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2023 - Volume 7 - Number 2


Cognitive-Behavioral Therapy (CBT) Versus Cognitive Retraining (CR) in Depression

Aarzoo *  ORCID: 0000-0001-9294-126X
Government Medical College & Hospital, Clinical Psychology, Chandigarh, INDIA

Santha Kumari *  ORCID: 0000-0001-9294-126X
Thapar Institute of Engineering & Technology, School of Humanities & Social Sciences, Patiala, INDIA

Open Journal for Psychological Research, 2023, 7(2), 53-66 * https://doi.org/10.32591/coas.ojpr.0702.03053a
Received: 20 June 2023 ▪ Revised: 4 October 2023 ▪ Accepted: 11 November 2023

LICENCE: Creative Commons Attribution 4.0 International License.

ARTICLE (Full Text - PDF)


ABSTRACT:
Mood disorders are recurrent or episodic with significant cognitive deficits and incomplete recovery. Cognitive behavior therapy (CBT) has been a well-established evidence-based intervention, and Cognitive retraining (CR) is emerging to reduce cognitive deficits by application of techniques that improve attention, memory, and/or executive functions that enhance psychosocial functioning. Method: The present study compared CBT and CR delivered as independent interventions as well as combined with medicines employing pre-post intervention and experimental research design. Outcome measures were Beck Depression Inventory (BDI-II), Metacognitive Questionnaire (MCQ30), World Health Organization Quality of Life- Brief (WHOQOLBref), and Global Assessment of Functioning (GAF). Results: CBT group statistically had highest QOL supported by environment and global functioning. The change in mean scores on outcome measures was greater for CR groups. Conclusion: CR with or without medicine is a feasible treatment option when CBT promulgation is inhibited by patient, therapist, or environmental variables.

KEY WORDS: CBT, CRT, depression, metacognition, QoL.

CORRESPONDING AUTHOR:
Aarzoo, Government Medical College & Hospital, Clinical Psychology, Chandigarh, INDIA.


REFERENCES:

Ball, K., Berch, D. B., Helmers, K. F., Jobe, J. B., Leveck, M. D., Marsiske, M., Morris, J. N., Rebok, G.W., Smith, D. M., Tennstedt, S. L., Unverzagt, F. W., & Willis, S. L. (2002). Effect of cognitive training interventions with older adults: a randomized controlled trial. The Journal of the American Medical Association, 288(18), 2271-2281. https://doi.org/10.1001/jama.288.18.2271

Batmaz, S., Altinoz, A. E., & Sonkurt, H. O. (2021). Cognitive attentional syndrome and metacognitive beliefs as potential treatment targets for metacognitive therapy in bipolar disorder. World Journal of Psychiatry, 11(9), 589-604. https://doi.org/10.5498/wjp.v11.i9.589

Beck. A., Steer, R., and Brown. G. (1996). Manual for the Beck depression inventory II. San Antonio: Psychological Corporation.

Blacker, D. (2000). Psychiatric rating scales. In B. J. Sadock & V. A. Sadock (Eds.), Kaplan & Sadock’s comprehensive textbook of psychiatry (pp. 16-42).Philadelphia: Lippincott Williams & Wilkins Publishers.

Buhlmann, U., Deckersbach, T., Engelhard, I., Cook, L. M., Rauch, S. L., Kathmann, N., Wilhelm, S., & Savage, C. R. (2006). Cognitive retraining for organizational impairment in obsessive-compulsive disorder. Psychiatry Research, 144(2-3), 109-116. https://doi.org/10.1016/j.psychres.2005.10.012

Churchill, R., Moore, T. H. M., Furukawa, T. A., Caldwell, D. M., Davies, P., Jones, H., Shinohara, K., Imai, H., Lewis, G., & Hunot, V. (2013). ‘Third wave’ cognitive and behavioural therapies versus other psychological therapies for depression. The Cochrane Database of Systematic Reviews, 18(10), CD008704. https://doi.org/10.1002/14651858.

