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Quiz about Depression Anxiety and Metacognitive Therapy

Depression, Anxiety and Metacognitive Therapy Quiz

Cognitive therapy for depression and anxiety has been around for half a century. Metacognitive therapy is a much more recent development based on a different theory. What do you know about this treatment?

A multiple-choice quiz by drx3dan. Estimated time: 6 mins.

Author
drx3dan

Time
6 mins

Type
Multiple Choice

Quiz #
396,455

Updated
Dec 03 21

# Qns
10

Difficulty
Tough

Avg Score
6 / 10

Plays
240

One at a Time - Single Page

Question 1 of 10

1. The names of these two treatment modalities sounds similar, but their processes are not. What is the main difference between cognitive therapy and metacognitive therapy? Hint

Metacognitive therapy is more expensive than cognitive therapy

Cognitive therapy works in 100% of the cases, which is not the case with metacognitive therapy

Metacognitive therapy lasts a life time, while cognitive therapy involves only a limited number of sessions

Cognitive therapy focuses on what you think, while metacognitive therapy focuses on how you think

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Question 2 of 10

2. Remember Freud, Jung and Skinner? They made important contributions, but unrelated to metacognitive therapy. Who pioneered metacognitive therapy in depression and anxiety? Hint

Isaac Marks

Aaron Beck

Adrian Wells

Max Hamilton

3. Once you become familiar with it, the theoretical basis of metacognitive therapy feels almost intuitive. In the framework of metacognitive therapy, what is the main type of persistent negative thinking in depression? Hint

Worry

Rumination

Obsession

Compulsion

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Question 4 of 10

4. Depression and anxiety coexist frequently, but it is useful to develop a theoretical basis only for the metacognitive therapy of anxiety. In the framework of metacognitive therapy, what is the main type of persistent negative thinking in anxiety? Hint

Filtering

Catastrophizing

Jumping to conclusions

Worry

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Question 5 of 10

5. Metacognition is that part of our mind's activity that controls thinking and other mental processes. Some awareness of metacognition exists in all of us, but most of the time this functions in the background. Which of the following is an example of metacognition at work? Hint

'Black and white' thinking

Personalization

Overgeneralisation

The' tip of the tongue' effect

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Question 6 of 10

6. In metacognitive therapy a certain treatment technique plays a major role and must be practiced on a daily basis. What is the name of this technique? Hint

Attention training technique

Balanced thinking

Breathing relaxation

Autogenic relaxation

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Question 7 of 10

7. Many people who take antidepressants would also like to try psychotherapy. Which of the following statements about metacognitive therapy in relationship to antidepressants is true? Hint

It cannot be used in people who take antidepressants

It cannot be used in people who never took antidepressants

It can be used in people who take antidepressants, but only after the antidepressant has been discontinued

It can be used in people who take antidepressants

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Question 8 of 10

8. Which of the following statements about metacognitive therapy is true? Hint

It does not work if it is not used in combination with psychotropic medications

It is not known if it works in people who do not take psychotropic medication

It can work in people who do not take psychotropic medication but it must always be followed by treatment with such medications

It can be effective in people who do not take psychotropic medications

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Question 9 of 10

9. There are people who have to resume antidepressants when, for instance, their depression returns. Which of the following statements about metacognitive therapy is true? Hint

It must be repeated every three years to maintain efficacy

Repeated metacognitive therapy programs for the same problem are not recommended

It must be repeated every two years to maintain efficacy

It must be repeated annually to maintain efficacy

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Question 10 of 10

10. Metacognitive therapists registered with the Metacognitive Therapy Institute founded by Professor Wells are available in a number of countries. In which of the countries listed below they are not available in 2019? Hint

Italy

Germany

USA

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Quiz Answer Key and Fun Facts

1. The names of these two treatment modalities sounds similar, but their processes are not. What is the main difference between cognitive therapy and metacognitive therapy?

Answer: Cognitive therapy focuses on what you think, while metacognitive therapy focuses on how you think

There is no information indicating that the two therapies differ in terms of cost. Both involve a limited number of sessions. No psychotherapy works in 100% of the cases.

