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Metacognitive training (MCT-Silver) for older adults with depressive symptoms in Portugal: a pilot study

2026-06-30Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg10:Reduzir as Desigualdades
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorSilva, Celso Filipe Boto
dc.contributor.authorAlves, Elisabete
dc.contributor.authorSchneider, Brooke C.
dc.contributor.authorSampaio, Francisco
dc.contributor.authorMorgado, Bruno
dc.contributor.authorSantos, Bruno M.
dc.contributor.authorCorreia, Tânia
dc.contributor.authorCoelho, Joana
dc.contributor.authorTomaz, Mónica Lopo
dc.contributor.authorFerreira, Rogério
dc.contributor.authorFonseca, César
dc.contributor.authorPinho, Lara
dc.date.accessioned2026-09-14T14:25:56Z
dc.date.available2026-09-14T14:25:56Z
dc.date.issued2026-06-30
dc.description.abstractPurpose Depressive symptoms in older adults represent a significant concern with major life impact. This uncontrolled pilot study evaluated the safety, feasibility and acceptance of metacognitive training for depression in later life (MCT-Silver) among Portuguese older adults. MCT-Silver is an 8-week psychological group intervention targeting (meta)cognitive beliefs to reduce depressive symptoms. The study also assessed changes in depressive symptoms, metacognitive beliefs, quality of life, ruminative responses, self-esteem, and dysfunctional attitudes. Methods A pilot, uncontrolled, single-group study with twenty-nine participants aged≥60 years without cognitive impairment and beck depression inventory-II (BDI-II) scores≥14 were included. Blinded assessments occurred at baseline and post-intervention using patient health questionnaire-9 (PHQ-9) (depression), metacognitions questionnaire-30 (MCQ-30) (metacognitive beliefs), world health organization quality of life instruments-Bref, item 1 (WHOQOL-Bref) (quality of life), ruminative responses scale (RRS-10) (ruminative responses), Rosenberg self-esteem scale (RSE) (self-esteem), and dysfunctional attitudes scale-18B (DAS-18B) (dysfunctional attitudes). Acceptance was assessed with a 21-item questionnaire. Results Participants attended an average of 6 sessions (75%) and evaluated the intervention very positively, indicating they found it to be useful in daily life and fun. We did not receive any negative responses. Pre-post comparisons showed statistically significant changes in depressive symptoms, metacognitive beliefs, quality of life, rumination, self-esteem and dysfunctional attitudes; however, given the uncontrolled design, these findings should be interpreted as preliminary and exploratory rather than as evidence of efficacy. Conclusions Results of this uncontrolled single-group pilot study are encouraging, indicating safety, and feasibility of administration as well as high adherence and acceptance among Portuguese older adults. Given the uncontrolled singlegroup design, the observed pre-post improvements in clinical outcomes should not be interpreted as evidence of efficacy. Controlled studies are needed to confirm the efficacy of MCT-Silver in this population.eng
dc.identifier.doi10.1007/s10608-026-10767-6
dc.identifier.eissn1573-2819
dc.identifier.issn0147-5916
dc.identifier.urihttp://hdl.handle.net/10400.1/29440
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofCognitive Therapy and Research
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDepression
dc.subjectOlder adults
dc.subjectMetacognitive training
dc.subjectPilot study
dc.subjectPortugal
dc.titleMetacognitive training (MCT-Silver) for older adults with depressive symptoms in Portugal: a pilot studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleCognitive Therapy and Research
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSilva
person.givenNameCelso Filipe Boto
person.identifier.orcid0000-0002-4258-8629
relation.isAuthorOfPublicationa19c9f14-fda1-4507-a968-b5071637a588
relation.isAuthorOfPublication.latestForDiscoverya19c9f14-fda1-4507-a968-b5071637a588

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