Top

Cognitive Therapy and Research

Gepubliceerd in:

18-11-2020 | Original Article

Comparing the Efficacy of Competitive Memory Training (COMET) and MEmory Specificity Training (MEST) on Posttraumatic Stress Disorder Among Newly Diagnosed Cancer Patients

Auteurs: Sharareh Farahimanesh, Alireza Moradi, Meysam Sadeghi, Laura Jobson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2021

Abstract

Background

Cancer has been considered a potentially traumatic experience and is a distinct pathway by which one might develop symptoms of posttraumatic stress disorder (PTSD). This study compared the efficacy of COmpetitive MEmory Training (COMET), an intervention aimed at altering dysfunctional self-representations, and MEmory Specificity Training (MEST), an intervention targeting autobiographical memory deficits, on PTSD and depression symptoms. As a secondary aim, we also investigated the effect of COMET and MEST on trauma-related attentional biases.

Methods

Sixty newly diagnosed cancer patients with PTSD were randomly assigned to either the COMET (n = 30) or MEST groups (n = 30). Each participant completed the Posttraumatic Stress Disorder Checklist-5, Beck Depression Inventory-II and a dot-probe task. The groups then underwent either COMET or MEST. All the assessments were re-conducted after the treatment (post-treatment) and at three months post-treatment (follow-up).

Results

The COMET group had significantly fewer PTSD and depression symptoms compared to the MEST group at post-training and follow-up. Both groups indicated a significant reduction in attentional biases following training.

Conclusions

This study suggests that COMET is a promising brief intervention for the treatment of PTSD in cancer patients.

vorige artikel Imagery Rescripting of Painful Memories in Social Anxiety Disorder: A Qualitative Analysis of Needs Fulfillment and Memory Updating

volgende artikel A Cognitive Control Training as Add-On Treatment to Usual Care for Depressed Inpatients

The data file is available by contacting the corresponding author.

Ahles, T. A., Root, J. C., & Ryan, E. L. (2012). Cancer-and cancer treatment–associated cognitive change: An update on the state of the science. Journal of Clinical Oncology, 30(30), 3675.PubMedPubMedCentralCrossRef

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition: DSM-5. Arlington, VA: American Psychiatric Association.CrossRef

Australian Centre for Posttraumatic Health. (2013). Australian guidelines for the treatment of acute stress disorder and postraumatic stress disorder. Melbourne, VIC: ACPMH.

Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological Assessment.

Becker, E. S., & Vrijsen, J. N. (2017). Cognitive processes in CBT. In The Science of Cognitive Behavioral Therapy (pp. 77–106). San Diego, CA: Academic Press.CrossRef

Beevers, C. G., Clasen, P. C., Enock, P. M., & Schnyer, D. M. (2015). Attention bias modification for major depressive disorder: Effects on attention bias, resting state connectivity, and symptom change. Journal of Abnormal Psychology, 124(3), 463–475. https://doi.org/10.1037/abn0000049.CrossRefPubMedPubMedCentral

Berntsen, D., & Rubin, D. C. (2007). When a trauma becomes a key to identity: Enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21(4), 417–431.CrossRef

Bomyea, J., Johnson, A., & Lang, A. J. (2017). Information processing in PTSD: Evidence for biased attentional, interpretation, and memory processes. Psychopathology Review, 4, 218–243.CrossRef

Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424.

Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670.PubMedCrossRef

Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010). Intrusive images in psychological disorders: Characteristics, neural mechanisms, and treatment implications. Psychological Review, 117(1), 210.PubMedPubMedCentralCrossRef

Bryant, R. A. (2019). Post-traumatic stress disorder: A state-of-the-art review of evidence and challenges. World Psychiatry, 18, 259–269. https://doi.org/10.1002/wps.20656.

Buodo, G., Patron, E., Benvenuti, S. M., & Palomba, D. (2018). Single-session attention bias modification training in victims of work-related accidents. Frontiers in Psychology, 9, 1619.PubMedPubMedCentralCrossRef

Chan, C. M. H., Ng, C. G., Taib, N. A., Wee, L. H., Krupat, E., & Meyer, F. (2018). Course and predictors of post-traumatic stress disorder in a cohort of psychologically distressed patients with cancer: A 4-year follow-up study. Cancer, 124(2), 406–416.PubMedCrossRef

Cisler, J. M., & Koster, E. H. (2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30(2), 203–216.PubMedCrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Dalgleish, T. (2004). Cognitive approaches to posttraumatic stress disorder: The evolution of multi representational theorizing. Psychological Bulletin, 130(2), 228.PubMedCrossRef

