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Gepubliceerd in: Cognitive Therapy and Research 1/2015

01-02-2015 | Original Article

Group Metacognitive Therapy for Severe Antidepressant and CBT Resistant Depression: A Baseline-Controlled Trial

Auteurs: Costas Papageorgiou, Adrian Wells

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2015

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Abstract

A significant proportion of individuals experience treatment-resistant depression, defined as a lack of or limited response to current recommended treatments. This study evaluated the effectiveness of group metacognitive therapy (GMCT) for patients who had not responded to both antidepressants and cognitive-behaviour therapy. Following a no-treatment baseline monitoring period, ten patients received 12 2-h weekly sessions, two post-treatment booster sessions and were followed up at 6 months. All of the patients completed GMCT, suggesting that this treatment was acceptable. GMCT was associated with significant improvements across measures of depression, anxiety, rumination, and positive and negative metacognitive beliefs about rumination. These gains were maintained at follow-up. Analyses of rates of recovery revealed that 70 % of patients were classified as recovered and a further 20 % as improved at both post-treatment and 6 months follow-up. There were also reductions in the frequency of comorbid diagnoses. This preliminary study supports further research into GMCT for treatment-resistant depression as a potential clinical and cost effective intervention.

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Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
go back to reference American Psychological Association (1993). Task force on promotion and dissemination of psychological procedures. A report to the Division 12 Board of the American Psychological Association. American Psychological Association (1993). Task force on promotion and dissemination of psychological procedures. A report to the Division 12 Board of the American Psychological Association.
go back to reference Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. PubMedCrossRef Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897. PubMedCrossRef
go back to reference Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. PubMedCrossRef Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. PubMedCrossRef
go back to reference Ciesla, J. A., & Roberts, J. E. (2002). Self-directed thought and response to treatment for depression: A preliminary investigation. Journal of Cognitive Psychotherapy: An International Quarterly, 16, 435–453. CrossRef Ciesla, J. A., & Roberts, J. E. (2002). Self-directed thought and response to treatment for depression: A preliminary investigation. Journal of Cognitive Psychotherapy: An International Quarterly, 16, 435–453. CrossRef
go back to reference Cornwall, P. L., & Scott, J. (1997). Partial remission in depressive disorders. Acta Psychiatrica Scandinavica, 95, 265–271. PubMedCrossRef Cornwall, P. L., & Scott, J. (1997). Partial remission in depressive disorders. Acta Psychiatrica Scandinavica, 95, 265–271. PubMedCrossRef
go back to reference Dammen, T., Papageorgiou, C., & Wells, A. (in press). An open trial of group metacognitive therapy for depression in Norway. Nordic Journal of Psychiatry. Dammen, T., Papageorgiou, C., & Wells, A. (in press). An open trial of group metacognitive therapy for depression in Norway. Nordic Journal of Psychiatry.
go back to reference DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., et al. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, 409–416. PubMedCrossRef DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., et al. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, 409–416. PubMedCrossRef
go back to reference Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670. PubMedCrossRef Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670. PubMedCrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorders—Patient edition (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorders—Patient edition (SCID-I/P). New York: Biometrics Research Department, New York State Psychiatric Institute.
go back to reference Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., et al. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder: Remission, recovery, relapse and recurrence. Archives of General Psychiatry, 48, 851–855. PubMedCrossRef Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., et al. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder: Remission, recovery, relapse and recurrence. Archives of General Psychiatry, 48, 851–855. PubMedCrossRef
go back to reference Goring, H. J., & Papageorgiou, C. (2008). Rumination and worry: Factor analysis of self-report measures in depressed participants. Cognitive Therapy and Research, 32, 554–566. CrossRef Goring, H. J., & Papageorgiou, C. (2008). Rumination and worry: Factor analysis of self-report measures in depressed participants. Cognitive Therapy and Research, 32, 554–566. CrossRef
