{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T09:06:29Z","timestamp":1767344789674,"version":"3.48.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Cognitive biases contribute to symptoms of depression in both its primary diagnosis and comorbid expressions. Exploring the module\u2010specific effects of Metacognitive Training for Depression (D\u2010MCT) in patients with comorbid depression offers valuable insights into\n                      <jats:italic>how<\/jats:italic>\n                      the various D\u2010MCT modules address shared mechanisms, paving the way for a better understanding of how it works for these patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants with primarily comorbid depression were recruited on a specialized ward for OCD and anxiety\u2010related disorders (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009108). The study investigated the session\u2010specific effects of each module of the D\u2010MCT by linear mixed effect models (i) over the course of the intervention, (ii) within each session, and (iii) between sessions. Secondly, a Lasso regression analysis was performed to examine whether changes in cognitive biases in specific modules would predict overall change in depressive symptoms of the D\u2010MCT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results indicated small effects for the change in beliefs about rumination (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.49) and mind reading (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.24) over the time of the intervention. Within\u2010session analyses revealed several session\u2010specific effects, including a change in maladaptive beliefs about rumination within the module on this topic, with a medium effect size (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.67). The Lasso regression indicated the change in negative filter as a predictor for the change in depressive symptoms, but this was not confirmed by a subsequent linear regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results suggest that patients with comorbid depression might benefit from special emphasis on themes such as rumination that bridge the primary and comorbid diagnoses in groups with a high prevalence of OCD and an anxiety\u2010related disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pcn.13913","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T08:25:36Z","timestamp":1763454336000},"page":"55-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Session\u2010Specific Effects of Metacognitive Training for Depression (D\u2010\n                    <scp>MCT<\/scp>\n                    )"],"prefix":"10.1111","volume":"80","author":[{"given":"Jan","family":"L\u00fcthgen","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Jelinek","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luzie","family":"Lohse","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir H.","family":"Yassari","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakob","family":"Scheunemann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2845-8665","authenticated-orcid":false,"given":"Franziska","family":"Miegel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12333"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-023-02622-x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1343444"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2020.1817603"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000443699"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2733"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-03626-8"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.06.003"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.12.083"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-022-00869-z"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2009.01.007"},{"key":"e_1_2_12_13_1","first-page":"69","article-title":"Metacognitive training for schizophrenia patients (MCT): A pilot study on feasibility, treatment adherence, and subjective efficacy","volume":"10","author":"Moritz S","year":"2007","journal-title":"German J. 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