Desimone, R., & Duncan, J. (1995). Neural mechanisms of selective visual attention. Annual Review of Neuroscience, 18(1), 193–222.PubMedCrossRef

Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.PubMedCrossRef

Ekkers, W., Korrelboom, K., Huijbrechts, I., Smits, N., Cuijpers, P., & van der Gaag, M. (2011). Competitive memory training for treating depression and rumination in depressed older adults: A randomized controlled trial. Behaviour Research and Therapy, 49(10), 588–596.PubMedCrossRef

Erten, M. N., & Brown, A. D. (2018). Memory specificity training for depression and posttraumatic stress disorder: A promising therapeutic intervention. Frontiers in Psychology, 9, 419. https://doi.org/10.3389/fpsyg.2018.00419.CrossRefPubMedPubMedCentral

Esser, P., Glaesmer, H., Faller, H., Koch, U., Härter, M., Schulz, H., et al. (2019). Posttraumatic stress disorder among cancer patients—Findings from a large and representative interview-based study in Germany. Psycho-oncology, 28(6), 1278–1285.PubMedCrossRef

First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5—Research version (SCID-5 for DSM-5, research version; SCID-5-RV) (pp. 1–94). Arlington, VA: American Psychiatric Association.

Flory, J. D., & Yehuda, R. (2015). Comorbidity between post-traumatic stress disorder and major depressive disorder: Alternative explanations and treatment considerations. Dialogues in Clinical Neuroscience, 17(2), 141.PubMedPubMedCentralCrossRef

French-Rosas, L. N., Moye, J., & Naik, A. D. (2011). Improving the recognition and treatment of cancer-related posttraumatic stress disorder. Journal of Psychiatric Practice, 17(4), 270.PubMedPubMedCentralCrossRef

Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian-language version of the Beck depression inventory-Second edition: BDI-II-PERSIAN. Depression and Anxiety, 21(4), 185–192.PubMedCrossRef

Gómez de La Cuesta, G., Schweizer, S., Diehle, J., Young, J., & Meiser-Stedman, R. (2019). The relationship between maladaptive appraisals and posttraumatic stress disorder: A meta-analysis. European Journal of Psychotraumatology, 10(1), 1620084. https://doi.org/10.1080/20008198.2019.1620084.CrossRefPubMedPubMedCentral

Grassi, L., Spiegel, D., & Riba, M. (2017). Advancing psychosocial care in cancer patients. F1000Research, 6, 2083.PubMedPubMedCentralCrossRef

Gurevich, M., Devins, G. M., & Rodin, G. M. (2002). Stress response syndromes and cancer: Conceptual and assessment issues. Psychosomatics, 43(4), 259–281.PubMedCrossRef

Hitchcock, C., Werner-Seidler, A., Blackwell, S. E., & Dalgleish, T. (2017). Autobiographical episodic memory-based training for the treatment of mood, anxiety and stress-related disorders: A systematic review and meta-analysis. Clinical Psychology Review, 52, 92–107.PubMedCrossRef

Jobson, L., Moradi, A. R., Rahimi-Movaghar, V., Conway, M. A., & Dalgleish, T. (2014). Culture and the remembering of trauma. Clinical Psychological Science, 2(6), 696–713.CrossRef

Jobson, L., & O’Kearney, R. (2008). Cultural differences in personal identity in post-traumatic stress disorder. British Journal of Clinical Psychology, 47(1), 95–109.CrossRefPubMed

Korrelboom, K., de Jong, M., Huijbrechts, I., & Daansen, P. (2009). Competitive memory training (COMET) for treating low self-esteem in patients with eating disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 974.PubMedCrossRef

Korrelboom, K., Gaag, M. V. D., Hendriks, V. M., Huijbrechts, I., & Berretty, E. W. (2008). Treating obsessions with competitive memory training: A pilot study. The Behavior Therapist, 31, 29–36.

Korrelboom, K., Marissen, M., & van Assendelft, T. (2011). Competitive memory training (COMET) for low self-esteem in patients with personality disorders: A randomized effectiveness study. Behavioural and Cognitive Psychotherapy, 39(1), 1–19.PubMedCrossRef

Korrelboom, K., Peeters, S., Blom, S. et al. (2014). Competitive memory training (COMET) for panic and applied relaxation (AR) are equally effective in the treatment of panic in panic-disordered patients. Journal of Contemporary Psychotheraphy, 44, 183–190. https://doi.org/10.1007/s10879-013-9259-3.

