Role of Worry in Addiction: Implication of Metacognitive Beliefs and Type 2 Worry

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-08-29 DOI:10.1002/cpp.3048

Priscillia Improvisato, Raphaël Trouillet, Sophie Schuldiner, Amandine Luquiens, Tristan Hamonnière, Hélène Donnadieu, Pascal Perney

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Abstract

Introduction

According to the self-medication hypothesis, worriers use substances to cope with their symptoms; however, some published results have challenged this hypothesis. The aim of this study is to show if worry increases the risk of SUD when it is negatively appraised by negative metacognitive beliefs.

Method

We recruited three samples: 68 patients with a severe AUD, 27 patients dependent on eating and 42 control participants. We used the Yale Food Addiction Scale-2, the Metacognitions Questionnaire-65, the UPPS-P Impulsive Behaviour Scale and the Anxiety Thoughts Inventory.

Results

We confirmed a direct effect of worries and metaworry on alcohol (AUD) and eating addiction (EA), but our multivariate analyses revealed that metacognitive beliefs and metaworry are the most robust predictors of alcohol and eating addiction.

Discussion

We reported substance-related differences in the relationship between worry and addiction. AUD is related to the metacognitive activity set in motion by worries while EA is associated with a maladaptive form of worry (meta-worry) where worries are negatively interpreted.

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担忧在成瘾中的作用：元认知信念和第二类担忧的影响

引言根据自我药疗假说，忧虑者会使用药物来应对他们的症状；然而，一些已发表的结果对这一假说提出了质疑。本研究旨在说明，当担忧被消极的元认知信念负面评价时，是否会增加患 SUD 的风险。方法我们招募了三个样本：68 名严重 AUD 患者、27 名饮食依赖患者和 42 名对照组参与者。我们使用了耶鲁食物成瘾量表-2、元认知问卷-65、UPPS-P 冲动行为量表和焦虑想法量表。结果我们证实了担忧和元担忧对酒精成瘾（AUD）和饮食成瘾（EA）的直接影响，但我们的多变量分析表明，元认知信念和元担忧是预测酒精成瘾和饮食成瘾的最可靠因素。讨论我们报告了担忧与成瘾关系中与物质有关的差异。酗酒成瘾与由忧虑引发的元认知活动有关，而饮食成瘾则与一种不良形式的忧虑（元忧虑）有关，即对忧虑进行负面解释。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.