Metacognitive Training for Depression: Feasibility, Safety and Acceptability of Two New Treatment Modules to Reduce Suicidality.

Metacognitive Training for Depression: Feasibility, Safety and Acceptability of Two New Treatment Modules to Reduce Suicidality. Clin Psychol Psychother. 2020 Nov 09;: Authors: Jelinek L, Peth J, Runde A, Arlt S, Scheunemann J, Gallinat J Abstract Recent evidence favors psychological interventions explicitly targeting suicidality, however, group treatments on suicidality are rare and are assumed to have unfavorable effects. We developed two modules specifically addressing suicidality that replace two existing modules in the Metacognitive Training for Depression (D-MCT). The aim of the current study was to examine the feasibility, safety, and acceptability of this intervention (D-MCT/S). Forty-eight inpatients with depression received eight sessions of D-MCT/S over 4 weeks in addition to standard treatment. Patients were assessed before the training, 4 and 8 weeks later regarding suicidality (primary outcome: Beck Suicide Scale, BSS), hopelessness, depression (e.g., Hamilton Depression Rating Scale, HDRS), dysfunctional attitudes, and self-esteem. Negative effects of the modules and subjective appraisal were assessed. Suicidality, hopelessness, and depression decreased over time. While the effects on the BSS only reached trend level, a large effect was observed when the suicide item of the HDRS was used. Two of the 46 patients (4%) reported a deterioration in their symptoms, but this was not associated with the D-MCT/S. Negative effec...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research