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World J Psychiatr. Sep 19, 2021; 11(9): 589-604
Published online Sep 19, 2021. doi: 10.5498/wjp.v11.i9.589
Cognitive attentional syndrome and metacognitive beliefs as potential treatment targets for metacognitive therapy in bipolar disorder
Sedat Batmaz, Ali Ercan Altinoz, Harun Olcay Sonkurt
Sedat Batmaz, Department of Psychiatry, School of Medicine, Tokat Gaziosmanpasa University, Tokat 60100, Turkey
Ali Ercan Altinoz, Department of Psychiatry, School of Medicine, Eskisehir Osmangazi University, Eskisehir 26000, Turkey
Harun Olcay Sonkurt, Psychiatry Clinic, Agri Training and Research Hospital, Agri 04000, Turkey
Author contributions: All authors participated sufficiently in the manuscript to take public responsibility for its content; all authors provided substantial contributions to the conception and design of the manuscript, contributed to drafting and revising it, and provided final approval of the version that was submitted.
Conflict-of-interest statement: No conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sedat Batmaz, MD, Associate Professor, Department of Psychiatry, School of Medicine, Tokat Gaziosmanpasa University, Kaleardı Mahallesi, Muhittin Fisunoğlu Caddesi, Ali Şevki Erek Yerleşkesi, Tokat Merkez, Tokat 60100, Turkey. sedat.batmaz@gop.edu.tr
Received: March 14, 2021
Peer-review started: March 14, 2021
First decision: June 5, 2021
Revised: June 16, 2021
Accepted: August 13, 2021
Article in press: August 13, 2021
Published online: September 19, 2021
Core Tip

Core Tip: Relying only on psychotropics without adjunctive psychosocial interventions may be insufficient in treating patients with bipolar disorder (BD). Given its unique view in the explanation of psychopathological states, metacognitive therapy (MCT) might be helpful. In this review, literature data regarding dysfunctional metacognitive beliefs, perseverative thinking, attentional biases, and dysfunctional coping strategies in BD are examined. Findings suggest that dysfunctional metacognitive beliefs are evident in BD. Taken the available data together, we lastly propose a sequential treatment protocol for BD, mainly based on the MCT treatment plan of depressive disorders.