Edgar, C. J., Pace-Schott, E. F., & Wesnes, K. A. (2009). Approaches to measuring the effects of wake-promoting drugs: a focus on cognitive function. Human Psychopharmacology24(5), 371-389. https://doi.org/10.1002/hup.1034

Evans, V. C., Iverson, G. L., Yatham, L. N., & Lam, R. W. (2014). Functioning in major depressive disorder: a systematic review. Journal of Clinical Psychiatry, 75(12), 1359-1370. https://doi.org/10.4088/JCP.13r08939

Freeman, A., Pretzer, J., Fleming, B., & Karen, S. (1990). Clinical applications of cognitive therapy. New York: Plenum Publishers.

Hagen, R., Hjemdal, O., Solem, S., Kennair, L. E., Nordahl, H. M., Fisher, P., & Wells, A. (2017). Metacognitive therapy for depression in adults: a waiting list randomized controlled trial with six months follow-up. Frontiers in Psychology8, 31.https://doi.org/10.3389/fpsyg.2017.00031

Hegde, S., Rao, S. L., Raguram, A., & Gangadhar, B. N. (2012). Addition of home-based cognitive retraining to treatment as usual in first episode schizophrenia patients: a randomized controlled study. Indian Journal of Psychiatry, 54(1), 15-22. https://doi.org/10.4103/0019-5545.94640

Hilt, L. M., Leitzke, B. T., & Pollak, S. D. (2014). Cognitive control and rumination in youth: the importance of emotion. Journal of Experimental Psychopathology5(3), 302-313. https://doi.org/10.5127/jep.038113

Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. https://doi.org/10.1007/s10608-012-9476-1

Huntley, C. H., & Fisher, P. L. (2016). Examining the role of positive and negative metacognitive beliefs in depression. Scandinavian Journal of Psychology, 57, 446-452. https://doi.org/10.1111/sjop.12306

Jelinek, L., Quaquebeke, N. V., & Moritz, S. (2017). Cognitive and metacognitive mechanisms of change in metacognitive training for depression. Scientific Reports, 7, 3449-3456. https://doi.org/10.1038/s41598-017-03626-8

Jeon, D-W., Jung, D-U., Kim, S-J., Shim, J-C., Moon, J-J., Seon, Y-S., Jung, S-S., Seo, B-J., Kim, J-E., & Kim, Y-N. (2018). Adjunct transcranial direct current stimulation improves cognitive functions in schizophrenia: a double-blind 12-week study. Schizophrenia Research, 197, 378-385.    https://doi.org/10.1016/j.schres.2017.12.009

Kennedy, N., Foy, K., Sherazi, R., McDonough, M., & McKeon, P. (2007). Long-term social functioning after depression treated by psychiatrists: A review. Bipolar Disorders9(1-2), 25-37.  http://dx.doi.org/10.1111/j.1399-5618.2007.00326.x

Kessler, R., Berglund, P., Demler, O., Jin, R., Merikangas, K., & Walters, E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry62(6), 593-602. http://dx.doi.org/10.1001/archpsyc.62.6.593

Manove, E., & Levy, B. (2010). Cognitive impairment in bipolar disorder: an overview. Postgraduate Medicine122(4), 7-16. http://dx.doi.org/10.3810/pgm.2010.07.2170

Mc Gurk, S. R., Twamley, E. W., Sitzer, D. I., Mc Hugo, G. J., & Mueser, K. T. (2007). A meta-analysis of cognitive remediation in schizophrenia. American Journal of Psychiatry, 164(12), 1791-1802. https://doi.org/10.1176/appi.aip.2007.07060906

Mehta, S., Mittal, P. K., & Swami, M. K. (2014). Psychosocial functioning in depressive patients: a comparative study between major depressive disorder and bipolar affective disorder. Depression Research and Treatment, 2014, 302741. https://doi.org/10.1155/2014/302741