go back to reference Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobsen, N. S. (1998). Cognitive-behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66, 377–384. PubMedCrossRef Gortner, E. T., Gollan, J. K., Dobson, K. S., & Jacobsen, N. S. (1998). Cognitive-behavioral treatment for depression: Relapse prevention. Journal of Consulting and Clinical Psychology, 66, 377–384. PubMedCrossRef
go back to reference Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O’Reardon, J. P., et al. (2005). Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Archives of General Psychiatry, 62, 417–422. PubMedCrossRef Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O’Reardon, J. P., et al. (2005). Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Archives of General Psychiatry, 62, 417–422. PubMedCrossRef
go back to reference Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32, 591–604. CrossRef Jones, N. P., Siegle, G. J., & Thase, M. E. (2008). Effects of rumination and initial severity on remission to cognitive therapy for depression. Cognitive Therapy and Research, 32, 591–604. CrossRef
go back to reference Just, N., & Alloy, L. B. (1997). The response styles theory of depression: Tests and an extension of the theory. Journal of Abnormal Psychology, 106, 221–229. PubMedCrossRef Just, N., & Alloy, L. B. (1997). The response styles theory of depression: Tests and an extension of the theory. Journal of Abnormal Psychology, 106, 221–229. PubMedCrossRef
go back to reference Keller, M. B., McCullough, J. P., Klein, D. N., Arnow, B., Dunner, D. L., Gelenberg, A. J., et al. (2000). A comparison of nefazodone, the cognitive-behavioral analysis system of psychotherapy, and their combination for the treatment of chronic depression. New England Journal of Medicine, 342, 1462–1470. PubMedCrossRef Keller, M. B., McCullough, J. P., Klein, D. N., Arnow, B., Dunner, D. L., Gelenberg, A. J., et al. (2000). A comparison of nefazodone, the cognitive-behavioral analysis system of psychotherapy, and their combination for the treatment of chronic depression. New England Journal of Medicine, 342, 1462–1470. PubMedCrossRef
go back to reference Kuehner, C., & Weber, I. (1999). Responses to depression in unipolar depressed patients: An investigation of Nolen-Hoeksema’s response styles theory. Psychological Medicine, 29, 1323–1333. PubMedCrossRef Kuehner, C., & Weber, I. (1999). Responses to depression in unipolar depressed patients: An investigation of Nolen-Hoeksema’s response styles theory. Psychological Medicine, 29, 1323–1333. PubMedCrossRef
go back to reference Lyubomirsky, S., & Tkach, C. (2004). The consequences of dysphoric rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 21–41). Chichester: Wiley. Lyubomirsky, S., & Tkach, C. (2004). The consequences of dysphoric rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 21–41). Chichester: Wiley.
go back to reference Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy, 84, 230–236. PubMedCrossRef Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy, 84, 230–236. PubMedCrossRef
go back to reference Middleton, N., Gunnell, D., Whitley, E., Dorling, D., & Frankel, S. (2001). Secular trends in antidepressant prescribing in the UK, 1975–1998. Journal of Public Health Medicine, 23, 262–267. PubMedCrossRef Middleton, N., Gunnell, D., Whitley, E., Dorling, D., & Frankel, S. (2001). Secular trends in antidepressant prescribing in the UK, 1975–1998. Journal of Public Health Medicine, 23, 262–267. PubMedCrossRef
go back to reference National Institute for Health and Clinical Excellence. (2004). Depression: Management of depression in primary and secondary care. National Clinical Practice Guideline Number, 23. National Institute for Health and Clinical Excellence. (2004). Depression: Management of depression in primary and secondary care. National Clinical Practice Guideline Number, 23.
go back to reference Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582. PubMedCrossRef Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582. PubMedCrossRef
go back to reference Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121. PubMedCrossRef Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121. PubMedCrossRef
go back to reference Normann, N., van Emmerik, A. A., & Morina, N. (2014). The efficacy of metacognitive therapy for anxiety and depression: A meta-analytic review. Depression and Anxiety, 31, 402–411. PubMedCrossRef Normann, N., van Emmerik, A. A., & Morina, N. (2014). The efficacy of metacognitive therapy for anxiety and depression: A meta-analytic review. Depression and Anxiety, 31, 402–411. PubMedCrossRef
go back to reference Papageorgiou, C. (2006). Worry and rumination: Styles of persistent negative thinking in anxiety and depression. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment and treatment (pp. 21–40). Chichester: Wiley. CrossRef Papageorgiou, C. (2006). Worry and rumination: Styles of persistent negative thinking in anxiety and depression. In G. C. L. Davey & A. Wells (Eds.), Worry and its psychological disorders: Theory, assessment and treatment (pp. 21–40). Chichester: Wiley. CrossRef
