Scholarlink

Purpose <p>Depressive symptoms in older adults represent a significant concern with major life impact. This uncontrolled pilot study evaluated the safety, feasibility and acceptance of metacognitive training for depression in later life (MCT-Silver) among Portuguese older adults. MCT-Silver is an 8-week psychological group intervention targeting (meta)cognitive beliefs to reduce depressive symptoms. The study also assessed changes in depressive symptoms, metacognitive beliefs, quality of life, ruminative responses, self-esteem, and dysfunctional attitudes.</p> Methods <p>A pilot, uncontrolled, single-group study with twenty-nine participants aged ≥ 60 years without cognitive impairment and beck depression inventory-II (BDI-II) scores ≥ 14 were included. Blinded assessments occurred at baseline and post-intervention using patient health questionnaire-9 (PHQ-9) (depression), metacognitions questionnaire-30 (MCQ-30) (metacognitive beliefs), world health organization quality of life instruments-Bref, item 1 (WHOQOL-Bref) (quality of life), ruminative responses scale (RRS-10) (ruminative responses), Rosenberg self-esteem scale (RSE) (self-esteem), and dysfunctional attitudes scale-18B (DAS-18B) (dysfunctional attitudes). Acceptance was assessed with a 21-item questionnaire.</p> Results <p>Participants attended an average of 6 sessions (75%) and evaluated the intervention very positively, indicating they found it to be useful in daily life and fun. We did not receive any negative responses. Pre-post comparisons showed statistically significant changes in depressive symptoms, metacognitive beliefs, quality of life, rumination, self-esteem and dysfunctional attitudes; however, given the uncontrolled design, these findings should be interpreted as preliminary and exploratory rather than as evidence of efficacy.</p> Conclusions <p>Results of this uncontrolled single-group pilot study are encouraging, indicating safety, and feasibility of administration as well as high adherence and acceptance among Portuguese older adults. Given the uncontrolled single-group design, the observed pre-post improvements in clinical outcomes should not be interpreted as evidence of efficacy. Controlled studies are needed to confirm the efficacy of MCT-Silver in this population.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Metacognitive Training (MCT-Silver) for Older Adults with Depressive Symptoms in Portugal: A Pilot Study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月30日

查看全文
  • Celso Silva,
  • Elisabete Alves,
  • Brooke C. Schneider,
  • Francisco Sampaio,
  • Bruno Morgado,
  • Bruno M. Santos,
  • Tânia Correia,
  • Joana Coelho,
  • Mónica Lopo Tomaz,
  • Rogério Ferreira,
  • César Fonseca,
  • Lara Pinho

摘要

Purpose

Depressive symptoms in older adults represent a significant concern with major life impact. This uncontrolled pilot study evaluated the safety, feasibility and acceptance of metacognitive training for depression in later life (MCT-Silver) among Portuguese older adults. MCT-Silver is an 8-week psychological group intervention targeting (meta)cognitive beliefs to reduce depressive symptoms. The study also assessed changes in depressive symptoms, metacognitive beliefs, quality of life, ruminative responses, self-esteem, and dysfunctional attitudes.

Methods

A pilot, uncontrolled, single-group study with twenty-nine participants aged ≥ 60 years without cognitive impairment and beck depression inventory-II (BDI-II) scores ≥ 14 were included. Blinded assessments occurred at baseline and post-intervention using patient health questionnaire-9 (PHQ-9) (depression), metacognitions questionnaire-30 (MCQ-30) (metacognitive beliefs), world health organization quality of life instruments-Bref, item 1 (WHOQOL-Bref) (quality of life), ruminative responses scale (RRS-10) (ruminative responses), Rosenberg self-esteem scale (RSE) (self-esteem), and dysfunctional attitudes scale-18B (DAS-18B) (dysfunctional attitudes). Acceptance was assessed with a 21-item questionnaire.

Results

Participants attended an average of 6 sessions (75%) and evaluated the intervention very positively, indicating they found it to be useful in daily life and fun. We did not receive any negative responses. Pre-post comparisons showed statistically significant changes in depressive symptoms, metacognitive beliefs, quality of life, rumination, self-esteem and dysfunctional attitudes; however, given the uncontrolled design, these findings should be interpreted as preliminary and exploratory rather than as evidence of efficacy.

Conclusions

Results of this uncontrolled single-group pilot study are encouraging, indicating safety, and feasibility of administration as well as high adherence and acceptance among Portuguese older adults. Given the uncontrolled single-group design, the observed pre-post improvements in clinical outcomes should not be interpreted as evidence of efficacy. Controlled studies are needed to confirm the efficacy of MCT-Silver in this population.