The temporal precedence of metacognition in the development of anxiety and depression symptoms in the context of life-stress: A prospective study

Yılmaz, Adviye Esin; Gençöz, Tülin; Wells, Adrian

doi:10.1016/j.janxdis.2010.11.001

Cited by 97 publications

(73 citation statements)

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“…A greater endorsement of negative metacognitive beliefs has been associated with anxiety (Davis & Valentier, 2000;McEvoy & Mahoney, 2013), depression (Papageorgiou & Wells, 2001) and obsessive compulsive disorder (Wells & Papageorgiou, 1998). In addition prospective cohort studies have found that higher levels of unhelpful metacognitive beliefs at baseline predict subsequent severity of anxiety and depression (Hjemdal, Stiles, & Wells, 2013;Papageorgiou & Wells, 2009;Yilmaz, Gencoz, & Wells, 2011). Metacognitive beliefs have also been found to mediate relationships between symptoms and distress (Dragan & Dragan, 2014;Irak & Tosun, 2008).…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

Sellers

Varese

Wells

et al. 2017

Schizophrenia Research

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This meta-analysis investigated whether the five metacognitive beliefs implicated in the Self-Regulatory Executive Function (S-REF) model (Wells & Matthews, 1994;Wells & Matthews, 1996) are elevated in people with clinical psychosis compared to people with emotional disorder and non-psychiatric controls. The review followed guidance set-out in the PRISMA statement. Primary analyses compared summary effect sizes on each sub-scale of the Metacognitions Questionnaire (MCQ) for people with psychosis and non-psychiatric controls; and people with psychosis and people with emotional disorder. Eleven eligible studies were identified comprised of 568 psychosis participants, 212 emotional disorder participants and 776 nonpsychiatric controls. Findings indicated that people with psychosis had higher scores on all sub-scales of the MCQ compared to non-psychiatric controls; and higher scores on the positive beliefs about worry sub-scale compared to people with emotional disorder. This suggests metacognitive beliefs may be associated with the presence of psychological disorder and distress in general, rather than specific diagnoses. Implications for models of psychosis and treatment are discussed.

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Section: Introductionmentioning

confidence: 99%

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

Sellers

Varese

Wells

et al. 2017

Schizophrenia Research

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“…Üstbilişin psikiyatrik hastalıklardaki önemi anlaşıldıkça yapılan çalışmalar da artmaktadır (4,5,(13)(14)(15) (15) ise prepsikotik süreçteki hastaların metakognitif testlerinin total puanlarında yükseklik saptamışlardır. Çalış-mamızda da; MDB ve PB hasta gruplarında üst-biliş total skorları sağlıklı kontrollere göre anlamlı olarak yüksek bulundu.…”

Section: Discussionunclassified

“…Üstbilişin psikiyatrik hastalıklardaki önemi anlaşıldıkça yapılan çalışmalar da artmaktadır (4,5,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). ÜBÖ ile yapılan bir çalışmada; negatif üst bilişsel inanışlar nedeniyle anksiyete ve depresyon semptomlarının sürdüğü, strese maruz kalma ile üst bilişsel inanışların değiştiği ve üst bilişin travmatik deneyimleri kontrol edebilme, günlük sorunlarla başedebilmede etkili olduğu gösterilmiştir (4).…”

Section: Introductionunclassified

“…ÜBÖ ile yapılan bir çalışmada; negatif üst bilişsel inanışlar nedeniyle anksiyete ve depresyon semptomlarının sürdüğü, strese maruz kalma ile üst bilişsel inanışların değiştiği ve üst bilişin travmatik deneyimleri kontrol edebilme, günlük sorunlarla başedebilmede etkili olduğu gösterilmiştir (4). Perseküsyon sanrıları ve işit-sel halüsinasyonu olan psikotik hastalar ile PB hastalarında ÜBÖ kullanılarak yapılan çalışmada ise; işitsel halüsinasyonu olan hastalarda üstbiliş skorları diğer iki grup ve kontrol grubuna kıyas-la oldukça yüksek bulunmuştur.…”

Section: Introductionunclassified

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Evalution of Metacognitive Functions in Major Depressive and Panic Disorder Patients

