < 0.001; follow up, p < 0.001).
Conclusion: Group MCT has beneficial therapeutic roles in improving the self-steam and recuperation of mental health in MDD patients.
Declaration of interest: None.
Clinical Trial Registration-URL: http://www.irct.ir. Unique identifier: TRCT201201162611N3.
Citation: Farahmand V, Hassanzadeh R, Mirzaian B, Fayyazi Bordbar MR, Feizi J. The efficacy of group metacognitive therapy on self-esteem and menta

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