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  • 1
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2020
    In:  Behavioural and Cognitive Psychotherapy Vol. 48, No. 3 ( 2020-05), p. 376-381
    In: Behavioural and Cognitive Psychotherapy, Cambridge University Press (CUP), Vol. 48, No. 3 ( 2020-05), p. 376-381
    Abstract: One-third of patients with depression do not respond satisfactorily to treatment, and approximately 20% of all patients treated for depression develop a chronic depression. One approach to more effective treatment of chronic and treatment-resistant depression is to target rumination – an underlying mechanism implicated in the development and maintenance of depression. Aim: The purpose of this uncontrolled group study was to investigate the feasibility of individual rumination-focused cognitive behavioural therapy (RfCBT) for patients with chronic and treatment-resistant depression. Method: A total of 10 patients with chronic and treatment-resistant depression were offered 12–16 individual sessions of RfCBT. The primary outcome was depressive symptoms as measured by Hamilton Depression Scale at pre-, post- and 3-month follow-up. Secondary symptoms measured included self-reported rumination and worry. Results: There was a significant reduction in depressive symptoms ( p 〈 0.05), rumination ( p 〈 0.01) and worry ( p 〈 0.5) from pre- to post-treatment. Half of the participants ( n = 5) showed significant reliable change on levels of depressive symptoms post-treatment. The reduction in depressive symptoms, rumination and worry were maintained at follow-up. Conclusions: RfCBT was associated with significant reductions in depressive symptoms in a small sample with chronic and treatment-resistant depression. Despite limitations of being a small uncontrolled study with limited follow-up, these results are promising in a difficult to treat population. RfCBT warrants further systematic evaluation.
    Type of Medium: Online Resource
    ISSN: 1352-4658 , 1469-1833
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2020
    detail.hit.zdb_id: 1499945-6
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2022
    In:  Behavioural and Cognitive Psychotherapy Vol. 50, No. 1 ( 2022-01), p. 117-121
    In: Behavioural and Cognitive Psychotherapy, Cambridge University Press (CUP), Vol. 50, No. 1 ( 2022-01), p. 117-121
    Abstract: The 26-item version of the Metacognitive Anger Processing Scale (MAP) has shown good psychometric properties in previous studies. However, there is a need for a shorter version of the scale. Aims: The aim of the present study is to psychometrically evaluate the 9-item Metacognitive Anger Processing Scale – Short Version (MAP-SV) in comparison with the original, 26-item version. Method: The 26-item MAP includes three subscales: rumination, positive beliefs and negative beliefs. Three items from each subscale were selected based on clinical validity to constitute the 9-item MAP-SV. A previous sample used for validation of the 26-item MAP was used for clinimetric testing. The sample included psychiatric patients ( n = 88) and male forensic inpatients ( n = 54). The MAP-SV was assessed according to scalability, convergent validity with general metacognition, and concurrent validity with anger measures. Results: The scalability of the 9-item MAP-SV was comparable to that of the original 26-item MAP in most psychometric tests. The Loevinger’s coefficient of homogeneity for the total score of the MAP-SV items was 0.29 for the combined sample compared with 0.36 in the original MAP, indicating close to acceptable scalability. The alpha coefficient for the MAP-SV total score was 0.79. For the combined sample, Pearson inter-correlations between the subscales of the MAP-SV were highly correlated with the MAP-SV total score (ranging from .66 to .84). Conclusions: The 9-item MAP-SV showed good psychometric properties and can be used as a reliable tool for assessing self-reported metacognitive anger processing.