Korrelboom, K., Visser, S., & Ten Broeke, E. (2004). Gegeneraliseerde angststoornis: wat is het en wat kun je ertegen doen? Dth, 24(4), 143–151.CrossRef

Lange, M., & Joly, F. (2017). How to identify and manage cognitive dysfunction after breast cancer treatment. Journal of Oncology Practice, 13(12), 784–790.PubMedCrossRef

MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.PubMedCrossRef

Mehnert, A., & Koch, U. (2007). Prevalence of acute and post-traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: A prospective study. Psycho-Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 16(3), 181–188.CrossRef

Montesano, A., Feixas, G., Caspar, F., & Winter, D. (2017). Depression and identity: Are self-constructions negative or conflictual? Frontiers in Psychology, 8, 877. https://doi.org/10.3389/fpsyg.2017.00877.CrossRefPubMedPubMedCentral

Moore, S. A., & Zoellner, L. A. (2007). Overgeneral autobiographical memory and traumatic events: An evaluative review. Psychological Bulletin, 133, 419–437. https://doi.org/10.1037/0033-2909.133.3.419.

Moradi, A. R., Moshirpanahi, S., Parhon, H., Mirzaei, J., Dalgleish, T., & Jobson, L. (2014). A pilot randomized controlled trial investigating the efficacy of MEmory Specificity Training in improving symptoms of posttraumatic stress disorder. Behaviour Research and Therapy, 56, 68–74.PubMedCrossRef

Mousavi, M. E., Samiei, M., Khani, P. M., Pourshahbaz, A., Abbasi, I., Ansari, N., & Aminoroaya, S. (2018). Effective factors of non-adherence and admission in bipolar disorder. Psychology and Behavioral Sciences, 7(6), 97.

Myers, J. S. (2013, November). Cancer-and chemotherapy-related cognitive changes: The patient experience. In Seminars in oncology nursing (Vol. 29, pp. 300–307). WB Saunders.

Neshat-Doost, H. T., Dalgleish, T., Yule, W., Kalantari, M., Ahmadi, S. J., Dyregrov, A., & Jobson, L. (2013). Enhancing autobiographical memory specificity through cognitive training: An intervention for depression translated from basic science. Clinical Psychological Science, 1(1), 84–92.CrossRef

Niedzwiedz, C. L., Knifton, L., Robb, K. A., Katikireddi, S. V., & Smith, D. J. (2019). Depression and anxiety among people living with and beyond cancer: A growing clinical and research priority. BMC Cancer, 19(1), 1–8.CrossRef

Nieto, M., Navarro-Bravo, B., Moreno, B., Ocana, A., Serrano, J. P., Gras, C. B., et al. (2019). Functioning of autobiographical memory specificity and self-defining memories in people with cancer diagnosis. PeerJ, 7, e8126.PubMedPubMedCentralCrossRef

Pranjic, N., Bajraktarevic, A., & Ramic, E. (2016). Distress and PTSD in patients with cancer: Cohort study case. Materia Socio-Medica, 28(1), 12.PubMedPubMedCentralCrossRef

Raes, F., Williams, J. M. G., & Hermans, D. (2009). Reducing cognitive vulnerability to depression: A preliminary investigation of MEmory Specificity Training (MEST) in inpatients with depressive symptomatology. Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 24–38.PubMedCrossRef

Sadeghi, M., Taghva, A., Goudarzi, N., & Rah Nejat, A. M. (2016). Validity and reliability of Persian version of “post-traumatic stress disorder scale” in war veterans. Iranian Journal of War and Public Health, 8(4), 243–249.

Sansom-Daly, U. M., Wakefield, C. E., Robertson, E. G., McGill, B. C., Wilson, H. L., & Bryant, R. A. (2018). Adolescent and young adult cancer survivors’ memory and future thinking processes place them at risk for poor mental health. Psycho-Oncology, 27(12), 2709–2716.PubMedCrossRef

Schneider, B. C., Wittekind, C. E., Talhof, A., Korrelboom, K., & Moritz, S. (2015). Competitive Memory Training (COMET) for OCD: A self-treatment approach to obsessions. Cognitive Behaviour Therapy, 44(2), 142–152.PubMedCrossRef

Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., Tendick, V., & Gray, S. (2008). Nonresponse and dropout rates in outcome studies on PTSD: Review and methodological considerations. Psychiatry: Interpersonal & Biological Processes, 71, 134–168.CrossRef

Siegel, R. L., Miller, K. D., & Jemal, A. (2015). Cancer statistics, 2015. CA: A Cancer Journal for Clinicians, 65(1), 5.