In metacognitive therapy, the goal is to reverse the cognitive attentional syndrome. Those affected by this syndrome find it hard to control their thoughts or escape certain proclivities in their thinking. They also struggle with a style of thinking heavily biased towards worry, rumination, excessive attention to threat and unhelpful behaviors. To combat this syndrome, the new therapy works on metacognition.

2. Remember Freud, Jung and Skinner? They made important contributions, but unrelated to metacognitive therapy. Who pioneered metacognitive therapy in depression and anxiety?

Answer: Adrian Wells

Dissatisfied with psychoanalysis, Aaron Beck from Philadelphia pioneered cognitive therapy for the treatment of depression in the 1960s. Isaac Marks was an important British behavioral therapist. Max Hamilton was a British psychiatrist who created two popular rating scales for depression and anxiety.

At the time of writing, Adrian Wells is Professor of Clinical and Experimental Psychopathology at the University of Manchester. In 2009 he published a seminal book titled 'Metacognitive Therapy for Anxiety and Depression'.

Answer: Rumination

An obsession is a distressing, unwanted and repetitious idea, impulse or image originating in the person's own mind. For example, an excessive concern about contamination with germs. Compulsions are repetitious behaviors that occur in response to obsessions and are meant to protect the person with the obsessions or other people. For example, repeated hand washing to ward off contamination.

In the framework of metacognitive therapy, rumination can be seen as persistent negative inner speech uselessly focused on past events that cannot be undone. Rumination is most likely to occur in depressed people who often reduce their level of activity, which in turn gives them more time to ruminate. Rumination can be perceived as uncontrollable. If persistent, it can prolong and worsen the emotional distress of depressed people.

Answer: Worry

Filtering, jumping to conclusions and catastrophizing are types of depressive cognitive distortions that are addressed in cognitive therapy and not in metacognitive therapy.

In the framework of metacognitive therapy, worry can be seen as persistent negative inner speech consisting of trains of thoughts and questions about possible future threats. Worry can be perceived as uncontrollable and it can have untoward effects on concentration and sleep. If persistent, it can prolong and worsen the emotional distress of anxious people.

Answer: The' tip of the tongue' effect

'Black and white' thinking, overgeneralization and personalization are cognitive distortions and not examples of metacognition. Do you remember instances when you were unable to recall something, although you had a strong feeling that the respective information was stored in your memory? That is an example of metacognition at work. It is called the 'tip of the tongue' effect.

6. In metacognitive therapy a certain treatment technique plays a major role and must be practiced on a daily basis. What is the name of this technique?

Answer: Attention training technique

Attention training is a technique developed by Professor Adrian Wells. This technique aims at weakening the cognitive attentional syndrome and enhancing awareness of attention control. The duration of the technique is about twelve minutes. The person focuses actively on diverse sounds in various locations while simultaneously attempting to decrease distraction and preserve selectivity.

In addition to attention training, to further weaken the cognitive attentional syndrome the patient learns novel approaches in relating to negative thoughts and beliefs and is helped to gradually give up metacognitive beliefs that generate disadvantageous ways of thinking.

Balanced thought is the goal of completing thought records, typically used in cognitive therapy for depression and anxiety. Autogenic training is a relaxation technique developed by the German psychiatrist Schultz. Relaxation breathing is a type of calming breathing.

7. Many people who take antidepressants would also like to try psychotherapy. Which of the following statements about metacognitive therapy in relationship to antidepressants is true?

Answer: It can be used in people who take antidepressants

Metacognitive therapy can certainly be used in people who take antidepressants. It can also be used in people who take other psychotropic medications.

8. Which of the following statements about metacognitive therapy is true?

Answer: It can be effective in people who do not take psychotropic medications

Metacognitive therapy can be effective in people who do not take psychotropic medications. It is not mandatory to take such medications after the metacognitive therapy program ends.

9. There are people who have to resume antidepressants when, for instance, their depression returns. Which of the following statements about metacognitive therapy is true?

Answer: Repeated metacognitive therapy programs for the same problem are not recommended

Repeat metacognitive therapy courses are not needed in people who no longer have the problems which brought them into therapy in the first place.

Answer: USA

Other countries where registered metacognitive therapists are available include Norway, Sweden, Finland, Denmark, Austria, Israel, Faroe Islands.

Source: Author drx3dan

This quiz was reviewed by FunTrivia editor rossian before going online.
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