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Original Article

A Pilot Study of Metacognitive Training (D-MCT) for Older Adults with Depression

Published Online:March 29, 2018https://doi.org/10.1024/1016-264X/a000210

Abstract

Abstract. Depression remains one of the most common psychological disorders among older adults. Their response to antidepressants: however, is often unsatisfactory, and despite the proven efficacy of psychotherapies, a large treatment gap remains. Metacognitive Training for Depression (D-MCT) is a low-threshold group intervention. This article examines the feasibility, acceptance, and effects of D-MCT as an add-on intervention among a group of older adults (55+ years; N = 116). Participants completed measures of depression and dysfunctional attitudes, and provided subjective appraisals of the training. Per protocol analyses (n = 55) revealed a significant decrease in depressive symptoms (d = 1.06) and cognitive biases (d = 0.33). The findings demonstrate the feasibility and acceptance of D-MCT among older adults with depression.


Eine Machbarkeitsstudie zum Metakognitiven Training bei Depression (D-MKT) im Alter

Zusammenfassung. Depression ist eine der häufigsten psychischen Störungen bei älteren Menschen. Das Ansprechen der Betroffenen auf Antidepressiva ist jedoch oft nicht ausreichend und trotz der nachgewiesenen Wirksamkeit von Psychotherapien besteht eine große Behandlungslücke. Das Metakognitive Training für Depression (D-MKT) ist eine niedrigschwellige Gruppenintervention. Dieser Artikel untersucht die Machbarkeit, Akzeptanz und Effektivität des D-MKT als Zusatzintervention bei einer Gruppe von älteren Erwachsenen (ab 55 Jahren; N = 116). Wir verteilten Fragebögen zu Depression und dysfunktionaler Einstellungen sowie zur subjektiven Bewertung des Trainings. Die Per-Protocol-Analysen (n = 55) zeigten einen signifikanten Rückgang sowohl der depressiven Symptome (d = 1.06) als auch der kognitiven Verzerrungen (d = 0.33). Die Ergebnisse sprechen für die Machbarkeit und Akzeptanz des D-MKT bei älteren Erwachsenen mit Depression.

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