go back to reference Papageorgiou, C. (2009). Cognitive behaviour therapy, depressive rumination and metacognition. In G. Simos (Ed.), Cognitive behaviour therapy: A guide for the practising clinician (pp. 18–33). East Sussex: Routledge. Papageorgiou, C. (2009). Cognitive behaviour therapy, depressive rumination and metacognition. In G. Simos (Ed.), Cognitive behaviour therapy: A guide for the practising clinician (pp. 18–33). East Sussex: Routledge.
go back to reference Papageorgiou, C., & Wells, A. (2000). Treatment of recurrent major depression with attention training. Cognitive and Behavioral Practice, 7, 407–413. CrossRef Papageorgiou, C., & Wells, A. (2000). Treatment of recurrent major depression with attention training. Cognitive and Behavioral Practice, 7, 407–413. CrossRef
go back to reference Papageorgiou, C., & Wells, A. (2001). Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale. Behavior Therapy, 32, 13–26. CrossRef Papageorgiou, C., & Wells, A. (2001). Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale. Behavior Therapy, 32, 13–26. CrossRef
go back to reference Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27, 261–273. CrossRef Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27, 261–273. CrossRef
go back to reference Papageorgiou, C., & Wells, A. (2004). Nature, functions, and beliefs about depressive rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 3–20). Chichester: Wiley. Papageorgiou, C., & Wells, A. (2004). Nature, functions, and beliefs about depressive rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 3–20). Chichester: Wiley.
go back to reference Papageorgiou, C., & Wells, A. (2009). A prospective test of the clinical metacognitive model of rumination and depression. International Journal of Cognitive Therapy, 2, 123–131. CrossRef Papageorgiou, C., & Wells, A. (2009). A prospective test of the clinical metacognitive model of rumination and depression. International Journal of Cognitive Therapy, 2, 123–131. CrossRef
go back to reference Papageorgiou, C., Wells, A., & Meina, L. J. (in preparation). Development and preliminary validation of the Negative Beliefs about Rumination Scale. Papageorgiou, C., Wells, A., & Meina, L. J. (in preparation). Development and preliminary validation of the Negative Beliefs about Rumination Scale.
go back to reference Paykel, E. S., Ramana, R., Cooper, Z., Hayhurst, H., Kerr, J., & Barocka, A. (1995). Residual symptoms after partial remission: An important outcome in depression. Psychological Medicine, 25, 1171–1180. PubMedCrossRef Paykel, E. S., Ramana, R., Cooper, Z., Hayhurst, H., Kerr, J., & Barocka, A. (1995). Residual symptoms after partial remission: An important outcome in depression. Psychological Medicine, 25, 1171–1180. PubMedCrossRef
go back to reference Paykel, E. S., Scott, J., Teasdale, J. D., Johnson, A. L., Garland, A., Moore, R., et al. (1999). Prevention of relapse in residual depression by cognitive therapy: A controlled trial. Archives of General Psychiatry, 56, 829–835. PubMedCrossRef Paykel, E. S., Scott, J., Teasdale, J. D., Johnson, A. L., Garland, A., Moore, R., et al. (1999). Prevention of relapse in residual depression by cognitive therapy: A controlled trial. Archives of General Psychiatry, 56, 829–835. PubMedCrossRef
go back to reference Prudic, J., Haskett, R. F., Mulsant, B., Malone, K. M., Pettinati, H. M., Stephens, S., et al. (1996). Resistance to antidepressant medications and short-term clinical response to ECT. American Journal of Psychiatry, 153, 985–992. PubMedCrossRef Prudic, J., Haskett, R. F., Mulsant, B., Malone, K. M., Pettinati, H. M., Stephens, S., et al. (1996). Resistance to antidepressant medications and short-term clinical response to ECT. American Journal of Psychiatry, 153, 985–992. PubMedCrossRef
go back to reference Riso, L. P., du Toit, P. L., Blandino, J. A., Penna, S., Dacey, S., Duin, J. S., et al. (2003). Cognitive aspects of chronic depression. Journal of Abnormal Psychology, 112, 72–80. PubMedCrossRef Riso, L. P., du Toit, P. L., Blandino, J. A., Penna, S., Dacey, S., Duin, J. S., et al. (2003). Cognitive aspects of chronic depression. Journal of Abnormal Psychology, 112, 72–80. PubMedCrossRef
go back to reference Roberts, J. E., Gilboa, E., & Gotlib, I. H. (1998). Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration. Cognitive Therapy and Research, 22, 401–423. CrossRef Roberts, J. E., Gilboa, E., & Gotlib, I. H. (1998). Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration. Cognitive Therapy and Research, 22, 401–423. CrossRef
go back to reference Roelofs, J., Papageorgiou, C., Gerber, R. D., Huibers, M., Peeters, F., & Arntz, A. (2007). On the links between self-discrepancies, rumination, metacognitions, and symptoms of depression in undergraduates. Behaviour Research and Therapy, 45, 1295–1305. PubMedCrossRef Roelofs, J., Papageorgiou, C., Gerber, R. D., Huibers, M., Peeters, F., & Arntz, A. (2007). On the links between self-discrepancies, rumination, metacognitions, and symptoms of depression in undergraduates. Behaviour Research and Therapy, 45, 1295–1305. PubMedCrossRef
