{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:09:12Z","timestamp":1787317752650,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Metacognitive therapy (MCT) and cognitive\u2013behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed\u2010up patients who had previously participated in a randomized controlled trial of MCT compared against CBT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We collected 9\u2010year follow\u2010up data on 39 out of 60 original patients (i.e., 65% response rate).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re\u2010diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This follow\u2010up study showed a continuation of gains in both treatments at long\u2010term follow\u2010up, but with outcomes continuing to favor MCT and strengthening its comparative superiority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.2358","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T16:54:32Z","timestamp":1631638472000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Metacognitive therapy versus cognitive\u2013behavioral therapy in adults with generalized anxiety disorder: A 9\u2010year follow\u2010up study"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6942-2645","authenticated-orcid":false,"given":"Stian","family":"Solem","sequence":"first","affiliation":[{"name":"Department of Psychology Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Wells","sequence":"additional","affiliation":[{"name":"Faculty of Biology Medicine and Health School of Psychological Sciences Manchester Academic Health Science Centre The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leif Edward Ottesen","family":"Kennair","sequence":"additional","affiliation":[{"name":"Department of Psychology Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Hagen","sequence":"additional","affiliation":[{"name":"Department of Psychology Norwegian University of Science and Technology  Trondheim Norway"},{"name":"Department of Psychology University of Oslo  Oslo Norway"},{"name":"Research Institute, Modum Bad  Vikersund Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Nordahl","sequence":"additional","affiliation":[{"name":"Department of Mental Health Norwegian University of Science and Technology (NTNU)  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odin","family":"Hjemdal","sequence":"additional","affiliation":[{"name":"Department of Psychology Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Beck A. 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A.","year":"1994"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702007079"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470713143.ch20"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01842"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006X.59.1.12"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005\u20107967(90)90135\u20106"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2018.54"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.02211"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-89243-6"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100447.2006.00896.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.02908"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.5750\/ejpch.v2i4.812"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.12.005"},{"key":"e_1_2_8_18_1","volume-title":"Metacognitive therapy for anxiety and depression","author":"Wells A.","year":"2009"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.02621"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.013"}],"container-title":["Brain and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.2358","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/brb3.2358","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.2358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T10:17:51Z","timestamp":1693217871000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/brb3.2358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1002\/brb3.2358"],"URL":"https:\/\/doi.org\/10.1002\/brb3.2358","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1002\/BRB3.2358\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.2358\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.2358\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.2358\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1002\/BRB3.2358\/v1\/review1","asserted-by":"object"}]},"ISSN":["2162-3279","2162-3279"],"issn-type":[{"value":"2162-3279","type":"print"},{"value":"2162-3279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]},"assertion":[{"value":"2021-04-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2358"}}