Monkul, E., Green, M., Barrett, J., Robinson, J., Velligan, D., & Glahn, D. (2007). A social cognitive approach to emotional intensity judgment deficits in schizophrenia. Schizophrenia Research94(1-3), 245-252. http://dx.doi.org/10.1016/j.schres.2007.03.023

O’Connor, M., Munnelly, A., Whelan, R., & McHugh, L. (2017). The efficacy and acceptability of third-wave behavioral and cognitive health treatments: A systematic review and meta-analysis. Behavior Therapy, 49(3), 459-475. http://dx.doi.org/10.1016/j.beth.2017.07.007

Öst, L. G. (2008).  Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis. Behaviour Research and Therapy, 46(3), 296-321. http://dx.doi.org/10.1016/j.brat.2007.12.005

Papleontiou-louca, E. (2003). The concept and instruction of metacognition. Teacher Development, 7(1),9-30. https://doi.org/10.1080/13664530300200184

Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433-455. https://doi.org/10.1023/B:COTR.0000045557.15923.96

Samaan, M., Diefenbacher. A., Schade, C., Dambacher, C., Pontow, I-M., Pakenham, K., & Fydrich, T. (2021). A clinical effectiveness trial comparing ACT and CBT for inpatients with depressive and mixed mental disorders, Psychotherapy Research, 31(3), 372-385. https://doi.org/10.1080/10503307.2020.1802080

Saxena, S., Chandiramani, K., & Bhargava, R. (1998). WHOQOL-Hindi: a questionnaire for assessing quality of life in health care settings in India. World Health Organization quality of life. The National Medical Journal of India, 11(4), 160-165. PMID: 9808970.

Sharpe, L., Perry, K. N., Rogers, P., Dear, B. F., Nicholas, M. K., & Refshauge, K. (2010). A comparison of the effect of attention training and relaxation on response to pain. Pain, 150(3), 469-476.  https://doi.org/10.1016/j.pain.2010.05.027

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The mini international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(S20), 22-33. PMID: 9881538.

Shimamura, A. P. (2000). Toward a cognitive neuroscience of metacognition. Consciousness and Cognition, 9(2), 313-323. https://doi.org/10.1006/ccog.2000.0450

Singh, A. K. (1998).  Tests, measurements, and research methods in behavioural sciences (3rd ed.). New Delhi: Bharati Bhawan.

Somers, J., & Querée, M. (2007). Cognitive behavioural therapy: the core information document. British Columbia: Centre for Applied Research in Mental Health and Addictions (CARMHA).

Stevenson, C. S., Whitmont, S., Bornholt, L. Livesey, D., & Stevenson, R. J. (2002). A cognitive remediation programme for adults with attention deficit hyperactivity disorder. Australian and New Zealand Journal of Psychiatry, 36(5), 610-616. https://doi.org/10.1046/j.1440-1614.2002.01052.x.

Wells, A., & Cartwright-Hatton, S. (2004). A short form of the meta-cognitions questionnaire: properties of the MCQ-30. Behavior Therapy, 42, 385-396. https://doi.org/10.1016/S0005-7967(03)00147-5

Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York: The Guilford Press.

Whitmer, A. J., & Gotlib, I. H. (2013). An attentional scope model of rumination. Psychological Bulletin139(5), 1036-1061.  https://doi.org/10.1037/a0030923

Williams, J. R. (2008). The declaration of Helsinki and public health. Bulletin of the World Health Organization, 86(8), 650-652.  https://doi.org/10.2471/BLT.08.050955

World Health Organization (1982). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: WHO.

Wykes, T., Huddy, V., Cellard, C., Mc Gurk, G. R., & Czobor, P. (2011). A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. American Journal of Psychiatry, 168(5), 472-485. https://doi.org/10.1176/appi.ajp.2010.10060855

Zetsche, U., D'Avanzato, C., & Joormann, J. (2012). Depression and rumination: relation to components of inhibition. Cognition and Emotion, 26(4), 758-767. https://doi.org/10.1080/02699931.2011.613919

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