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Table 1 Content of MCT

From: Group meta-cognitive therapy and depression in women with breast cancer: a randomized controlled trial

Session Content Time (min)
1 Welcome, provide summaries of the treatment model and goals of the sessions, case formulation, conduct a pre-test, practice ATT, complete the ATT summary sheet
Homework: Practice the mindfulness training technique (twice a day), record daily practice the mindfulness training technique
90
2 Review the homework, socialize the patient to the maintaining processes, including the impact of worry and rumination and the ineffectiveness of current coping strategies, review negative beliefs and rumination as ineffective coping strategies, introduce and practice Detached Mindfulness (DM), introduce thinking procrastination, as an experiment to change beliefs related to thinking uncontrollability, practice ATT
Homework: Practice ATT, apply DM and thinking delay
90
3 Review of Homework and MDD-S Scale, review of CAS, metacognitive beliefs are verbally challenged in Socratic dialogues, and behavioral experiments are used to test and generate change in the person's metacognitive predictions of or beliefs in CAS strategies, instruct to postpone worry and rumination processes, identify thinking motivators, and apply DM, practice ATT
Homework: Record thoughts, practice ATT, use DM, schedule activity
Postpone thinking, increase the level of activity
90
4 Review the homework and MDD-S scale, negative beliefs related to thinking uncontrollability, levels of activity and maladaptive coping, check the use of thought postpone, challenges with positive metacognitive beliefs related to thinking, practice ATT
Homework: Record thoughts, practice ATT, expand the application of DM, procrastination, schedule activity
90
5 Review the homework and complete the MDD-S scale, positive metacognitive beliefs, levels of activity and dysfunctional coping, check the continuous and widespread use of DM, continue to challenge positive metacognitive beliefs related to thinking, review the levels of activity and suggestions for improving it (identifying and stopping other ineffective coping techniques such as sleeping too much and drinking alcohol), practice ATT
Homework: Practice ATT, postpone thinking, increase the activity level
90
6 Review the homework and MDD-s scale, positive metacognitive beliefs, activity levels, examine and challenge negative beliefs about emotion and depression, practice ATT (increase the difficulty level)
Homework: Practice ATT, postpone thinking, continue activities
90
7 Review the homework and the MDD-S scale, metacognitive beliefs and dysfunctional coping, work on developing a new processing plan (complete the program summary sheet and provide a copy to the patient), review and overcome fears the patient recovers from depressive symptoms, practice ATT
Homework: Practice ATT, apply and reinforce
90
8 New processing plan, start work on the initial treatment plan, review homework and MDD-S scale, prevent recurrence (complete the treatment plan), work on remaining metacognitive beliefs, predict possible motivators and discuss how to use a new processing program, schedule reinforcement sessions 90