Metacognitive Therapy for Generalized Anxiety Disorder: Nature, Evidence and an Individual Case Illustration

Cognitive and Behavioral Practice

Volumn 20, Issue 3, 2013, Pages 301-313

  Hjemdal, Odin ^a   Hagen, Roger ^a   Nordahl, Hans M ^a   Wells, Adrian ^b  

^a NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Norway)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Anxiety; Case study; Cognition; Generalized anxiety disorder; Metacognitive therapy

Indexed keywords

ARTICLE; AVOIDANCE BEHAVIOR; BEHAVIOR THERAPY; COGNITIVE THERAPY; COPING BEHAVIOR; DISEASE ASSOCIATION; EMPIRICAL RESEARCH; EVIDENCE BASED MEDICINE; FEEDBACK SYSTEM; GENERALIZED ANXIETY DISORDER; HUMAN; METACOGNITIVE THERAPY; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; PRIORITY JOURNAL; RELAPSE PREVENTION; SOCIALIZATION; THERAPY EFFECT; TREATMENT INDICATION;

EID: 84879265906     PISSN: 10777229     EISSN: 1878187X     Source Type: Journal    
DOI: 10.1016/j.cbpra.2013.01.002     Document Type: Article

References (34)

1. Beck A.T., Steer R.A. Beck Anxiety Inventory manual 1993, Psychological Corporation, San Antonio, TX.
2. Beck A.T., Steer R.A. Manual for the Beck Depression Inventory 1993, Psychological Corporation, San Antonio, TX.
3. Borkovec T.D., Robinson E., Pruzinsky T., DePree J.A. Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy 1983, 21:9-16.
4. Butler G., Wells A., Dewick H. Differential effects of worry and imagery after exposure to a stressful stimulus: A pilot study. Behavioural and Cognitive Psychotherapy 1995, 23:45-56.
5. Cartwright-Hatton S., Wells A. Beliefs about worry and intrusions: The Meta-Cognitions Questionnaire and its correlates. Journal of Anxiety Disorders 1997, 11:279-296.
6. Davey G.C.L., Tallis F., Capuzzo N. Beliefs about the consequences of worrying. Cognitive Therapy and Research 1996, 20:499-520.
7. Davis R.N., Valentiner D.P. Does meta-cognitive theory enhance our understanding of pathological worry and anxiety?. Personality and Individual Differences 2000, 29:513-526.
8. Fisher P.L. The efficacy of psychological treatments for generalized anxiety disorder?. Worry and its psychological disorders: Theory, assessment and treatment 2006, 359-378. Wiley, Chichester. G.C.L. Davey, A. Wells (Eds.).
9. Flavell J.H. Metacognition and cognitive monitoring: A new area of cognitive-developmental inquiry. American Psychologist 1979, 34(10):906-911.
10. Meyer T.J., Miller M.L., Metzger R.L., Borkovec T.D. Development and validation of the Penn State worry questionnaire. Behaviour Research and Therapy 1990, 28:487-495.
11. Moffitt T.E., Harrington H., Caspi A., Kim-Cohen J., Goldberg D., Gregory A.M., Poulton R. Depression and generalized anxiety disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years. Archives of General Psychiatry 2007, 64(6):651-660.
12. Nassif Y. Predictors of pathological worry 1999, Unpublished M.Phil. thesis. University of Manchester, UK.
13. Nuevo R., Montorio I., Borkovec T.D. A test of the role of metaworry in the prediction of worry severity in an elderly sample. Journal of Behavior Therapy and Experimental Psychiatry 2004, 35(3):209-218.
14. Robichaud M. Cognitive Behavior Therapy Targeting Intolerance of Uncertainty: Application to a Clinical Case of Generalized Anxiety Disorder. Cognitive and Behavioral Practice 2013, 20:251-263. (in this issue).
15. Ruscio A.M., Borkovec T.D. Experience and appraisal of worry among high worriers with and without generalized anxiety disorder. Behaviour Research and Therapy 2004, 42:1469-1482.
16. van der Heiden C., Muris P., van der Molen H.T. Randomized controlled trial on the effectiveness of metacognitive therapy and intolerance-of-uncertainty therapy for generalized anxiety disorder. Behaviour Research and Therapy 2012, 50(2):100-109.
17. Wells A. Metacognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy 1995, 23:301-320.
18. Wells A. Cognitive therapy of anxiety disorders: A practice manual and conceptual guide 1997, Wiley, Chichester, UK.
19. Wells A. Emotional disorders and metacognition: Innovative cognitive therapy 2000, Wiley, Chichester, UK.
20. Wells A. The Metacognitive Model of GAD: Assessment of meta-worry and relationship with DSM-IV Generalized Anxiety Disorder. Cognitive Therapy and Research 2005, 29:107-121.
21. Wells A. Detached mindfulness in cognitive therapy: A metacognitive analysis and ten techniques. Journal of Rational Emotive & Cognitive Behavior Therapy 2005, 23(4):337-355.
22. Wells A. The metacognitive model of worry and generalized anxiety disorder. Theory, assessment and treatment 2006, 179-199. Wiley, Chichester, UK. G.C.L. Dawey, A. Wells (Eds.).
23. Wells A. Metacognitive therapy for anxiety and depression 2009, Guilford Press, New York.
24. Wells A., Carter C. Preliminary tests of a cognitive model of Generalized Anxiety Disorder. Behaviour Research and Therapy 1999, 37:585-594.
25. Wells A., Carter K. Further tests of a cognitive model of Generalized Anxiety Disorder: Metacognitions and worry in GAD, panic disorder, social phobia, depression, and non-patients. Behavior Therapy 2001, 32:85-102.
26. Wells A., Cartwright-Hatton S. A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy 2004, 42(4):385-396.
27. Wells A., Davies M. The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thought. Behaviour Research and Therapy 1994, 32:871-878.
28. Wells A., King P. Metacognitive therapy for Generalized Anxiety Disorder: An open trial. Journal of Behavior Therapy and Experimental Psychiatry 2006, 37:206-212.
29. Wells A., Matthews G. Attention and emotion: A clinical perspective 1994, Erlbaum, Hove, UK.
30. Wells A., Matthews G. Modelling cognition in emotional disorder: The S-REF model. Behaviour Research and Therapy 1996, 32:867-870.
31. Wells A., Papageorgiou C. Worry and the incubation of intrusive images following stress. Behaviour Research and Therapy 1995, 33:579-583.
32. Wells A., Papageorgiou C. Relationship between worry, obsessive-compulsive symptoms and meta-cognitive beliefs. Behaviour Research and Therapy 1998, 36(9):899-913.
33. Wells A., Welford M., King P., Papageorgiou C., Wisely J., Mendel E. A pilot randomized trial of metacognitive therapy vs. applied relaxation in the treatment of adults with generalized anxiety disorder. Behaviour Research and Therapy 2010, 48:429-434.
34. York D., Borkovec T.D., Vasey M., Stern R. Effects of worry and somatic anxiety on thoughts, emotion and physiological activity. Behaviour Research and Therapy 1987, 25(6):524-526.