Worry, rumination and negative metacognitive beliefs as moderators of outcomes of Transdiagnostic group cognitive-behavioural therapy in emotional disorders

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dc.contributor.authorBarrio Martínez, Sara
dc.contributor.authorCano Vindel, Antonio Rafael
dc.contributor.authorPriede, Amador
dc.contributor.authorMedrano, Leonardo Adrián
dc.contributor.authorMuñoz-Navarro, Roger
dc.contributor.authorMoriana, Juan Antonio
dc.contributor.authorCarpallo-González, María
dc.contributor.authorPrieto Vila, Maider
dc.contributor.authorRuiz-Rodríguez, Paloma
dc.contributor.authorGonzález-Blanch, César
dc.date.accessioned2024-05-17T12:00:06Z
dc.date.available2024-05-17T12:00:06Z
dc.date.issued2023-10
dc.description2023 Acuerdos transformativos CRUE
dc.description.abstractBackground: Despite the relevance of cognitive processes such as rumination, worry, negative metacognitive beliefs in emotional disorders, the existing literature about how these cognitive processes moderate the effect of treatment in treatment outcomes is limited. The aim of the present study was to explore the potential moderator effect of baseline cognitive processes—worry, rumination and negative metacognitive beliefs—on the relationship between treatment allocation (transdiagnostic cognitive-behavioural therapy —TD-CBT plus treatment as usual—TAU vs. TAU alone) and treatment outcomes (anxiety and depressive symptoms, quality of life [QoL], and functioning) in primary care patients with emotional disorders. Methods: A total of 631 participants completed scales to evaluate worry, rumination, negative metacognitive beliefs, QoL, functioning, and anxiety and depressive symptoms. Results: Worry and rumination acted as moderators on the effect of treatment for anxiety (b = 1.25, p =.003; b = 0.98, p =.048 respectively) and depressive symptoms (b = 1.21, p =.017; b = 1.34, p =.024 respectively). Individuals with higher baseline levels of worry and rumination obtained a greater reduction in emotional symptoms from the addition TD-CBT to TAU. Negative metacognitive beliefs were not a significant moderator of any treatment outcome. Limitations: The study assesses cognitive processes over a relatively short period of time and uses self-reported instruments. In addition, it only includes individuals with mild or moderate anxiety or depressive disorders, which limits generalization to other populations. Conclusions: These results underscore the generalization of the TD-CBT to individuals with emotional disorders in primary care with different cognitive profiles, especially those with high levels of worry and rumination.
dc.description.departmentDepto. de Psicología Experimental, Procesos Cognitivos y Logopedia
dc.description.facultyFac. de Psicología
dc.description.fundingtypeAPC financiada por la UCM
dc.description.refereedTRUE
dc.description.sponsorshipInstituto de Investigación Valdecilla
dc.description.sponsorshipAgencia Estatal de Investigación (España)
dc.description.statuspub
dc.identifier.citationBarrio-Martínez, S., Cano-Vindel, A., Priede, A., Medrano, L. A., Muñoz-Navarro, R., Moriana, J. A., Carpallo-González, M., Prieto-Vila, M., Ruiz-Rodríguez, P., & González-Blanch, C. (2023). Worry, rumination and negative metacognitive beliefs as moderators of outcomes of Transdiagnostic group cognitive-behavioural therapy in emotional disorders. Journal of Affective Disorders, 338, 349-357. https://doi.org/10.1016/j.jad.2023.06.032
dc.identifier.doi10.1016/j.jad.2023.06.032
dc.identifier.issn0165-0327
dc.identifier.officialurlhttps://doi.org/10.1016/j.jad.2023.06.032
dc.identifier.urihttps://hdl.handle.net/20.500.14352/104165
dc.journal.titleJournal of Affective Disorders
dc.language.isoeng
dc.page.final357
dc.page.initial349
dc.publisherElsevier
dc.relation.projectIDinfo:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/PID2019-107243RB-C21/ES/EVALUACION DE COSTE-EFECTIVIDAD DEL TRATAMIENTO PSICOLOGICO TRANSDIAGNOSTICO GRUPAL PARA LOS DESORDENES EMOCIONALES EN ATENCION PRIMARIA/
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keywordModerator
dc.subject.keywordCognitive processes
dc.subject.keywordEmotional symptoms
dc.subject.keywordPerformance
dc.subject.ucmPsicología cognitiva
dc.subject.ucmPsicología experimental
dc.subject.unesco61 Psicología
dc.titleWorry, rumination and negative metacognitive beliefs as moderators of outcomes of Transdiagnostic group cognitive-behavioural therapy in emotional disorders
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number338
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery0273ecff-5fc4-4b65-ae23-ec9d2e38cf4d
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