Severity of depression was also assessed 6 months later (t2). Level of depression, dysfunctional cognitive beliefs (DAS), and metacognitive beliefs (MCQ subscales: Positive Beliefs, Negative Beliefs, Need for Control) were assessed before (t0) and after treatment (t1). Eighty-four outpatients with depression were included in a randomized controlled trial comparing D-MCT to an active control intervention. The purpose of the present study was to investigate whether the mechanisms of change in D-MCT are cognitive (and thus primarily concern the content of cognition) or metacognitive in nature. It aims at the reduction of depression by changing dysfunctional cognitive as well as metacognitive beliefs. Metacognitive Training for Depression (D-MCT), a low-threshold group intervention, has been shown to improve depressive symptoms.
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