title: The efficacy of group metacognitive therapy on self-esteem and mental health of patients suffering from major depressive disorder.
abstract: OBJECTIVE
  The present research aims to analyze the efficacy of group metacognitive therapy (MCT) on self-esteem and mental Health of those who suffer from major depressive disorder.
  
  
  METHODS
  The research was a randomized clinical controlled trial, using pretest and posttest with 2 months of follow-up. Twenty-two patients with major depressive disorder based on DSM-IV-TR criteria were selected through available sampling from patients of two psychiatric hospitals of Mashhad, Iran, in 2011. They were allocated randomly into two groups of trial (n = 11) and control (n = 11). Citalopram and sertraline were prescribed as antidepressant to both groups. The experimental group also attended nine 90-minute sessions of MCT (a 5-week program). Eysenck self-esteem scale (ESES) and Mental Health Checklist (MHC) were used in pretest, posttest, and follow-up as the study instrument. The data were analyzed by analysis of covariance (ANCOVA) using SPSS.
  
  
  RESULTS
  ANCOVA revealed that the patients receiving group MCT had significantly increased (p < 0.001) self-esteem in posttest, which remained significant in the follow up (p < 0.001). Moreover, mental health scores had increased in the MCT group (posttest, p < 0.001; follow up, p < 0.001).
  
  
  CONCLUSIONS
  Group MCT has beneficial therapeutic roles in improving the self-steam and recuperation of mental health in MDD patients.
authors: Department of Psychology, School of Humanities, Sari Branch, Islamic Azad University, Sari, Mazandaran, Iran.
authors: Vahid
authors: V
authors: Farahmand
authors: Department of Psychology, School of Humanities, Sari Branch, Islamic Azad University, Sari, Mazandaran, Iran.
authors: Ramezan
authors: R
authors: Hassanzadeh
authors: Department of Psychology, School of Humanities, Sari Branch, Islamic Azad University, Sari, Mazandaran, Iran.
authors: Bahram
authors: B
authors: Mirzaian
authors: Associate Professor, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Mohammad Reza
authors: MR
authors: Fayyazi Bordbar
authors: Department of Psychology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Jaleh
authors: J
authors: Feizi
keywords: Major Depressive Disorder; Mental Health; Metacognitive Therapy; Self-esteem