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Original Article

Patients’ Perspectives on Treatment with Metacognitive Training for OCD

Feasibility and Acceptability

Published Online:https://doi.org/10.1024/1016-264X/a000211

Abstract. There is much room for improvement in the treatment of obsessive-compulsive disorder (OCD). The current study introduces a newly developed version of Metacognitive Training for OCD (MCT-OCD), inspired by the self-help intervention myMCT as well as by MCT group programs for other disorders. The current study examines the acceptability of the training. Forty-four patients with OCD received four sessions of MCT-OCD in addition to inpatient treatment. At post assessment, patients provided a subjective appraisal of the training. Analyses revealed high acceptability and added value of the MCT-OCD. The current, preliminary version of the MCT-OCD is promising in terms of patient acceptance. Results will be used to improve current shortcomings of the training and to develop a more comprehensive MCT-OCD.


Behandlung mit dem Metakognitiven Training bei Zwangsstörung aus der Perspektive von Patienten: Machbarkeit und Akzeptanz (deutscher Titel)

Zusammenfassung. Die Behandlungserfolge bei Zwangsstörungen sind nicht zufriedenstellend, und die Therapiemöglichkeiten sollten verbessert werden. Die vorliegende Pilotstudie stellt eine Version des Metakognitiven Gruppentrainings für Zwangsstörungen (Z-MKT) vor, welches in Anlehnung an das Selbsthilfemanual „myMCT“ sowie andere störungsspezifische Metakognitive Gruppentrainings entwickelt wurde. Ziel dieser Studie war es, die Akzeptanz des Trainings zu überprüfen. Vierundvierzig Patienten mit einer Zwangsstörung nahmen neben einer (teil-)stationären Standardbehandlung an vier Sitzungen Z-MKT teil. Anschließend wurden die subjektiven Bewertungen des Trainings erfasst. In den Analysen zeigte sich eine hohe Akzeptanz des Z-MKT. Die Akzeptanz der Pilotversion ist entsprechend als positiv zu beurteilen. Die Ergebnisse der Studie werden dazu verwendet, das Z-MKT zu verbessern und ein umfassenderes metakognitives Gruppentraining für Zwangsstörungen zu entwickeln.

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