Efficacy of metacognitive therapy for prolonged grief disorder: protocol for a randomised controlled trial
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Introduction: Studies of effective psychotherapy for individuals suffering from the effects of prolonged grief disorder (PGD) are scarce. This paper describes the protocol for an evaluation of a metacognitive therapy programme designed specifically for PGD, to reduce the psychological distress and loss of functioning resulting from bereavement. Methods and analysis: The proposed trial comprises three phases. Phase 1 consists of a review of the literature and semistructured interviews with key members of the target population to inform the development of a metacognitive therapy programme for Prolonged Grief. Phase 2 involves a randomised controlled trial to implement and evaluate the programme. Male and female adults (N=34) will be randomly assigned to either a wait list or an intervention group. Measures of PGD, anxiety, depression, rumination, metacognitions and quality of life will be taken pretreatment and posttreatment and at the 3-month and 6-month follow-up. The generalised linear mixed model will be used to assess treatment efficacy. Phase 3 will test the social validity of the programme. Discussion: This study is the first empirical investigation of the efficacy of a targeted metacognitive treatment programme for PGD. A focus on identifying and changing the metacognitive mechanisms underpinning the development and maintenance of prolonged grief is likely to be beneficial to theory and practice.
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Wenn, J.; O'Connor, Moira; Kane, Robert; Rees, C.; Breen, Lauren (2019)Objectives: Prolonged grief disorder is associated with significant distress and impairment and thus efforts to improve treatments are essential. The present pilot study tested the efficacy and feasibility of group ...
Development and Testing of Metacognitive Therapy for Prolonged Grief Disorder: A Randomised Controlled TrialWenn, Jenine Anne (2017)This study investigated the metacognitive processes involved in Prolonged Grief Disorder, and developed and tested a group Metacognitive Grief Therapy for people experiencing prolonged grief symptomatology. Feasibility, ...
Wenn, Jenine; O'Connor, Moira; Breen, Lauren; Rees, Clare (2018)© 2018 Taylor & Francis. Despite research examining the role of metacognitive beliefs about coping processes in maintaining psychological disorders, to date, no studies have explored their role in the maintenance of ...