What does this research mean for the field?

Metacognitive therapy provides a more parsimonious and potentially more effective framework than cognitive behavioral therapy for conceptualizing emotional distress in cardiac patients, as it targets perseverative negative thinking rather than requiring the difficult distinction between realistic and unrealistic health concerns. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 4, 2019Frontiers in PsychologyOpen Access

Qualitative Analysis of Emotional Distress in Cardiac Patients From the Perspectives of Cognitive Behavioral and Metacognitive Theories: Why Might Cognitive Behavioral Therapy Have Limited Benefit, and Might Metacognitive Therapy Be More Effective?

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Why the study?

Cognitive behavioural therapy has only modest effects on emotional distress in cardiac patients, and it was unclear how cognitive behavioural and metacognitive therapy models conceptualise this distress or whether metacognitive therapy could be more effective.

Comparison

CBT model vs MCT model conceptualisation of distress

Design

Qualitative interview study

Authors

RMRebecca McPhillipsUniversity of Manchester PSPeter SalmonFilm Independent AWAdrian WellsWest Virginia University

Discussion

Member takes

Implication

May simplify distress conceptualization in cardiac patients via MCT; hypothesis-generating, requiring RCTs before practice consideration.

Structured PICO

Population

49 cardiac rehabilitation patients with anxiety and/or depression (HADS score ≥8 on depression and/or anxiety subscale), median age 57, 15 female. Cardiac conditions included MI, adult congenital heart disease, stable heart failure, stable angina, and atrial fibrillation.

Intervention

Semi-structured qualitative interviews analyzed from the perspectives of Cognitive Behavioral Therapy (CBT) and Metacognitive Therapy (MCT) models.

Outcome

Qualitative 'fit' of patients' accounts of distress with the main elements of cognitive behavioral and metacognitive theories.

Metacognitive therapy may provide a more parsimonious and effective model for conceptualizing emotional distress in cardiac patients compared to cognitive behavioral therapy, as it avoids the need to distinguish between realistic and unrealistic thoughts about disease and death.

Cite This Study

McPhillips et al. (2019) studied this question.

synapsesocial.com/papers/6a1d197368a6eca4522f2a5c https://doi.org/10.3389/fpsyg.2018.02288

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Qualitative Analysis of Emotional Distress in Cardiac Patients From the Perspectives of Cognitive Behavioral and Metacognitive Theories: Why Might Cognitive Behavioral Therapy Have Limited Benefit, and Might Metacognitive Therapy Be More Effective?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Qualitative Analysis of Emotional Distress in Cardiac Patients From the Perspectives of Cognitive Behavioral and Metacognitive Theories: Why Might Cognitive Behavioral Therapy Have Limited Benefit, and Might Metacognitive Therapy Be More Effective?

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Also Consider