Dysfunctional Attitudes Versus Metacognitive Beliefs as Within-Person Predictors of Depressive Symptoms Over Time

IF 3.4 2区 心理学 Q2 PSYCHIATRY
Eivind R. Strand, Frederick Anyan, Odin Hjemdal, Hans M. Nordahl, Henrik Nordahl
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引用次数: 0

Abstract

Understanding within-person variation between theorized mechanisms of disorder and depressive symptoms can help identify targets for interventions. Cognitive models of depression hypothesize dysfunctional attitudes as underlying vulnerability factors, while the metacognitive model places emphasis on dysfunctional metacognitive beliefs. However, no previous study has tested the relative importance of change in dysfunctional attitudes and metacognitive beliefs as predictors of change in depressive symptoms within individuals. In a sample of 1,418 individuals measured at four time-points separated by 5-week intervals, a multilevel model approach was used to test the relative importance of change in dysfunctional attitudes and metacognitive beliefs as predictors of change in depressive symptoms. Change in dysfunctional attitudes and metacognitive beliefs predicted change in depressive symptoms over time. However, change in metacognitive beliefs and in particular negative metacognitive beliefs and judgements of cognitive confidence were significantly stronger predictors of change in depressive symptoms compared to dysfunctional attitudes. Furthermore, change in metacognitive beliefs predicted change in dysfunctional attitudes beyond change in depressive symptoms. These results suggest that metacognitive beliefs rather than dysfunctional attitudes might be more important for depressive symptoms over time within persons and that metacognitive change may also influence dysfunctional attitudes over time. Metacognitive beliefs are therefore a promising target for treatment and prevention aiming to reduce depressive symptoms, but replication of our results in clinical samples is warranted before more clear conclusions can be drawn.

机能障碍态度与元认知信念是随时间变化的抑郁症状的人内预测因素
了解理论上的失调机制与抑郁症状之间的个体差异有助于确定干预目标。抑郁症的认知模型假设功能失调的态度是潜在的易感因素,而元认知模型则强调功能失调的元认知信念。然而,以前的研究还没有测试过功能失调态度和元认知信念的变化作为预测个体抑郁症状变化的相对重要性。本研究采用多层次模型方法,对 1418 人进行了抽样调查,调查的四个时间点间隔为 5 周,以此来检验机能障碍态度和元认知信念的变化作为抑郁症状变化预测因子的相对重要性。功能障碍态度和元认知信念的变化可预测抑郁症状随时间的变化。然而,与机能障碍态度相比,元认知信念,尤其是消极元认知信念和认知自信判断的变化对抑郁症状变化的预测作用明显更强。此外,元认知信念的变化对功能失调态度变化的预测超过了对抑郁症状变化的预测。这些结果表明,元认知信念而非功能失调态度可能对抑郁症状的长期影响更为重要,而且元认知的变化也可能影响功能失调态度的长期变化。因此,元认知信念有望成为旨在减少抑郁症状的治疗和预防的目标,但在得出更明确的结论之前,还需要在临床样本中复制我们的结果。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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