TY - JOUR
T1 - The effects of different types of treatment for anxiety on repetitive negative thinking
T2 - A meta-analysis
AU - Monteregge, Sabrina
AU - Tsagkalidou, Anesteia
AU - Cuijpers, Pim
AU - Spinhoven, Philip
PY - 2020/6/1
Y1 - 2020/6/1
N2 - It is not clear if treatments for anxiety specifically targeting repetitive negative thinking (RNT: rumination, worry, and content-independent perseverative thinking) have a specific effect on RNT resulting in better outcomes than other psychological and nonpsychological treatments. We conducted a systematic search of randomized controlled trials comparing RNT-focused and non-RNT-focused psychological treatments, as well as nonpsychological treatments for anxiety with control groups and reporting outcomes on RNT. Inclusion criteria were met by 46 studies with a total of 3,194 participants. RNT-focused and non-RNT-focused psychological treatments had comparable effects on RNT, and level of anxiety and changes in RNT and anxiety were highly associated across treatments. Further mediation and mechanistic studies to test whether reductions in RNT during RNT-focused cognitive behavioral therapy predict subsequent reductions in anxiety are called for.
AB - It is not clear if treatments for anxiety specifically targeting repetitive negative thinking (RNT: rumination, worry, and content-independent perseverative thinking) have a specific effect on RNT resulting in better outcomes than other psychological and nonpsychological treatments. We conducted a systematic search of randomized controlled trials comparing RNT-focused and non-RNT-focused psychological treatments, as well as nonpsychological treatments for anxiety with control groups and reporting outcomes on RNT. Inclusion criteria were met by 46 studies with a total of 3,194 participants. RNT-focused and non-RNT-focused psychological treatments had comparable effects on RNT, and level of anxiety and changes in RNT and anxiety were highly associated across treatments. Further mediation and mechanistic studies to test whether reductions in RNT during RNT-focused cognitive behavioral therapy predict subsequent reductions in anxiety are called for.
KW - anxiety
KW - cognitive behavior therapy
KW - meta-analysis
KW - randomized controlled trial
KW - repetitive negative thinking
KW - rumination
KW - worry
UR - http://www.scopus.com/inward/record.url?scp=85077887354&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077887354&partnerID=8YFLogxK
U2 - 10.1111/cpsp.12316
DO - 10.1111/cpsp.12316
M3 - Review article
AN - SCOPUS:85077887354
SN - 0969-5893
VL - 27
SP - 1
EP - 20
JO - Clinical Psychology: Science and Practice
JF - Clinical Psychology: Science and Practice
IS - 2
M1 - e12316
ER -
