Examining Associations Between Metacognitive Beliefs and Type II Worry: The Specificity of Negative Metacognitive Beliefs to State Type II Worry During a Worry Episode.

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Thomas A Fergus, Katherine E Stratton
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引用次数: 0

Abstract

The metacognitive model of generalized anxiety disorder (GAD) considers Type II worry, which represents one's tendency to negatively appraise worry, as a defining feature of GAD, and negative metacognitive beliefs are central to eliciting Type II worry during worry episodes. Extant research has found that individuals experiencing GAD report elevated Type II worry, and that negative metacognitive beliefs correlate with Type II worry. However, because of how Type II worry was assessed in existing studies, it remains unclear if negative metacognitive beliefs relate to state Type II worry specifically during a worry episode. This study sought to fill that gap in the existing literature among a sample of individuals experiencing elevated GAD symptom severity (N = 106). Participants completed an assessment of GAD symptom severity and metacognitive beliefs, while later attending an in-person study session where they completed a worry induction and state Type II worry, as conceptualized as the strength of negative appraisals of worry, which was then assessed. Metacognitive beliefs generally positively correlated with state Type II worry, with negative metacognitive beliefs being the only metacognitive belief domain that correlated with state Type II worry in multivariate analyses. Implications for how these results support the metacognitive model of GAD and treatment implications are discussed.

检视元认知信念与II型担忧之间的关联:负面元认知信念对焦虑发作期间II型担忧状态的特异性
广泛性焦虑障碍(GAD)的元认知模型认为II型担忧是GAD的一个定义特征,它代表了一个人对担忧的负面评价倾向,而消极的元认知信念是焦虑发作期间引发II型担忧的核心。现有的研究发现,患有广泛性焦虑症的个体报告II型担忧升高,而消极的元认知信念与II型担忧相关。然而,由于现有研究对II型担忧的评估方式,目前尚不清楚消极的元认知信念是否与焦虑发作期间的II型担忧状态有关。本研究试图在经历GAD症状严重程度升高的个体样本(N = 106)中填补现有文献中的空白。参与者完成了对广泛性焦虑症症状严重程度和元认知信念的评估,随后参加了一个面对面的学习会议,在那里他们完成了担忧诱导和II型担忧状态,概念化为对担忧的负面评价的强度,然后对其进行评估。多元分析显示,元认知信念与状态ⅱ型担忧普遍呈正相关,负性元认知信念是唯一与状态ⅱ型担忧相关的元认知信念域。讨论了这些结果如何支持广泛性焦虑症的元认知模型和治疗意义。
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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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