    Type of Medium: Online Resource
    ISSN: 1352-4658 , 1469-1833
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2022
    detail.hit.zdb_id: 1499945-6
    SSG: 5,2
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  • 3
    Online Resource
    Online Resource
    Elsevier BV ; 2017
    In:  Personality and Individual Differences Vol. 105 ( 2017-01), p. 268-274
    In: Personality and Individual Differences, Elsevier BV, Vol. 105 ( 2017-01), p. 268-274
    Type of Medium: Online Resource
    ISSN: 0191-8869
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 2019937-5
    SSG: 5,2
    SSG: 5,21
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  • 4
    Online Resource
    Online Resource
    OMICS Publishing Group ; 2015
    In:  Journal of Depression and Anxiety Vol. 04, No. 04 ( 2015)
    In: Journal of Depression and Anxiety, OMICS Publishing Group, Vol. 04, No. 04 ( 2015)
    Type of Medium: Online Resource
    ISSN: 2167-1044
    Language: Unknown
    Publisher: OMICS Publishing Group
    Publication Date: 2015
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  • 5
    In: Nordic Journal of Psychiatry, Informa UK Limited, Vol. 76, No. 3 ( 2022-04-01), p. 177-188
    Type of Medium: Online Resource
    ISSN: 0803-9488 , 1502-4725
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2008313-0
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  • 6
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2016
    In:  Behavioural and Cognitive Psychotherapy Vol. 44, No. 4 ( 2016-07), p. 504-509
    In: Behavioural and Cognitive Psychotherapy, Cambridge University Press (CUP), Vol. 44, No. 4 ( 2016-07), p. 504-509
    Abstract: Background: Few studies have explored the metacognitive components of anger, and at present there is no metacognitive framework on anger incorporating both positive and negative beliefs about anger and distinct maladaptive processing routines, such as rumination. Aims: The aim of the present preliminary studies was to apply a metacognitive framework to anger and put forward a new anger self-report scale, the Metacognitive Anger Processing (MAP) scale, intended as a supplement to existing measures of anger disposition and to enhance anger treatment targets. Method : The new measure was tested in a nonclinical and a clinical sample together with measures of anger and metacognition to establish factor structure, reliability, concurrent, and convergent validity. Results : The MAP showed a reliable factor structure with three factors - Positive Beliefs about anger, Negative Beliefs about anger, and Rumination; good internal reliability, and test-retest reliability. The subscales showed positive correlations with anger and the pattern of correlation with the general metacognitive measure supported the idea that the MAP represents dimensions of metacognition as it relates to anger. Conclusions : The present data indicate that positive as well as negative beliefs are involved in the tendency to ruminate about angry emotions. Clinical interventions may benefit from an exploration of the patient´s experience of anger, as structured by the MAP's factors and their interrelationships. The psychometric properties of the MAP should be further investigated in clinical samples using larger test batteries and objective measures of aggression.
    Type of Medium: Online Resource
    ISSN: 1352-4658 , 1469-1833
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2016
    detail.hit.zdb_id: 1499945-6
    SSG: 5,2
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  • 7
    In: Assessment, SAGE Publications, Vol. 23, No. 5 ( 2016-10), p. 624-636
    Abstract: Anger has high prevalence in clinical and forensic settings, and it is associated with aggressive behavior and ward atmosphere on psychiatric units. Dysregulated anger is a clinical problem in Danish mental health care systems, but no anger assessment instruments have been validated in Danish. Because the Novaco Anger Scale and Provocation Inventory (NAS-PI) has been extensively validated with different clinical populations and lends itself to clinical case formulation, it was selected for translation and evaluation in the present multistudy project. Psychometric properties of the NAS-PI were investigated with samples of 477 nonclinical, 250 clinical, 167 male prisoner, and 64 male forensic participants. Anger prevalence and its relationship with other anger measures, anxiety/depression, and aggression were examined. NAS-PI was found to have high reliability, concurrent validity, and discriminant validity, and its scores discriminated the samples. High scores in the offender group demonstrated the feasibility of obtaining self-report assessments of anger with this population. Retrospective and prospective validity of the NAS were tested with the forensic patient sample regarding physically aggressive behavior in hospital. Regression analyses showed that higher scores on NAS increase the risk of having acted aggressively in the past and of acting aggressively in the future.
