Breaking the cycle: Exploring the relationship of metacognition beliefs, obsessive-compulsive symptoms, and psychosocial performance among individuals diagnosed with schizophrenia

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-07-18 DOI:10.1111/jpm.13086

Samah Mohamed Taha, Mona Metwally El-Sayed, Mahmoud Abdelwahab Khedr, Ayman Mohamed El-Ashry, Mostafa Aboeldahab, Hassan Mohammed Sonbol, Eman Sameh Abd-Elhay

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It can guide them in devising personalized care plans that not only manage the symptoms but also improve the underlying mechanism that exacerbates the psychotic symptoms and social functioning and the overall quality of life. Moreover, the findings of this research can contribute to developing training programs for mental health nurses, equipping them with the necessary skills and knowledge to provide optimal care.\n\n <ol>\n \n <li>\n <p><b>What the paper adds to existing knowledge?</b>\n \n </p><ul>\n \n <li><span>• </span><p>This study provides empirical evidence of the significant positive correlation between OCS and metacognitive dimensions in individuals with schizophrenia.</p>\n </li>\n \n <li><span>• </span><p>It highlights the role of certain demographic factors, such as younger age and single marital status, in increasing the likelihood of elevated OCS.</p>\n </li>\n \n <li><span>• </span><p>It underscores the inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning.</p>\n </li>\n \n <li><span>• </span><p>It identifies age and metacognitive scores as crucial predictors of psychosocial functioning across various domains.</p>\n </li>\n </ul>\n \n </li>\n \n <li>\n <p><b>What are the implications for practice?</b>\n \n </p><ul>\n \n <li><span>• </span><p>The findings suggest that therapeutic nursing interventions for individuals diagnosed with schizophrenia should address metacognitive dysfunctional beliefs to improve overall functioning and well-being.</p>\n </li>\n \n <li><span>• </span><p>Clinicians, including psychiatrists and psychiatric nurses, should consider the patient's age, marital status, and metacognitive scores when assessing the risk of elevated OCS and devising treatment plans.</p>\n </li>\n \n <li><span>• </span><p>The study emphasizes the need for comprehensive psychiatric nursing assessment, including metacognitive dysfunction and OCS evaluation.</p>\n </li>\n </ul>\n \n </li>\n \n <li>\n <p><b>What are the implications for future research?</b>\n \n </p><ul>\n \n <li><span>• </span><p>Future research could explore the causal relationships between metacognitive dysfunctional beliefs, OCS, and psychosocial functioning in schizophrenia.</p>\n </li>\n \n <li><span>• </span><p>Longitudinal studies could provide insights into the progression of these relationships over time and the impact of therapeutic interventions.</p>\n </li>\n \n <li><span>• </span><p>Further research could also investigate the effectiveness of specific therapeutic strategies such as Metacognitive Therapy (MCT), Schema Therapy (ST), Cognitive Enhancement Therapy (CET), and Cognitive Behaviour Therapy (CBT) to address this population's metacognitive dysfunctional beliefs.</p>\n </li>\n </ul>\n \n </li>\n </ol>\n </div>\n </section>\n \n <section>\n \n </section>\n \n <section>\n \n <h3> Background</h3>\n \n <p>Schizophrenia is a chronic mental health disorder that significantly impacts an individual's cognitive, emotional and social functioning. Recent research has highlighted the role of metacognitive beliefs and obsessive-compulsive symptoms (OCS) in the psychosocial performance of individuals diagnosed with schizophrenia. Understanding these relationships could provide valuable insights for developing more effective nursing interventions. 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引用次数: 0

Abstract

The Relevance to Mental Health Nursing

This research paper explores the intricate relationship between metacognitive dysfunctional beliefs, obsessive-compulsive symptoms, and psychosocial performance in patients diagnosed with schizophrenia. Understanding these dynamics can help mental health nurses identify and address each patient's needs more effectively. It can guide them in devising personalized care plans that not only manage the symptoms but also improve the underlying mechanism that exacerbates the psychotic symptoms and social functioning and the overall quality of life. Moreover, the findings of this research can contribute to developing training programs for mental health nurses, equipping them with the necessary skills and knowledge to provide optimal care.

What the paper adds to existing knowledge?
- •
  This study provides empirical evidence of the significant positive correlation between OCS and metacognitive dimensions in individuals with schizophrenia.
- •
  It highlights the role of certain demographic factors, such as younger age and single marital status, in increasing the likelihood of elevated OCS.
- •
  It underscores the inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning.
- •
  It identifies age and metacognitive scores as crucial predictors of psychosocial functioning across various domains.
What are the implications for practice?
- •
  The findings suggest that therapeutic nursing interventions for individuals diagnosed with schizophrenia should address metacognitive dysfunctional beliefs to improve overall functioning and well-being.
- •
  Clinicians, including psychiatrists and psychiatric nurses, should consider the patient's age, marital status, and metacognitive scores when assessing the risk of elevated OCS and devising treatment plans.
- •
  The study emphasizes the need for comprehensive psychiatric nursing assessment, including metacognitive dysfunction and OCS evaluation.
What are the implications for future research?
- •
  Future research could explore the causal relationships between metacognitive dysfunctional beliefs, OCS, and psychosocial functioning in schizophrenia.
- •
  Longitudinal studies could provide insights into the progression of these relationships over time and the impact of therapeutic interventions.
- •
  Further research could also investigate the effectiveness of specific therapeutic strategies such as Metacognitive Therapy (MCT), Schema Therapy (ST), Cognitive Enhancement Therapy (CET), and Cognitive Behaviour Therapy (CBT) to address this population's metacognitive dysfunctional beliefs.

