{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T03:07:02Z","timestamp":1773976022102,"version":"3.50.1"},"reference-count":102,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T00:00:00Z","timestamp":1679443200000},"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."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Metacognitive Training for Depression in older adults (MCT-Silver; <jats:ext-link>www.uke.de\/mct-silver<\/jats:ext-link>) is a cognitive-behavioral based group intervention that aims at reducing depression by targeting (meta)cognitive beliefs and rumination. In the present study, it was examined whether negative cognitive beliefs, positive metacognitive beliefs and\/or rumination may be implicated as mediators of MCT-Silver\u2019s effects on depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>We conducted a secondary analysis of a randomized controlled trial comparing MCT-Silver to an active control intervention (cognitive remediation) including 66 older adults (60\u2009years and older) with complete baseline data. Clinician-rated (Hamilton Depression Rating Scale) and self-reported (Beck Depression Inventory-II) depression, negative cognitive beliefs (Dysfunctional Attitudes Scale-18B), positive metacognitive beliefs (positive beliefs subscale; Metacognition Questionnaire-30) and rumination (10-item Ruminative Response Scale) were assessed before (pre) and after 8\u2009weeks of treatment (post), as well as 3\u2009months later (follow-up). It was examined whether change in depression (pre- to follow-up) was mediated by change in negative cognitive beliefs, positive metacognitive beliefs and\/or rumination (pre- to post-assessment).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mediation results differed for self-reported vs. clinician-rated depression. The effect of MCT-Silver on reduction in clinician-rated depression was mediated by a reduction in self-reported rumination, whereas reduction in self-reported depression was mediated by a reduction in negative cognitive beliefs. Positive metacognitive beliefs were not a significant mediator for either outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The current study provides initial evidence for the roles of negative cognitive beliefs and rumination in the treatment of depression in later life with MCT-Silver. Given the divergence of findings and lack of causal precedence, mechanisms of change for MCT-Silver cannot yet be equivocally identified.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2023.1153377","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T11:24:46Z","timestamp":1679484286000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver)"],"prefix":"10.3389","volume":"14","author":[{"given":"Brooke C.","family":"Schneider","sequence":"first","affiliation":[]},{"given":"Ruth","family":"Veckenstedt","sequence":"additional","affiliation":[]},{"given":"Evangelos","family":"Karamatskos","sequence":"additional","affiliation":[]},{"given":"Lara Guedes","family":"Pinho","sequence":"additional","affiliation":[]},{"given":"Bruno","family":"Morgado","sequence":"additional","affiliation":[]},{"given":"C\u00e9sar","family":"Fonseca","sequence":"additional","affiliation":[]},{"given":"Steffen","family":"Moritz","sequence":"additional","affiliation":[]},{"given":"Lena","family":"Jelinek","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-regulation strategies across psychopathology: a meta-analytic review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin. 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