{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:29:21Z","timestamp":1789478961319,"version":"build-2803163510"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"DOI":"10.3389\/fpsyg.2020.00143","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:49:35Z","timestamp":1581468575000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Metacognitive Therapy for Adjustment Disorder in a Patient With Newly Diagnosed Pulmonary Arterial Hypertension: A Case Report"],"prefix":"10.3389","volume":"11","author":[{"given":"Lotta","family":"Winter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Naumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Olsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Fuge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius M.","family":"Hoeper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai G.","family":"Kahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2020,2,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1007\/BF00172624","article-title":"The prevalence and treatment of depression in general practice","volume":"95","author":"Blacker","year":"1988","journal-title":"Psychopharmacology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.jpsychores.2014.09.021","article-title":"Metacognitions, anxiety, and distress related to motor fluctuations in Parkinson\u2019s disease","volume":"78","author":"Brown","year":"2015","journal-title":"J. Psychosom. Res."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1007\/s11920-014-0451-2","article-title":"Adjustment disorder: new developments","volume":"16","author":"Casey","year":"2014","journal-title":"Curr. Psychiatry Rep."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1017\/S0033291700015282","article-title":"The diagnostic status of patients with conspicuous psychiatric morbidity in primary care","volume":"14","author":"Casey","year":"1984","journal-title":"Psychol. Med."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"343","DOI":"10.7326\/0003-4819-115-5-343","article-title":"Survival in patients with primary pulmonary hypertension. Results from a national prospective registry","volume":"115","author":"D\u2019Alonzo","year":"1991","journal-title":"Ann. Intern. Med."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"S21","DOI":"10.1080\/15622975.2018.1467041","article-title":"Psychotherapy of adjustment disorders: current state and future directions","volume":"19","author":"Domhardt","year":"2018","journal-title":"World J. Biol. Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1097\/NMD.0b013e3182a2168a","article-title":"Diagnostic and statistical manual of mental disorders, 5th edition, and clinical utility","volume":"201","author":"First","year":"2013","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1007\/s10608-017-9862-9","article-title":"Metacognitive therapy for emotional distress in adult cancer survivors: a case series","volume":"41","author":"Fisher","year":"2017","journal-title":"Cognit. Ther. Res."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.seizure.2017.06.012","article-title":"Anxiety and depression in people with epilepsy: the contribution of metacognitive beliefs","volume":"50","author":"Fisher","year":"2017","journal-title":"Seizure"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.rec.2016.01.002","article-title":"2015 ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension","volume":"69","author":"Galie","year":"2016","journal-title":"Rev. Esp. Cardiol."},{"key":"ref11","volume-title":"Deutsche adaptation der hospital anxiety and depression scale (HADS)","author":"Herrmann-Lingen","year":"2011"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1016\/j.ijcard.2012.10.026","article-title":"Elderly patients diagnosed with idiopathic pulmonary arterial hypertension: results from the COMPERA registry","volume":"168","author":"Hoeper","year":"2013","journal-title":"Int. J. Cardiol."},{"key":"ref500","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/S0005-7894(01)80044-7","article-title":"Prevalence and predictors of acute stress disorder and ptsd following road traffic accidents: thought control strategies and social support","volume":"32","author":"Holeva","year":"2001","journal-title":"Behavor. Therapy"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1177\/0091270007312153","article-title":"New era in drug interaction evaluation: US food and drug administration update on CYP enzymes, transporters, and the guidance process","volume":"48","author":"Huang","year":"2008","journal-title":"J. Clin. Pharmacol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1002\/mpr.1439","article-title":"Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: the mental health module of the German health interview and examination survey for adults (DEGS1-MH)","volume":"23","author":"Jacobi","year":"2014","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1017\/S0033291703001399","article-title":"Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German health interview and examination survey (GHS)","volume":"34","author":"Jacobi","year":"2004","journal-title":"Psychol. Med."},{"key":"ref16","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1017\/S0033291797005308","article-title":"The National psychiatric morbidity surveys of Great Britain--initial findings from the household survey","volume":"27","author":"Jenkins","year":"1997","journal-title":"Psychol. Med."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1868","DOI":"10.1515\/hmbci-2018-0054","article-title":"Direct and indirect effects of psychopharmacological treatment on the cardiovascular system","volume":"36","author":"Kahl","year":"2018","journal-title":"Horm. Mol. Biol. Clin. Invest."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.pnpbp.2018.07.005","article-title":"Psychopharmacology in transplantation medicine","volume":"88","author":"Kahl","year":"2019","journal-title":"Prog. Neuro-Psychopharmacol. Biol. Psychiatry"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.vph.2017.07.004","article-title":"Effects of psychopharmacological treatment with antidepressants on the vascular system","author":"Kahl","year":"2017","journal-title":"Vasc. Pharmacol."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.vph.2017.09.001","article-title":"Effects of psychopharmacological treatment with antipsychotic drugs on the vascular system","volume":"100","author":"Kahl","year":"2018","journal-title":"Vasc. Pharmacol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1001\/archpsyc.62.6.617","article-title":"Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National comorbidity survey replication","volume":"62","author":"Kessler","year":"2005","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jpsychores.2016.02.002","article-title":"The association between metacognitions and the impact of fibromyalgia in a German sample","volume":"83","author":"Kollmann","year":"2016","journal-title":"J. Psychosom. Res."