Open AccessThe effects of different types of treatment for anxiety on repetitive negative thinking: A meta‐analysis
Author(s) -
Monteregge Sabrina,
Tsagkalidou Anesteia,
Cuijpers Pim,
Spinhoven Philip
Publication year - 2020
Publication title -
clinical psychology: science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 105
eISSN - 1468-2850
pISSN - 0969-5893
DOI - 10.1111/cpsp.12316
Subject(s) - worry , rumination , anxiety , psychology , mediation , meta analysis , clinical psychology , randomized controlled trial , test anxiety , cognition , medicine , psychiatry , political science , law
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.