    Type of Medium: Online Resource
    ISSN: 1073-1911 , 1552-3489
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2083220-5
    SSG: 5,2
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  • 8
    In: JMIR Formative Research, JMIR Publications Inc., Vol. 5, No. 8 ( 2021-8-4), p. e26852-
    Abstract: Posttraumatic stress disorder (PTSD) is a common disorder that requires more treatment options. Mobile health (mHealth) app interventions are promising for patients with PTSD, as they can provide easily accessible support, strategies, and information. However, knowledge about mHealth interventions is sparse and primarily based on quantitative studies. Objective The aim of this study is to qualitatively explore the experiences of patients with PTSD with regard to using an mHealth app as a stand-alone intervention before commencing psychotherapeutic treatment. Methods We conducted semistructured interviews with 14 participants 6 weeks after they received the app. The participants were all referred to PTSD treatment and were waiting to commence psychotherapeutic treatment. During this waiting time, the participants had no contact with the health staff. Interviews were transcribed and were analyzed using thematic analysis. Results A total of 3 themes were identified—the use of app, being a patient, and the overall evaluation of the app. The use of the app was described with the subtheme of habits, and the theme of being a patient included the subthemes of having negative experiences with the app and being a part of a research project. The use of the app encompassed how psychological factors and technical problems could interfere with the use of the app. The theme of being a patient depicted that the waiting time before starting treatment was long, and a subgroup of patients experienced feeling worse during this time, which they partly attributed to using the app. Several suggestions for change have been described in the overall evaluation of the app. Conclusions The findings in this study revealed that emotional arousal influenced the use of the app and that it was difficult for participants to establish a habit of using the app, thus reflecting the importance of supporting habit formation when implementing an mHealth app in mental health care services. This study makes an important contribution to the field of mHealth research, as it revealed that some participants had negative experiences resulting from using the app, thus reflecting the potential harm of having an mHealth app without the support of a clinician. It is therefore recommended to use a blended care treatment or an approach in which mental health care professionals prescribe an mHealth app for relevant patients to avoid increased suicidal risk.
    Type of Medium: Online Resource
    ISSN: 2561-326X
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2021
    detail.hit.zdb_id: 2941716-8
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  • 9
    Online Resource
    Online Resource
    Informa UK Limited ; 2023
    In:  Nordic Journal of Psychiatry Vol. 77, No. 6 ( 2023-08-01), p. 617-623
    In: Nordic Journal of Psychiatry, Informa UK Limited, Vol. 77, No. 6 ( 2023-08-01), p. 617-623
    Type of Medium: Online Resource
    ISSN: 0803-9488 , 1502-4725
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2023
    detail.hit.zdb_id: 2008313-0
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  • 10
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2019
    In:  Behavioural and Cognitive Psychotherapy Vol. 47, No. 1 ( 2019-01), p. 67-80
    In: Behavioural and Cognitive Psychotherapy, Cambridge University Press (CUP), Vol. 47, No. 1 ( 2019-01), p. 67-80
    Abstract: Background: The metacognitive approach by Wells and colleagues has gained empirical support with a broad range of symptoms. The Metacognitive Anger Processing (MAP) scale was developed to provide a metacognitive measure on anger (Moeller, 2016). In the preliminary validation, three components were identified (positive beliefs, negative beliefs and rumination) to be positively correlated with the anger. Aims: To validate the MAP in a sample of mixed clinical patients ( n = 88) and a sample of male forensic patients ( n = 54). Method: The MAP was administered together with measures of metacognition, anger, rumination, anxiety and depressive symptoms. Results: The MAP showed acceptable scalability and excellent reliability. Convergent validity was evidenced using the general metacognitive measure (MCQ-30), and concurrent validity was supported using two different anger measures (STAXI-2 and NAS). Conclusions: The MAP has promising potential to assess anger regulation problems by providing a framework on angry rumination as well as the belief structures that proposedly drive the selection of this maladaptive processing strategy as suggested in the metacognitive model. These findings may have implications for clinical interventions. For example, conducting functional analyses on anger rumination could increase the understanding of dysregulated anger processing and lead to new interventions focused on shifting thinking style.
    Type of Medium: Online Resource
    ISSN: 1352-4658 , 1469-1833
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2019
    detail.hit.zdb_id: 1499945-6
    SSG: 5,2
    Location Call Number Limitation Availability
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