Staring, A. B. P., Van den Berg, D. P. G., Cath, D. C., Schoorl, M., Engelhard, I. M., & Korrelboom, C. W. (2016). Self-esteem treatment in anxiety: A randomized controlled crossover trial of Eye Movement Desensitization and Reprocessing (EMDR) versus Competitive Memory Training (COMET) in patients with anxiety disorders. Behaviour Research and Therapy, 82, 11–20.PubMedCrossRef

Steel, C., van der Gaag, M., Korrelboom, K., Simon, J., Phiri, P., Baksh, M. F., et al. (2015). A randomised controlled trial of positive memory training for the treatment of depression within schizophrenia. BMC Psychiatry, 15(1), 1–5.CrossRef

Sutherland, K., & Bryant, R. A. (2005). Self-defining memories in post-traumatic stress disorder. British Journal of Clinical Psychology, 44(4), 591–598.CrossRefPubMed

Van Bockstaele, B., Koster, E. H., Verschuere, B., Crombez, G., & De Houwer, J. (2012). Limited transfer of threat bias following attentional retraining. Journal of Behavior Therapy and Experimental Psychiatry, 43(2), 794–800.PubMedCrossRef

van der Gaag, M., & Korrelboom, K. (2007). Competitive memory training treatment protocol for voices version 1.

van der Gaag, M., van Oosterhout, B., Daalman, K., Sommer, I. E., & Korrelboom, K. (2012). Initial evaluation of the effects of competitive memory training (COMET) on depression in schizophrenia-spectrum patients with persistent auditory verbal hallucinations: A randomized controlled trial. British Journal of Clinical Psychology, 51(2), 158–171.CrossRefPubMed

Van Minnen, A., Arntz, A., & Keijsers, G. P. (2002). Prolonged exposure in patients with chronic PTSD: predictors of treatment outcome and dropout. Behaviour Research and Therapy, 40, 439–457.PubMedCrossRef

Verwoerd, J., & Wessel, I. (2010). Unwanted traumatic intrusions: The role of pre-trauma individual differences in executive control. In The act of remembering: Toward an understanding of how we recall the past (pp. 337–360). Malden, MA: Wiley-Blackwell.CrossRef

Wald, I., Shechner, T., Bitton, S., Holoshitz, Y., Charney, D. S., Muller, D., et al. (2011). Attention bias away from threat during life threatening danger predicts PTSD symptoms at one-year follow-up. Depression and Anxiety, 28(5), 406–411.PubMedCrossRef

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2014, February 5). PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. Retrieved June 3, 2015, from http://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp

Williams, J. M. G., Barnhofer, T., Crane, C., Hermans, D., Raes, F., Watkins, E., & Dalgleish, T. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133, 122–148. https://doi.org/10.1037/0033-2909.133.1.122.CrossRefPubMedPubMedCentral

Woud, M. L., Verwoerd, J., & Krans, J. (2017). Modification of cognitive biases related to posttraumatic stress: A systematic review and research agenda. Clinical Psychology Review, 54, 81–95.PubMedCrossRef

Zia, M. S., Afkhami, E., Taher Neshat-Doost, H., Tavakoli, M., Mehrabi Kooshki, H. A., & Jobson, L. (2020). A brief clinical report documenting a novel therapeutic technique (MEmory Specificity Training, MEST) for depression: A summary of two pilot randomized controlled trials. Behavioural and Cognitive Psychotherapy, 1–6. https://doi.org/10.1017/S1352465820000417. Epub ahead of print. PMID: 32684181.

Titel: Comparing the Efficacy of Competitive Memory Training (COMET) and MEmory Specificity Training (MEST) on Posttraumatic Stress Disorder Among Newly Diagnosed Cancer Patients
Auteurs: Sharareh Farahimanesh
Alireza Moradi
Meysam Sadeghi
Laura Jobson
Publicatiedatum: 18-11-2020
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10175-4

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Background

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2021

Harnessing Mental Imagery and Enhancing Memory Specificity: Developing a Brief Early Intervention for Depressive Symptoms in Adolescence

Correction to: The Future of Cognitive Behavioral Therapy

The Effects of Emotional Working Memory Training on Worry Symptoms and Error-Related Negativity of Individuals with High Trait Anxiety: A Randomized Controlled Study

Emotional Memory: Concluding Remarks to the Special Issue on Memory Training for Emotional Disorders

Rumination: Practicing Retrieval of Autobiographical Memories

Reframing the Past: Role of Memory Processes in Emotion Regulation