* If you want to update the article please login/register
Objective Depression and anxiety are up to three times more prevalent in cardiac patients than in the general population, and can be attributed to elevated risks of future cardiac events and mortality. This is the first report to investigate qualitatively, cardiac rehabilitation patients' experiences and knowledge of group MCT with the intention of finding out what aspects of care that patients found beneficial. All of the patients who underwent group MCT were optimistic about it and described self-perceived changes in their thinking and well-being. Patients with anxiety and depression problems and depression associated with particular MCT procedures, the opportunity to learn about other patients, and the expertise of CR employees are all important.
Source link: https://doi.org/10.1136/openhrt-2021-001708
Treatments that result in effective symptom reduction and supporting patients returning to work will also have significant public health benefits. The present research will explore the results of metacognitive therapy and work-focused interventions on reducing symptoms and increasing RTW rates for patients on sick leave due to depression and anxiety. The study's setting is a Norwegian outpatient clinic as part of a national program aimed at reducing sick leave. In addition to self-report, sick leave will be collected from national registries from 2 years before intervention to 4 years after intervention. Symptoms of depression and anxiety will be gathered by self-report at pre- and post-treatment, as well as a 6 and 12 months follow-up after treatment. This paper is the first RCT on MCT and work-focused approaches for patients on sick leave due to anxiety and depression. It is a major contribution to the field because it is the first RCT on MCT and work-focused interventions for patients on sick leave due to anxiety and depression.
Source link: https://doi.org/10.1186/s13063-021-05822-4
Abstract Abstract: The patient experiences for depression in the last four years have remained the same over the past 40 years, with around half of patients responding to therapies. In adults with significant depressive disorder, we evaluated the clinical effectiveness of MCT relative to the new best psychotherapy technique, CBT. Participants in the Diagnostic and Statistical Manual of Mental Disorders IV criteria for major depressive disorder were eligible and registered to participate, with 174 adults aged 18 years or older satisfying the Diagnostic and Statistical Manual of Mental Disorders IV requirements for major depressive disorder. Following pre-treatment evaluation and risk stratification for depression on the Hamilton Depression Rating Scale and on sex, randomization was carried out by randomisation, which was stratified for severity of depression on the Hamilton Depression Rating Scale and on sex. On the Beck Depression Inventory II, post-treatment, the assessor rated the symptoms of disease on the HDRS and self-reported symptom severity. Each treatment was designed to maximize individual patient benefit, thus increasing patient satisfaction; therefore, time under therapy and number of sessions delivered could vary. Following MCT's recovery on the BDI-III at post-treatment, 74% of patients compared to 52% in CBT met formal criteria for recovery on the BDI-III. The study's limitations include the use of only two therapists, one treated 69% of patients, and potential allegiance effects as the experiment was conducted in a well-established CBT clinic, and the chief investigator is the source of MCT and company time differences in time under therapy. MCT had substantial results in treating depression in a manner that may have outlasted CBT, according to Never the less evidence from this report, treating depression can have significant positive effects on treating depression that may have exceeded CBT.
Source link: https://doi.org/10.1038/s41598-020-64577-1
According to new studies, failures in response to negative symptoms' initiation and persistence, as well as the ability to formulate integrated theories about oneself, others, and the world are responsible for the development and maintenance of negative symptoms. One implication of this research is that metacognition-based therapies may have reduced negative symptoms as a result.
Source link: https://doi.org/10.3280/qpc48-2021oa12139
* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions