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13-10-2018 | Original Article

A Prospective Test of the Metacognitive Model of Depression in Previously Depressed Individuals

Auteurs: Brage Kraft, Rune Jonassen, Vidar Ulset, Tore Stiles, Nils Inge Landrø

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2019

Abstract

Metacognitive theory proposes that depression is caused by excessive rumination, which is in turn maintained by maladaptive positive and negative beliefs about rumination (“metacognitions”) and reduced executive control. Moreover, the metacognitive model asserts that metacognitions are maintained by prolonged depression symptoms. However, no studies have tested the metacognitive model of depression prospectively in a clinical population. Currently remitted adults with recurrent depressive disorder (N = 105) reported depression symptoms at five time points over a 12-month period. Based on this data, we used latent growth modelling to estimate depression levels and symptom trajectories. Positive metacognitions were associated with rumination, while negative metacognitions and rumination predicted higher depression levels, but not symptom recurrence. Moreover, depression levels and symptom recurrence predicted positive and negative metacognitions, as well as rumination. There was no association between metacognitions and reduced executive control. The present study lends partial support for the metacognitive model, but raises questions of the relevance of metacognitions as a proximal vulnerability marker for symptom recurrence.

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Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience: JPN, 40(4), 219–221. https://doi.org/10.1503/jpn.150205.CrossRef

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory–II. San Antonio, TX: Psychological Corporation.

Curran, P. J., Obeidat, K., & Losardo, D. (2010). Twelve frequently asked questions about growth curve modeling. Journal of Cognition and Development, 11(2), 121–136. https://doi.org/10.1080/15248371003699969.CrossRefPubMedPubMedCentral

De Raedt, R., & Koster, E. H. (2010). Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework. Cognitive, Affective, & Behavioral Neuroscience, 10(1), 50–70. https://doi.org/10.3758/CABN.10.1.50.CrossRef

Delis, D. C., Kaplan, E., & Kramer, J. (2001). Delis-Kaplan executive function system. San Antonio: Psychological Corporation.

Fernandez-Duque, D., Baird, J. A., & Posner, M. I. (2000). Executive attention and metacognitive regulation. Consciousness and Cognition, 9(2), 288–307. https://doi.org/10.1006/ccog.2000.0447.CrossRefPubMed

Friedman, N. P., & Miyake, A. (2017). Unity and diversity of executive functions: Individual differences as a window on cognitive structure. Cortex, 86, 186–204. https://doi.org/10.1016/j.cortex.2016.04.023.CrossRef

Hagen, R., Hjemdal, O., Solem, S., Kennair, L. E. O., Nordahl, H. M., Fisher, P., & Wells, A. (2017). Metacognitive therapy for depression in adults: A waiting list randomized controlled trial with six months follow-up. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.00031.CrossRefPubMedPubMedCentral

Halvorsen, M., Hagen, R., Hjemdal, O., Eriksen, M. S., Sørli, Å. J., Waterloo, K., … Wang, C. E. (2015). Metacognitions and thought control strategies in unipolar major depression: A comparison of currently depressed, previously depressed, and never-depressed individuals. Cognitive Therapy and Research, 39(1), 31–40. https://doi.org/10.1007/s10608-014-9638-4.CrossRef

Hjemdal, O., Hagen, R., & Solem, S. (2016). A prospective study of metacognitive and cognitive predictors of depressive symptoms. Paper presented at the The 3rd International Conference of Metacognitive Therapy, Milan, Italy. http://www.mctconference.no//2016/MCT%20Conference%20Abstract%20Booklet.pdf.

Hjemdal, O., Hagen, R., Solem, S., Nordahl, H., Kennair, L. E. O., Ryum, T., … Wells, A. (2017). Metacognitive therapy in major depression: An open trial of comorbid cases. Cognitive and Behavioral Practice, 24(3), 312–318. https://doi.org/10.1016/j.cbpra.2016.06.006.CrossRef

Koster, E. H. W., De Lissnyder, E., Derakshan, N., & De Raedt, R. (2011). Understanding depressive rumination from a cognitive science perspective: The impaired disengagement hypothesis. Clinical Psychology Review, 31(1), 138–145. https://doi.org/10.1016/j.cpr.2010.08.005.CrossRefPubMed

Kraft, B., Jonassen, R., Stiles, T. C., & Landrø, N. I. (2017). Dysfunctional metacognitive beliefs are associated with decreased executive control. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.00593.CrossRefPubMedPubMedCentral

Luminet, O. (2004). Assessment and measurement of rumination. In C. Papageorgiou & A. Wells (Eds.), Rumination: Nature, theory, and treatment of negative thinking in depression (pp. 187–215). Chichester: Wiley.

Majer, M., Ising, M., Kunzel, H., Binder, E. B., Holsboer, F., Modell, S., & Zihl, J. (2004). Impaired divided attention predicts delayed response and risk to relapse in subjects with depressive disorders. Psychological Medicine, 34(8), 1453–1463. https://doi.org/10.1017/S0033291704002697.CrossRefPubMed

Matthews, G., & Wells, A. (2004). Rumination, depression, and metacognition: The S-REF model. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination (pp. 125–151). West Sussex: Wiley.

Miyake, A., & Friedman, N. P. (2012). The nature and organization of individual differences in executive functions: Four general conclusions. Current Directions in Psychological Science, 21(1), 8–14. https://doi.org/10.1177/0963721411429458.CrossRefPubMedPubMedCentral

Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41(1), 49–100. https://doi.org/10.1006/cogp.1999.0734.CrossRefPubMed

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843X.100.4.569.CrossRefPubMed

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. https://doi.org/10.1037/0022-3514.61.1.115.CrossRefPubMed

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x.CrossRefPubMed

Papageorgiou, C., & Wells, A. (2001a). Metacognitive beliefs about rumination in recurrent major depression. Cognitive and Behavioral Practice, 8(2), 160–164. https://doi.org/10.1016/S1077-7229(01)80021-3.CrossRef

Papageorgiou, C., & Wells, A. (2001b). Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale. Behavior Therapy, 32(1), 13–26. https://doi.org/10.1016/S0005-7894(01)80041-1.CrossRef

Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27(3), 261–273. https://doi.org/10.1023/a:1023962332399.CrossRef

Papageorgiou, C., & Wells, A. (2009). A prospective test of the clinical metacognitive model of rumination and depression. International Journal of Cognitive Therapy, 2(2), 123–131. https://doi.org/10.1521/ijct.2009.2.2.123.CrossRef

Paykel, E. S. (2008). Partial remission, residual symptoms, and relapse in depression. Dialogues in Clinical Neuroscience, 10(4), 431–437.PubMedPubMedCentral

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33 (quiz 34–57).

Snyder, H. R. (2013). Major depressive disorder is associated with broad impairments on neuropsychological measures of executive function: A meta-analysis and review. Psychological Bulletin, 139(1), 81. https://doi.org/10.1037/a0028727.CrossRef

Solem, S., Hagen, R., Hoksnes, J. J., & Hjemdal, O. (2016). The metacognitive model of depression: An empirical test in a large Norwegian sample. Psychiatry Research, 242, 171–173. https://doi.org/10.1016/j.psychres.2016.05.056.CrossRefPubMed

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research. https://doi.org/10.1023/a:1023910315561.CrossRef

Wells, A. (2011). Metacognitive therapy for anxiety and depression. New York: Guilford press.

Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: The S-REF model. Behaviour Research and Therapy, 34(11), 881–888. https://doi.org/10.1016/S0005-7967(96)00050-2.CrossRefPubMed

Titel: A Prospective Test of the Metacognitive Model of Depression in Previously Depressed Individuals
Auteurs: Brage Kraft
Rune Jonassen
Vidar Ulset
Tore Stiles
Nils Inge Landrø
Publicatiedatum: 13-10-2018
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 3/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-9972-z

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A Prospective Test of the Metacognitive Model of Depression in Previously Depressed Individuals

Abstract

Andere artikelen Uitgave 3/2019

A Double-Blind Placebo Controlled Study of Intranasal Oxytocin’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders

Does Transcranial Direct Current Stimulation Affect Post-stressor Intrusive Memories and Rumination? An Experimental Analogue Study

Trait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events

The Factor Structure of the Cognitive Therapy Rating Scale (CTRS) in a Sample of Community Mental Health Clinicians

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

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A Double-Blind Placebo Controlled Study of Intranasal Oxytocin’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders

Does Transcranial Direct Current Stimulation Affect Post-stressor Intrusive Memories and Rumination? An Experimental Analogue Study

Trait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events

The Factor Structure of the Cognitive Therapy Rating Scale (CTRS) in a Sample of Community Mental Health Clinicians

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression