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Volume 23, Issue 2 (Summer 2017)
IJPCP 2017, 23(2): 164-177 |
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Moin Al-Ghorabaiee F, Karamloo S, Noferesti A. Metacognitive Components in Patients With Generalized Anxiety Disorder, Obsessive-Compulsive Disorder and Depressed Mood Disorder. IJPCP 2017; 23 (2) :164-177
URL: http://ijpcp.iums.ac.ir/article-1-2352-en.html
URL: http://ijpcp.iums.ac.ir/article-1-2352-en.html
1- , Alborz Branch, Academic Center for Education, Culture and Research
2- Alborz Branch, Academic Center for Education, Culture and Research, Alborz Branch
3- Research Group of Cognitive Sciences, Alborz Branch, Karaj, Academic Center for Education, Culture and Research, ,E-mail: noferest88@yahoo.com
2- Alborz Branch, Academic Center for Education, Culture and Research, Alborz Branch
3- Research Group of Cognitive Sciences, Alborz Branch, Karaj, Academic Center for Education, Culture and Research, ,
Abstract: (7113 Views)
Objectives The purpose of this study was to compare the metacognitive factors between individuals with Obsessive Compulsive Disorder (OCD), Generalized Anxiety Disorder (GAD), dysthymic disorder (Dys), and non-clinical disorders (Normals).
Methods Metacognitive Questionnaire - short form (MCQ-30), Thought Control Questionnaire (TCQ), and Anxious Thought Inventory (ATI) were administered to a sample of 120 individuals (OCD-30; GAD-30; Dys-30 and Normals-30).
Results Results of MANOVA and post-hoc comparison revealed significant differences in metacognitive factors between all groups except attention distraction and cognitive confidence. Post-hoc comparisons also showed that OCD patients have significantly higher scores in punishment and reappraisal subscales than GAD and non-clinical groups. Likewise, GAD patients have significantly higher scores in social and health worry than OCD patients and in positive and negative beliefs about worry and need to control subscales than OCD and non-clinical groups. Also Dys group had significantly higher scores in health and social worry than others. In general, nonclinical sample had lower scores in all metacognitive questionnaires, RSQ, and neuroticism.
Conclusion Metacognitive beliefs and strategies could differentiate between diagnostic groups. Also findings support the Self regulatory executive function model of Wells.
Methods Metacognitive Questionnaire - short form (MCQ-30), Thought Control Questionnaire (TCQ), and Anxious Thought Inventory (ATI) were administered to a sample of 120 individuals (OCD-30; GAD-30; Dys-30 and Normals-30).
Results Results of MANOVA and post-hoc comparison revealed significant differences in metacognitive factors between all groups except attention distraction and cognitive confidence. Post-hoc comparisons also showed that OCD patients have significantly higher scores in punishment and reappraisal subscales than GAD and non-clinical groups. Likewise, GAD patients have significantly higher scores in social and health worry than OCD patients and in positive and negative beliefs about worry and need to control subscales than OCD and non-clinical groups. Also Dys group had significantly higher scores in health and social worry than others. In general, nonclinical sample had lower scores in all metacognitive questionnaires, RSQ, and neuroticism.
Conclusion Metacognitive beliefs and strategies could differentiate between diagnostic groups. Also findings support the Self regulatory executive function model of Wells.
Keywords: Metacognitive factors, Obsessive Compulsive Disorder (OCD), Generalized Anxiety Disorder (GAD), Dysthymia, Self Regulatory Executive Function (SREF)
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2015/09/27 | Accepted: 2017/01/4 | Published: 2017/07/1
Received: 2015/09/27 | Accepted: 2017/01/4 | Published: 2017/07/1
References
1. Saed O, Purehsan S, Akbari S. Correlation among meta-cognitive beliefs and anxiety – depression symptoms. Procedia - Social and Behavioral Sciences. 2010; 5:1685–9. doi: 10.1016/j.sbspro.2010.07.346 [DOI:10.1016/j.sbspro.2010.07.346]
2. Papageorgiou C. Wells A. Meta cognitive beliefs about rumination in recurrent major depression. Cognitive & Behavior Practice. 2011, 8, 160-4. [DOI:10.1016/S1077-7229(01)80021-3]
3. Wells A. Metacognitive therapy for Anxiety and depression. New York: Guilford press; 2009.
4. Wells A. Emotional disorders and metacognition. New York: John Wiley & Sons Ltd; 2002. doi: 10.1002/9780470713662 [DOI:10.1002/9780470713662]
5. Wells A, Matthews G. Attention and emotion (Classic edition): A clinical perspective. Hove: Erlbaum; 2014.
6. Papageorgiou C, Wells A. An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research. 2003; 27(3):261-73. doi: 10.1023/A:1023962332399 [DOI:10.1023/A:1023962332399]
7. Wells A. Cognition about cognition: Metacognitive therapy and change in generalized anxiety disorder and social phobia. Cognitive and Behavioral Practice. 2007; 14(1):18–25. doi: 10.1016/j.cbpra.2006.01.005 [DOI:10.1016/j.cbpra.2006.01.005]
8. Papageorgiou C. Wells A. Meta cognitive beliefs about rumination in recurrent major depression. Cognitive & Behavior Practice. 2011, 8, 160-4. [DOI:10.1016/S1077-7229(01)80021-3]
9. Wells A, King P. Metacognitive therapy for generalized anxiety disorder: An open trial. Journal of Behavior Therapy and Experimental Psychiatry. 2006; 37(3):206–12. doi: 10.1016/j.jbtep.2005.07.002 [DOI:10.1016/j.jbtep.2005.07.002]
10. Wells A, Carter K. Further tests of a cognitive model of generalized anxiety disorder: Metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behavior Therapy. 2001; 32(1):85–102. doi: 10.1016/s0005-7894(01)80045-9 [DOI:10.1016/S0005-7894(01)80045-9]
11. Roussis P, Wells A. Post-traumatic stress symptoms: Tests of relationships with thought control strategies and beliefs as predicted by the metacognitive model. Personality and Individual Differences. 2006; 40(1):111–22. doi: 10.1016/j.paid.2005.06.019 [DOI:10.1016/j.paid.2005.06.019]
12. Yılmaz AE, Gençöz T, Wells A. The temporal precedence of metacognition in the development of anxiety and depression symptoms in the context of life-stress: A prospective study. Journal of Anxiety Disorders. 2011; 25(3):389–96. doi: 10.1016/j.janxdis.2010.11.001 [DOI:10.1016/j.janxdis.2010.11.001]
13. Bahrami F, Rezvan S. [Relationship between anxious thoughts and metacognitive beliefs in high school students with generalized anxiety disorder (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2007; 13(3):249-55.
14. Akrami A, Kalantari M, Arizi HR, Abedi M, Maroofi M. [Comparison of the effectiveness of behavioral - cognitive and behavioral meta cognitive approaches in patient with obsessive-compulsive disorder (OCD) (Persian)]. Journal of Clinical Psychology. 2010; 2(2):59-71.
15. Shafran R, Rachman S. Thought-action fusion: A review. Journal of Behavior Therapy and Experimental Psychiatry. 2004; 35(2):87–107. doi: 10.1016/j.jbtep.2004.04.002 [DOI:10.1016/j.jbtep.2004.04.002]
16. Fisher PL, Wells A. Experimental modification of beliefs in obsessive–compulsive disorder: A test of the metacognitive model. Behaviour Research and Therapy. 2005; 43(6):821–9. doi: 10.1016/j.brat.2004.09.002 [DOI:10.1016/j.brat.2004.09.002]
17. Tuna Ş, Tekcan Aİ, Topçuoğlu V. Memory and metamemory in obsessive–compulsive disorder. Behaviour Research and Therapy. 2005; 43(1):15–27. doi: 10.1016/j.brat.2003.11.001 [DOI:10.1016/j.brat.2003.11.001]
18. Delavar A. [Research Methods in Psychology and Educational Sciences (Persian)]. Tehran: Virayesh Publication Institute; 2006.
19. Wells A, Cartwright-Hatton S. A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy. 2004; 42(4):385–96. doi: 10.1016/s0005-7967(03)00147-5 [DOI:10.1016/S0005-7967(03)00147-5]
20. Wells A. A multi-dimensional measure of worry: Development and preliminary validation of the anxious thoughts inventory. Anxiety, Stress & Coping. 1994; 6(4):289–99. doi: 10.1080/10615809408248803 [DOI:10.1080/10615809408248803]
21. Wells A, Davies MI. The thought control questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy. 1994; 32(8):871–8. doi: 10.1016/0005-7967(94)90168-6 [DOI:10.1016/0005-7967(94)90168-6]
22. Cartwright-Hatton S, Wells A. Beliefs about worry and intrusions: The meta-cognitions questionnaire and its correlates. Journal of Anxiety Disorders. 1997; 11(3):279–96. doi: 10.1016/s0887-6185(97)00011-x [DOI:10.1016/S0887-6185(97)00011-X]
23. Shirinzadeh Dastgiri S, Gudarzi MA, Ghanizadeh A, Taghavi SM. [Comparison of metacognitive and responsibility beliefs in patients with obsessive-compulsive disorder, generalized anxiety disorder and normal individuals (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(1):46-55.
24. Goodarzi MA, Esmaieli Torkanbori Y. [The relation between intrusive thoughts control strategies and severity of obsessive-compulsive symptoms (Persian)]. Hakim Research Journal. 2006; 8(4):44-51.
25. Donnellan C, Al Banna M, Redha N, Al Sharoqi I, Al-Jishi A, Bakhiet M, et al. Association between metacognition and mood symptoms poststroke. Journal of Geriatric Psychiatry and Neurology. 2016; 29(4):212–20. doi: 10.1177/0891988716640374 [DOI:10.1177/0891988716640374]
26. Pournamdarian S, Birshak B, Asgharnejad Farid AA. [Explanation of cognitive beliefs in predicting symptoms of depression, anxiety and stress among nurses (Persian)]. Knowledge and Research in Applied Psychology. 2012; 13(3):86-94.
27. Behar E, DiMarco ID, Hekler EB, Mohlman J, Staples AM. Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of Anxiety Disorders. 2009; 23(8):1011–23. doi: 10.1016/j.janxdis.2009.07.006 [DOI:10.1016/j.janxdis.2009.07.006]
28. Miguel Ángel PN, Marta Mª RD, Leticia LM, Nereida B. Metacognitive beliefs and strategies of control thought in GAD and OCD. Clínica y Salud. 2010; 21(2):159–66. doi: 10.5093/cl2010v21n2a5 [DOI:10.5093/cl2010v21n2a5]
29. Prados JM. Do beliefs about the utility of worry facilitate worry. Journal of Anxiety Disorders. 2011; 25(2):217–23. doi: 10.1016/j.janxdis.2010.09.005 [DOI:10.1016/j.janxdis.2010.09.005]
30. Wells A. The metacognitive model of GAD: Assessment of meta-worry and relationship with DSM-IV generalized anxiety disorder. Cognitive Therapy and Research. 2005; 29(1):107–21. doi: 10.1007/s10608-005-1652-0 [DOI:10.1007/s10608-005-1652-0]
31. Borkovec TD, Hazlett-Stevens H, Diaz ML. The role of positive beliefs about worry in generalized anxiety disorder and its treatment. Clinical Psychology & Psychotherapy. 1999; 6(2):126-38. doi: 10.1002/(sici)1099-0879(199905)6:2<126::aid-cpp193>3.0.co; 2-m
32. Dugas MJ, Ladouceur R. Analysis and treatment of generalized anxiety disorder. In: Caballo VE, editors. International Handbook of Cognitive and Behavioural Treatments for Psychological Disorders. New York: Pergamon; 1998. doi: 10.1016/b978-008043433-9/50009-2 [DOI:10.1016/B978-008043433-9/50009-2]
33. Clark D, Ferborn CG. Science and CBT methods [Kavyani H, Persian trans]. Tehran: Fars Publication; 2001.
34. Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology. 2000; 68(4):615–23. doi: 10.1037/0022-006x.68.4.615 [DOI:10.1037/0022-006X.68.4.615]
35. Amir N, Cashman L, Foa EB. Strategies of thought control in obsessive-compulsive disorder. Behaviour Research and Therapy. 1997; 35(8):775. doi: 10.1016/s0005-7967(97)00030-2 [DOI:10.1016/S0005-7967(97)00030-2]
36. Freeston MH, Ladouceur R. The cognitive-behavioral treatment of obsessions. In: VE. Caballo (Ed), International handbook of cognitive and behavioural treatments for psychological disorders. Oxford: Pergamon Press; 1998. doi: 10.1016/b978-008043433-9/50007-9 [DOI:10.1016/B978-008043433-9/50007-9]
37. Salkovskis PM, Forrester E, Richards HC, Morrison N. The devil is in the detail: Conceptualising and treating obsessional problems. In: Tarrier N, Wells A, editors. Treating Complex Cases: A Cognitive Behavioural Therapy Approach. Chichester: John Wiley & Sons; 1998.
38. Emmelkamp PM, Aardema A. Metacognition, specific obsessiveą compulsive beliefs and obsessiveą compulsive behaviour. Clinical Psychology & Psychotherapy. 1999; 6:139-45. doi: 10.1002/(sici)1099-0879(199905)6:2<139::aid-cpp194>3.3.co; 2-0
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