Background

Schizophrenia is a chronic mental health disorder that significantly impacts an individual's cognitive, emotional and social functioning. Recent research has highlighted the role of metacognitive beliefs and obsessive-compulsive symptoms (OCS) in the psychosocial performance of individuals diagnosed with schizophrenia. Understanding these relationships could provide valuable insights for developing more effective nursing interventions. This study aimed to investigate the relationship between metacognitive beliefs, OCS and psychosocial performance among individuals diagnosed with schizophrenia.

Design

A cross-sectional survey was conducted involving 174 purposively selected participants diagnosed with schizophrenia.

Tools

The Meta-Cognitions Questionnaire-30, Young Adult Self-Report Scale for OCS and Specific Level of Functioning Scale were used to gather the necessary data.

Results

The study found a significant positive correlation between OCS and metacognitive dimensions. Age was a significant predictor with an Oddis Ratio of 2.471. The metacognitive dysfunction was a highly significant predictor in univariate and multivariate analyses, with Oddis Ratios of 1.087 and 1.106, respectively. The study also discovered that higher levels of metacognitive dysfunctional beliefs were associated with lower levels of psychosocial functioning. Age and the metacognitive dysfunction score were significant predictors of psychosocial functioning scores, accounting for 26.8% of the variance in these scores.

Conclusion

The study reveals a compelling inverse relationship between higher metacognitive dysfunctional beliefs and lower levels of psychosocial functioning in individuals diagnosed with schizophrenia. It also identifies certain demographic factors, such as younger age, as significant contributors to elevated OCS. Importantly, metacognitive dysfunction emerged as a critical predictor of psychosocial functioning across various domains. These findings underscore the potential of incorporating metacognitive-focused interventions in the treatment plans for schizophrenia patients. By addressing these cognitive patterns, healthcare professionals can enhance overall functioning and well-being in individuals diagnosed with schizophrenia.

查看原文本刊更多论文

打破循环：探索元认知信念、强迫症状和精神分裂症患者的社会心理表现之间的关系。

与心理健康护理的相关性：本研究论文探讨了被诊断为精神分裂症患者的元认知功能障碍信念、强迫症状和社会心理表现之间错综复杂的关系。了解这些动态关系有助于心理健康护士更有效地识别和满足每位患者的需求。它可以指导他们制定个性化的护理计划，不仅能控制症状，还能改善加重精神症状、社会功能和整体生活质量的潜在机制。此外，这项研究的结果还有助于为精神健康护士制定培训计划，使他们掌握必要的技能和知识，以提供最佳护理。本文对现有知识有何补充？- 本研究提供了实证证据，证明精神分裂症患者的 OCS 与元认知维度之间存在显著的正相关性。- 它强调了某些人口统计学因素，如年轻和单身婚姻状况，在增加OCS升高的可能性方面所起的作用。- 它强调了较高的元认知功能障碍信念与较低的社会心理功能水平之间的反比关系。- 它指出年龄和元认知得分是预测各领域社会心理功能的关键因素。对实践有何意义？- 研究结果表明，针对被诊断为精神分裂症患者的治疗性护理干预措施应针对元认知功能障碍信念，以改善患者的整体功能和幸福感。- 包括精神科医生和精神科护士在内的临床医生在评估OCS升高的风险和制定治疗计划时，应考虑患者的年龄、婚姻状况和元认知评分。- 这项研究强调了进行全面精神科护理评估的必要性，包括元认知功能障碍和 OCS 评估。未来研究的意义是什么？- 未来的研究可以探索元认知功能障碍信念、OCS 和精神分裂症患者社会心理功能之间的因果关系。- 纵向研究可以深入了解这些关系随着时间的推移而发生的变化以及治疗干预措施的影响。- 进一步的研究还可以探讨元认知疗法（MCT）、模式疗法（ST）、认知增强疗法（CET）和认知行为疗法（CBT）等特定治疗策略对解决这类人群元认知功能障碍信念的有效性。最近的研究强调了元认知信念和强迫症状（OCS）在被诊断为精神分裂症患者的心理社会表现中的作用。了解这些关系可为制定更有效的护理干预措施提供有价值的见解。本研究旨在调查元认知信念、强迫症状和精神分裂症患者的社会心理表现之间的关系：工具：元认知问卷-30（Meta-Cognitions Questionnaire-30）和心理社会表现问卷-30（OCS-30）：工具：采用元认知问卷-30、青年OCS自评量表和特定功能水平量表收集必要的数据：研究发现，OCS 与元认知维度之间存在明显的正相关。年龄是一个重要的预测因素，其奇偶比为 2.471。在单变量和多变量分析中，元认知功能障碍是一个非常重要的预测因素，其 Oddis 比率分别为 1.087 和 1.106。研究还发现，元认知功能障碍信念水平越高，社会心理功能水平越低。年龄和元认知功能障碍得分是社会心理功能得分的重要预测因素，占这些得分差异的 26.8%：这项研究揭示了在被诊断为精神分裂症的患者中，较高的元认知功能障碍信念与较低的社会心理功能水平之间存在着令人信服的反比关系。研究还发现，某些人口统计学因素（如年龄较小）也是导致OCS升高的重要因素。重要的是，元认知功能障碍是预测各领域心理社会功能的关键因素。这些发现强调了在精神分裂症患者的治疗计划中纳入以元认知为重点的干预措施的潜力。通过解决这些认知模式，医护人员可以提高精神分裂症患者的整体功能和幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric and Mental Health Nursing 医学-护理

CiteScore

4.70

自引率

3.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.