go back to reference Roth, A., & Fonagy, P. (1996). What works for whom? A critical review of psychotherapy research. New York: Guilford Press. Roth, A., & Fonagy, P. (1996). What works for whom? A critical review of psychotherapy research. New York: Guilford Press.
go back to reference Sackeim, H. (2001). The definition and meaning of treatment-resistant depression. Journal of Clinical Psychiatry, 62, 10–17. PubMed Sackeim, H. (2001). The definition and meaning of treatment-resistant depression. Journal of Clinical Psychiatry, 62, 10–17. PubMed
go back to reference Schmaling, K. B., Dimidjian, S., Katon, W., & Sullivan, M. (2002). Response styles among patients with minor depression and dysthymia in primary care. Journal of Abnormal Psychology, 111, 350–356. PubMedCrossRef Schmaling, K. B., Dimidjian, S., Katon, W., & Sullivan, M. (2002). Response styles among patients with minor depression and dysthymia in primary care. Journal of Abnormal Psychology, 111, 350–356. PubMedCrossRef
go back to reference Scott, J. (2000). Treatment of chronic depression. New England Journal of Medicine, 342, 1518–1520. PubMedCrossRef Scott, J. (2000). Treatment of chronic depression. New England Journal of Medicine, 342, 1518–1520. PubMedCrossRef
go back to reference Siegle, G. J., Ghinassi, F., & Thase, M. E. (2007). Neurobehavioral therapies in the 21st century: Summary of an emerging field and an extended example of cognitive control training for depression. Cognitive Therapy and Research, 31, 235–262. CrossRef Siegle, G. J., Ghinassi, F., & Thase, M. E. (2007). Neurobehavioral therapies in the 21st century: Summary of an emerging field and an extended example of cognitive control training for depression. Cognitive Therapy and Research, 31, 235–262. CrossRef
go back to reference Spasojevic, J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1, 25–37. PubMedCrossRef Spasojevic, J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1, 25–37. PubMedCrossRef
go back to reference Stimpson, N., Agrawal, N., & Lewis, G. (2002). Randomised controlled trials investigating pharmacological and psychological interventions for treatment-refractory depression: Systematic review. British Journal of Psychiatry, 181, 284–294. PubMedCrossRef Stimpson, N., Agrawal, N., & Lewis, G. (2002). Randomised controlled trials investigating pharmacological and psychological interventions for treatment-refractory depression: Systematic review. British Journal of Psychiatry, 181, 284–294. PubMedCrossRef
go back to reference Thase, M. E. (2001). The need for clinically relevant research on treatment-resistant depression. Journal of Clinical Psychiatry, 62, 221–224. PubMedCrossRef Thase, M. E. (2001). The need for clinically relevant research on treatment-resistant depression. Journal of Clinical Psychiatry, 62, 221–224. PubMedCrossRef
go back to reference Trivedi, M. H., Rush, A. J., Wisniewski, S. R., Nierenberg, A. A., Warden, D., Ritz, L., et al. (2006). Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: Implications for clinical practice. American Journal of Psychiatry, 163, 28–40. PubMedCrossRef Trivedi, M. H., Rush, A. J., Wisniewski, S. R., Nierenberg, A. A., Warden, D., Ritz, L., et al. (2006). Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: Implications for clinical practice. American Journal of Psychiatry, 163, 28–40. PubMedCrossRef
go back to reference Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: An attention training approach to treatment. Behavior Therapy, 21, 273–280. CrossRef Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: An attention training approach to treatment. Behavior Therapy, 21, 273–280. CrossRef
go back to reference Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York: Guilford Press. Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York: Guilford Press.
go back to reference Wells, A., Fisher, P. L., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2012). Metacognitive therapy in treatment-resistant depression: A platform trial. Behaviour Research and Therapy, 50, 367–373. PubMedCrossRef Wells, A., Fisher, P. L., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2012). Metacognitive therapy in treatment-resistant depression: A platform trial. Behaviour Research and Therapy, 50, 367–373. PubMedCrossRef
go back to reference Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove: Erlbaum. Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove: Erlbaum.
go back to reference Wells, A., & Papageorgiou, C. (2004). Metacognitive therapy for depressive rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 259–273). Chichester: Wiley. Wells, A., & Papageorgiou, C. (2004). Metacognitive therapy for depressive rumination. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination: Nature, theory and treatment (pp. 259–273). Chichester: Wiley.
Metagegevens
Titel
Group Metacognitive Therapy for Severe Antidepressant and CBT Resistant Depression: A Baseline-Controlled Trial
Auteurs
Costas Papageorgiou
Adrian Wells
Publicatiedatum
01-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2015
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-014-9632-x