Evidence map›Paper›PMID 39119056›Full record

ArticleClinical psychology in Europe2024

Worry Postponement From the Metacognitive Perspective: A Randomized Waitlist-Controlled Trial.

Clara Krzikalla, Ulrike Buhlmann, Janina Schug, Ina Kopei, Alexander L Gerlach, Philipp Doebler, Nexhmedin Morina, Tanja Andor

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical psychology in Europe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Clara KrzikallaInstitute of Psychology, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-8598-5106
Ulrike BuhlmannInstitute of Psychology, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-4997-3236
Janina SchugInstitute of Psychology, University of Münster, Münster, Germany.
Ina KopeiInstitute of Psychology, University of Münster, Münster, Germany.
Alexander L GerlachDepartment of Psychology, Institute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0001-6794-5349
Philipp DoeblerDepartment of Statistics, Technical University of Dortmund, Dortmund, Germany.ORCID https://orcid.org/0000-0002-2946-8526
Nexhmedin MorinaInstitute of Psychology, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-2331-9140
Tanja AndorInstitute of Psychology, University of Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pathological worry is associated with appraisals of worrying as uncontrollable. Worry postponement (WP) with a stimulus control rationale appears to be effective in non-clinical samples. However, preliminary research in participants with generalized anxiety disorder (GAD) does not support its efficacy in reducing negative metacognitions or worry. The aim of this study was to investigate the efficacy of WP with a metacognitive rationale. Method: Participants with GAD (n = 47) or hypochondriasis (HYP; n = 35) were randomly assigned to either an intervention group (IG) or waitlist (WL). The IG received a two-session long WP intervention aiming at mainly reducing negative metacognitions concerning uncontrollability of worrying. Participants were instructed to postpone their worry process to a predetermined later time during the six days between the two sessions. Participants completed questionnaires of negative metacognitions and worry at pre-assessment, post-assessment, and follow-up. Results: We observed a significant Time*Group interaction for negative metacognitions and worry. Post-hoc analyses on the total sample and separately for GAD and HYP revealed significantly lower worry scores in the treated GAD sample compared to the WL, representing the only significant effect. In the GAD group, pre-post-effect sizes were small for negative metacognitions and large for worry. Effects persisted to a four-week follow-up. Conclusion: WP with a metacognitive rationale seems to be effective in reducing worry in participants with GAD. The effectiveness for HYP seems limited, possibly due to the small sample size.

Indexed as

generalized anxiety disorderhypochondriasismetacognitive therapystand-alone-interventionworry postponement

Identifiers

PMID39119056
PMCPMC11303915

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.