Özsoy¹,

Kuloğlu

2017

Journal of Contemporary Medicine

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Amaç:Major Depresif Bozukluk (MDB) ve Panik bozukluk (PB) tanısı alan hastaların üstbiliş işlevlerinin sağlıklı kontrollerle karşılaştırıla-rak değerlendirilmesi amaçlanmıştır. Materyal-Metod:Çalışmaya DSM-IV-TR'ye göre MDB ve PB tanılı 50'şer hasta ile yaş, cinsiyet açısından eşleştirilmiş geçmiş ve şimdiki öyküsünde psikiyatrik ve nörolojik hastalığı olmayan 50 sağlıklı kontrol alındı. Hasta ve kontrol grubuna DSM-IV Eksen-I Bozuklukları için Yapılandırılmış Klinik Görüşme Ölçeği (SCID-I), Sosyodemografik ve Klinik Veri Formu, Üstbiliş Ölçeği-30 (ÜBÖ), MDB hasta grubuna ek olarak ise Beck Depresyon Ölçeği (BDÖ) ile Beck Anksiyete Ölçeği (BAÖ), PB hastalarına ek olarak Panik Agorafobi Ölçeği (PAÖ) ile Durumluluk ve Süreklilik Kaygı ölçeği (STAI-I ve STAI-II) uygulandı. Bulgular: Hem MDB hem de PB hastalarında, üstbiliş toplam puanları kontrol grubuna göre anlamlı olarak yüksek bulundu. MDB hastalarında; üstbilişin bilişsel güven ile kontrol edilmezlik ve tehlike alt boyutları, PB hastalarında ise; kontrol edilmezlik ve tehlike ile kontrol ihtiyacı alt boyutları kontrol grubuna göre anlamlı yüksek idi. Ek olarak; MDB hastalarında BDÖ puanları ile üstbiliş olumlu inanç, PB hastaların-da ise STAI-II ile bilişsel farkındalık alt boyutu arasında pozitif korelasyon saptanırken, PAÖ'nin sağlık konusunda endişelenmeyi değerlendiren soruları ile kontrol edilmezlik ve tehlike alt boyutu arasında ise negatif korelasyon saptandı.Sonuç: Çalışmamız; MDB ve PB hasta grupları ile sağlıklı kontrol grubunun ÜBÖ parametreleri açısından farklılıklar gösterdiğini ortaya koymuştur. Bu farklılıklar ile MDB ve PB hastalıklarının nedensel ilişkisini saptamaya yönelik daha fazla sayıda çalışmaya gereksinim vardır.Anahtar kelimeler: Major depresif bozukluk, panik bozukluk, üst-biliş. Objective:The aim of the present study was to evaluate metacognitive functions and clinical features of patients with Major Depressive Disorder (MDD) and Panic Disorder (PD) diagnosis via comparing them to control group. Methods:Fifty patients with diagnosis of MDD and fifty patients with diagnosis of PD who were applied to Fırat University Hospital, Mental Health and Disorders Policlinic and evaluated there, and who met the study criteria were included in the study along with 50 age-and gendermatched healthy people as control who had no current or previous psyciatric and neurological disorders. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Sociodemographic and Clinical Data Form were applied to both patient and control groups while Metacognitive-30 Scale (MCQ), Beck Depression Scale and Beck Anxiety Scale were applied to MDD patient group, and Panic Agorafobia Scale and The State-Trait Anxiety Inventory Scales were applied to PD patient group only.Results: Total MCQ scores of MDD and PD patients were significantly higher than that of control group. Positive beliefs about worry, negative beliefs about worry concerning uncontrollability and danger dimensions of metacognition were higher in MDD patients while negative beliefs about worry ...

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“…In this perspective, metacognition was found to be positively and significantly correlated with both perceived stress and negative emotion, such as anxiety and depression (Spada, Nikčević, Moneta, & Wells, 2008). Metacognition also predicted the development of anxiety and depression symptoms in the context of life-stress (Yilmaz, Gençöz, & Wells, 2011). …”

Section: Responsibility Of the Conference Organization Committeementioning

confidence: 96%

Metacognition by gender: A pilot Study based on canonical correlation analysis

Mucciardi¹,

Lenzo²,

Toffle³

et al. 2016

The European Proceedings of Social and Behavioural Sciences

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Past studies have explored the relationship between metacognitions and psychopathology. Few studies have investigated the role of socio-demographic aspects in dysfunctional metacognitive beliefs. Moreover, there is a lack of studies that have examined these variables simultaneously. In this perspective, canonical correlation analysis (CCA) is theoretically coherent with the complexity of this field of research and with the aims of this study. Two group of 169 women and 137 men took part in this study and took a protocol including a measure of metacognition (MCQ-30), and various psychopathological measures to evaluate the following constructs: state anxiety (STAI X1), state trait (STAI X2), pathological worry (PSWQ) and obsessive-compulsive symptoms (PADUA). Two CCA was run on the basis of the gender differences. For each CCA, MCQ-30 subscales and socio-demographic variables were considered as predictor variables of the canonical function. The other instruments were considered as criterion variables of the canonical function. Results for men indicated that the most relevant criterion variable was the insufficient control of mental activities. The negative beliefs about uncontrollability and danger and the positive beliefs about worry were the strongest contributors to the predictor synthetic variable. Regarding the women, the most important criterion variable were the pathological worry and state anxiety. The negative beliefs about uncontrollability and danger were the most contributor to the predictor synthetic variable. Only for men, work had a role in the predictor synthetic variable. Education and age did not show a role.

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The temporal precedence of metacognition in the development of anxiety and depression symptoms in the context of life-stress: A prospective study

Cited by 97 publications

References 35 publications

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

Evalution of Metacognitive Functions in Major Depressive and Panic Disorder Patients

Metacognition by gender: A pilot Study based on canonical correlation analysis

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