|
KMID : 0981220200200020201
|
|
Congnitive Behavior Therapy in Korea
2020 Volume.20 No. 2 p.201 ~ p.226
|
|
|
Effects of Brief Cognitive Treatment Programs Focused on Repetitive Negative Thinking on Depression and Anxiety and Their Change Mechanisms : Comparison of Metacognitive Therapy with Cognitive Behavioral Therapy
|
|
Kim You-Jin
Hwang Seong-Hoon
|
|
|
Abstract
|
|
|
|
This study was conducted to investigate the effects and change mechanisms of the recently emerging metacognitive therapy(MCT) targeting the repetitive negative thinking(RNT), as the transdiagnostic vulnerability factors for depression and anxiety in comparison with cognitive behavioral therapy(CBT). For this purpose, 888 cyber university students were asked to complete a Repeated Thinking Questionnaire-10(RTQ-10), Korean version of Perseverative Thinking Questionnaire(K-PTQ), Beck Anxiety Scale(BAI) and Center for Epidemiologic Studies Depression Scale(CES-D). Among them, 66 people who agreed to participate in the study were selected using the RTQ-10 and K-PTQ scores. The Repeated Measure ANOVA of the group(between subjects variables: MCT, CBT, and waiting-list control group) X period(within subjects variables: pre-treatment, post-treatment, 4-week follow-up) was conducted with depression and anxiety as dependent measures. In addition, MEMORE(Mediation and Moderation for Repeated Measures; Montoya & Hayes, 2017) was used to analyze the mechanism of the effect. First, both the MCT and the CBT showed a greater decrease in depression after the treatment and the follow-up than Waiting-list control group(WLC), but there was no difference in depression between the two treatment groups at the time of the post treatment and follow-up. Also, the reduction of RNT fully mediated the relation between MCT and depression. Results concerning anxiety showed that in MCT anxiety decreased significantly in both post-treatment and follow-up. However, in CBT, anxiety reduction was not significant after the treatment, but significantly decreased only in follow-up suggesting the superiority of MCT over CBT. The decrease of RNT fully mediated the relation between MCT and anxiety. In addition to therapeutic implications to lessen RNT and emotional disorders, the limitations of current study and the directions of future studies were discussed.
|
|
|
KEYWORD
|
|
|
repetitive negative thinking, metacognitive therapy, cognitive behavioral therapy, therapeutic effect, treatment mechanism
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|