Metacognitive beliefs moderate the relationship between catastrophic misinterpretation and health anxiety

Bailey, Robin; Wells, Adrian

doi:10.1016/j.janxdis.2015.05.005

Cited by 47 publications

(51 citation statements)

References 57 publications

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“…Our findings raise the possibility that an ‘obsessional thinking style’ measured with the obsessing subscale (e.g., having difficulties suppressing unpleasant thoughts, having difficulties of controlling their thoughts and overthinking excessively), including such cognitive biases (e.g., thought–action fusion), may have a greater causal influence on HA than is currently conceptualized. Although recent work has shown that HA is associated with ‘uncontrollability of worrying’ and ‘danger of thinking’ , these cognitive dimensions have only been marginally studied compared to the prominent cognitive–behavioural models of OCD.…”

Section: Discussionmentioning

confidence: 99%

Predictors and consequences of health anxiety symptoms: a novel twin modeling study

López-Solà

Bui

Hopper

et al. 2018

Acta Psychiatr Scand

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Section: Discussionmentioning

confidence: 99%

Predictors and consequences of health anxiety symptoms: a novel twin modeling study

López-Solà

Bui

Hopper

et al. 2018

Acta Psychiatr Scand

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“…Development of more specific metacognitive belief measures for depressive rumination, alcohol use, and health anxiety add further evidence of positive relationships between metacognitive knowledge, problematic affect, and behaviors Wells, 2003, 2009;Bailey and Wells, 2015a). In addition, prospective studies support the role of elevated metacognition as a precedent to elevated emotion disorder symptoms (Myers et al, 2009;Yilmaz et al, 2011;Capobianco et al, 2019) and as a moderator of the effects of cognition on anxiety (Bailey and Wells, 2015b).…”

Section: Metacognitive Beliefsmentioning

confidence: 92%

Breaking the Cybernetic Code: Understanding and Treating the Human Metacognitive Control System to Enhance Mental Health

Wells

2019

Front. Psychol.

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The self-regulatory executive function (S-REF) model explains the role of strategic processes and metacognition in psychological disorder and was a major influence on the development of metacognitive therapy. The model identifies a universal style of perseverative negative processing termed the cognitive attentional syndrome (CAS), comprised of worry, rumination, and threat monitoring in the development of disorder. The CAS is linked to dysfunctional metacognitions that include beliefs and plans for regulating cognition. In this paper, I extend the theoretical foundations necessary to support further research on mechanisms linking metacognition to cognitive regulation and effective treatment. I propose a metacognitive control system (MCS) of the S-REF that can be usefully distinguished from cognition and is comprised of multiple structures, information, and processes. The MCS monitors and controls activity of the cognitive system and regulates the behavior of neural networks whose activities bias the way cognition is experienced. Metacognitive information involved in the regulation of on-line processing includes metacognitive beliefs, metacognitive procedural commands, and more transient cybernetic code. Separation of the cognitive and metacognitive systems and modeling their relationship presents major implications concerning what should be done in therapy and how it should be done. The paper concludes with an in-depth consideration of methods that strengthen the psychological basis of psychotherapy and aid in understanding and applying metacognitive therapy in particular. Finally, limitations of the model and implications for future research on self-awareness, self-regulation, and metacognition are discussed.

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“…Bailey & Wells (2013) found that metacognitive beliefs explained variance in health anxiety symptoms over and above other established correlates namely, illness cognition, somatosensory amplification, and neuroticism (range of correlations .46 to .47). Furthermore, metacognitive beliefs moderated the relationship between catastrophic misinterpretation of bodily symptoms and health anxiety (Bailey & Wells, 2015a) calling into question the importance given to misinterpretations. In this study the moderator effect showed that catastrophic misinterpretations alone did not predict health anxiety and an input from metacognition appears to be required to produce this association.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

Bailey

Wells

2016

Behaviour Research and Therapy

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Metacognitive beliefs moderate the relationship between catastrophic misinterpretation and health anxiety

Cited by 47 publications

References 57 publications

Predictors and consequences of health anxiety symptoms: a novel twin modeling study

Predictors and consequences of health anxiety symptoms: a novel twin modeling study

Breaking the Cybernetic Code: Understanding and Treating the Human Metacognitive Control System to Enhance Mental Health

Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study

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