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28-06-2021 | Original Article

Group Intervention ‘Drop it!’ Decreases Repetitive Negative Thinking in Major Depressive Disorder and/or Generalized Anxiety Disorder: A Randomised Controlled Study

Auteurs: Roland Rogiers, Chris Baeken, Dirk Van den Abbeele, Edward R. Watkins, Jonathan Remue, Roos Colman, Rudi De Raedt, Gilbert M. D. Lemmens

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2022

Abstract

Background

Repetitive negative thinking (RNT) is considered to be an important transdiagnostic factor in the onset, course and recurrence of both depressive and anxiety disorders. This study aimed to investigate whether an add-on group intervention ‘Drop it’, compared to treatment as usual, would improve RNT, anxiety and depressive symptoms, as well as quality of life and self-esteem of patients with Major Depressive Disorder (MDD) and/or Generalized Anxiety Disorder (GAD).

Methods

Eighty patients were randomly allocated to 8 sessions of group intervention (n = 45) or a delayed treatment control group (n = 35). Both conditions continued their ongoing mental health care. Assessments took place before randomization, 12 weeks later (after group intervention) and at 3- and 9- months follow-up.

Results

Although all outcomes improved after the intervention, only the uncontrollability of rumination, worrying, distancing oneself from one’s thoughts, and quality of life remained statistically significant after Bonferroni correction compared to the delayed treatment control group.

Conclusions

Group intervention improves RNT and quality of life of patients treated for MDD and/or GAD. Improvements remain stable until 9 months after treatment. Limitations of the study included the small sample size, the lack of a long-term follow-up in the delayed treatment control group and the inclusion of highly educated patients with mainly high comorbid generalized anxiety disorder and depression.

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We recalculated the correction using the Benjamini–Hochberg test, and the significant results remained the same. In light of this, we preferred to keep the most conservative Bonferroni test.

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Titel: Group Intervention ‘Drop it!’ Decreases Repetitive Negative Thinking in Major Depressive Disorder and/or Generalized Anxiety Disorder: A Randomised Controlled Study
Auteurs: Roland Rogiers
Chris Baeken
Dirk Van den Abbeele
Edward R. Watkins
Jonathan Remue
Roos Colman
Rudi De Raedt
Gilbert M. D. Lemmens
Publicatiedatum: 28-06-2021
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-021-10240-6

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