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1055\/s-0034-1377013","article-title":"Mental distress and wish for psychosomatic treatment of patients with pulmonary hypertension","volume":"64","author":"Larisch","year":"2014","journal-title":"Psychother. Psychosom. Med. Psychol."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.comppsych.2007.07.002","article-title":"Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: findings from a community survey","volume":"49","author":"Maercker","year":"2008","journal-title":"Compr. Psychiatry"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1080\/15622975.2018.1449967","article-title":"Adjustment disorder diagnosis: Improving clinical utility","volume":"19","author":"Maercker","year":"2018","journal-title":"World J. Biol. Psychiatry"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1002\/cpp.757","article-title":"Metacognitive factors in chronic fatigue syndrome","volume":"19","author":"Maher-Edwards","year":"2012","journal-title":"Clin. Psychol. Psychother."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"2288","DOI":"10.3389\/fpsyg.2018.02288","article-title":"Qualitative analysis of emotional distress in cardiac patients from the perspectives of cognitive behavioral and metacognitive theories: why might cognitive behavioral therapy have limited benefit, and might metacognitive therapy be more effective?","volume":"4","author":"McPhillips","year":"2018","journal-title":"Front. Psychol."},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011117","article-title":"Cardiac rehabilitation Patients\u2019 accounts of their emotional distress and psychological needs: a qualitative study","volume":"8","author":"McPhillips","year":"2019","journal-title":"J. Am. Heart Assoc."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/S1470-2045(11)70002-X","article-title":"Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies","volume":"12","author":"Mitchell","year":"2011","journal-title":"Lancet Oncol."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1001\/archpsyc.1984.01790210041006","article-title":"Six-month prevalence of psychiatric disorders in three communities 1980 to 1982","volume":"41","author":"Myers","year":"1984","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"2211","DOI":"10.3389\/fpsyg.2018.02211","article-title":"The efficacy of metacognitive therapy: a systematic review and meta-analysis","volume":"9","author":"Normann","year":"2018","journal-title":"Front. Psychol."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1231","DOI":"10.1176\/appi.ajp.2016.16010071","article-title":"A longitudinal study of adjustment disorder after trauma exposure","volume":"173","author":"O\u2019Donnell","year":"2016","journal-title":"Am. J. Psychiatry"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1002\/jts.22295","article-title":"A systematic review of psychological and pharmacological treatments for adjustment disorder in adults","volume":"31","author":"O\u2019Donnell","year":"2018","journal-title":"J. Trauma. Stress."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1023\/A:1017942709369","article-title":"Mental adjustment to first recurrence and correlated factors in patients with breast cancer","volume":"67","author":"Okano","year":"2001","journal-title":"Breast Cancer Res. Treat."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.diabres.2017.11.029","article-title":"The contribution of illness perceptions and metacognitive beliefs to anxiety and depression in adults with diabetes","volume":"136","author":"Purewal","year":"2018","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref36","first-page":"67","article-title":"Predictive factors of anxiety and depression symptoms in patients with breast cancer undergoing chemotherapy. An explorative study based on metacognitions","volume":"23","author":"Quattropani","year":"2017","journal-title":"J. Psychopathol."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"39","DOI":"10.3269\/1970-5492.2018.13.9","article-title":"The role of metacognition in multiple sclerosis: a clinical study and assessment of possible correlation with anxiety, depression and coping strategies","volume":"13","author":"Quattropani","year":"2018","journal-title":"Euromediterranean Biomed. J."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1097\/00005053-199601000-00008","article-title":"Prevalence of psychiatric disorders in medical inpatients","volume":"184","author":"Silverstone","year":"1996","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1159\/000445805","article-title":"Prevalence of anxiety and depression in pulmonary hypertension and changes during therapy","volume":"91","author":"Somaini","year":"2016","journal-title":"Respiration"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1080\/15622975.2018.1492736","article-title":"Pharmacotherapy of adjustment disorder: a review","volume":"19","author":"Stein","year":"2018","journal-title":"World J. Biol. Psychiatry"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"2059","DOI":"10.1002\/pon.3252","article-title":"Fear of cancer recurrence in young early-stage breast cancer survivors: the role of metacognitive style and disease-related factors","volume":"22","author":"Thewes","year":"2013","journal-title":"Psychooncology"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/S0005-7894(05)80330-2","article-title":"Panic disorder in association with relaxation induced anxiety \u2013 an attentional training approach to treatment","volume":"21","author":"Wells","year":"1990","journal-title":"Behav. Therapy"},{"key":"ref43","volume-title":"Metacognitive therapy for anxiety and depression","author":"Wells","year":"2009"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/S0005-7967(03)00147-5","article-title":"A short form of the metacognitions questionnaire: properties of the MCQ-30","volume":"42","author":"Wells","year":"2004","journal-title":"Behav. Res. Ther."},{"key":"ref45","volume-title":"Attention and emotion","author":"Wells","year":"1994"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1186\/s13063-018-2826-x","article-title":"Metacognitive therapy home-based self-help for cardiac rehabilitation patients experiencing anxiety and depressive symptoms: study protocol for a feasibility randomized controlled trial (PATHWAY home-MCT)","volume":"19","author":"Wells","year":"2018","journal-title":"Trials"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1016\/0005-7967(94)00087-z","article-title":"Worry and the incubation of intrusive images following stress","volume":"33","author":"Wells","year":"1995","journal-title":"Behav. Res. Ther."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/article\/10.3389\/fpsyg.2020.00143\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:49:40Z","timestamp":1581468580000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/article\/10.3389\/fpsyg.2020.00143\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,12]]},"references-count":48,"alternative-id":["10.3389\/fpsyg.2020.00143"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2020.00143","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,12]]},"article-number":"143"}}